Associate Director Healthcare Economics - Central Region (0723)

Duties & Responsibilities

• Conduct ad hoc analyses which require comparing, merging, validating, and summarizing multiple and or large data sets for tracking and presenting solutions for identified business problems. 
• Manage interactions and data submissions with the payers 
• Assess trends and variables impacting ACO/IPA performance and produce various reports, presentations, and dashboards communicating performance and associated issues and opportunities. 
• Prepare market and business intelligence reports related to value-based care. 
• Perform quantitative and qualitative research on topics relating to finance and programmatic matters impacting value-based care programs and opportunities. 
• Create financial pro forma analyses modeling business opportunities and structures for various value-based care payment options. 
• Collaborate with practices participating in CINQCARE ACO/IPAs on matters related to areas of responsibility. 
• Lead cross-functional teams to review, analyze, interpret, document, and communicate details of new value-based care arrangements with payers and providers to support contract negotiations. 
• Develops full understanding of value levers and sets performance goals. 
• Support financial reporting activities including budget, IBNR, P&L, and forecasting.  
• Collect, interpret, and analyze historical claims, premium, capitation, and membership data in support of healthcare analyses. 
• Perform data analytics in support of trend identification, program development, and program validation. 
• Understand clinical indicators and appropriate data used to model and evaluate the efficacy and effectiveness of targeted interventions/programs. 
• Work with cross-functional teams to proactively identify areas of opportunity to drive improved economic, health and humanistic outcomes related to programs. 
• Stay current with updates on technology tools and available data sets relevant to programs of interest to CINQCARE and the use of various analytic techniques. 
• Support change management for existing processes and assist in the development of standard processes. 
• Works with internal teams to build ongoing reporting needs into the production environment. 
• Provide ongoing communications on project status, results, and conclusions. 
• Solve complex problems and develop innovative solutions with minimal oversight. 
• Act as a subject matter expert. 
  

General Duties:

• Leadership: The Associate Director Healthcare Economics will lead in defining and executing strategies and solutions to create business value in the ACO/IPA and value-based care areas, including building a team to design, develop, and execute those strategies and solutions to deliver desired outcomes.  
• Strategy: The Associate Director Healthcare Economics will establish the business strategy and roadmap: (1) improve outcomes for CINQCARE members; (2) enhance the efficacy of other CINQCARECARE business divisions; and (3) develop and deliver external market opportunities for CINQCARE Care products and services. In establishing the business strategy, the Associate Director Healthcare Economics will define and innovate sustainable revenue models to drive profitability of the Company.  
• Collaboration: The Associate Director Healthcare Economics will ensure that healthcare economics capabilities form a cohesive offering, including by working closely with other business divisions to learn their needs, internalize their knowledge, and define solutions to achieve the business objectives of CINQCARE.  
• Knowledge: The Associate Director Healthcare Economics will provide subject matter expertise in data-based analysis and solutions. 
• Culture: The Associate Director Healthcare Economics is accountable for maintaining a productive, collaborative, safe and inclusive work environment for the team and as part of the larger Company. 

The working environment and physical requirements of the job include:

In-office work is performed indoors in a traditional office setting with conditioned air, artificial light, and an open workspace.

In this position you will need to communicate with customers, vendors, management, and other co-workers in person and over devices, sometimes with people who are agitated. Regular use of the telephone and e-mail for communication is essential. Sitting for extended periods is common. Must be able to receive ordinary information and to prepare or inspect documents. Lifting of up to 10 lbs. occasionally may be required. Good manual dexterity for the use of common office equipment such as computer terminals, calculator, copiers, and FAX machines. Good reasoning ability is important. Able to understand and utilize management reports, memos, and other documents to conduct business.

Equal Opportunity & Reasonable Accommodation Statement

CINQCARE is an Equal Opportunity Employer committed to creating an inclusive environment for all employees. We provide equal employment opportunities to all individuals regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic under applicable law.

If you require reasonable accommodation during the application or employment process, please indicate this in your application or speak with your recruiter during the hiring process.

Disclaimer

This job description is intended to describe the general nature and level of work being performed. It is not intended to be an exhaustive list of all responsibilities, duties, and skills required. Management reserves the right to modify, add, or remove duties as necessary.

Our Benefits 

At CINQCARE, we care for our team like we care for our patients—holistically. We offer flexible, comprehensive benefits so you can thrive while delivering top-notch care.