Program Manager - ACO Strategy & Operations
Operations | Virtual - Any US CINQCARE Location | Full Time | From $95,000 to $110,000 per year
Why Join CINQCARE?
CINQCARE is a provider-led, community-based health and care partner dedicated to improving the health and well-being of those who need care the most, with a deep commitment to high-needs, urban and rural communities. Our local physicians, nurses, and caregivers work together to serve people and the communities they live in, beyond just treating symptoms. We remove barriers by delivering personalized care as close to home as possible, often in-home, because we know a deep understanding of our patient’s race, culture, and environment is critical to delivering improved health outcomes. By empowering patients, providers, and caregivers with the support they need, we strive to make health and care a reality—not a burden—every single day. Join us in creating a better way to care.
Overview
The Program Manager, ACO reports to the Vice President Operations, ACOs and Value Based Care Innovations with accountability for providing strategy, judgment, organization, and evidenced-based analysis to influence decisions, and directly to meet CINQCARE requirements. They should embody CINQCARE’s core values, including, Trusted, Empathetic, Committed, Humble, Creative and Community-Minded. At CINQCARE, we don’t have patients or customers – we have Family Members.
The Program Manager, ACO is responsible for supporting the strategy and operations of the ACO REACH program. The Program Manager, ACO will assist in building strategic and collaborative partnerships with providers and their office staff, functioning as the primary point of contact with our independent practice partners for ongoing operational communications and needs. Partnering alongside Compliance, the Program Manager, ACO will ensure all monthly, annual and ad-hoc Center for Medicare and Medicaid Services (CMS) requirements are met related to provider lists, agreements, and changes, provider and beneficiary notifications, and public reporting requirements. Acting as a primary liaison with data technology solutions, the Program Manager, ACO will ensure accurate quality and performance reports for internal operations and external partners are created in a timely manner and share relevant data and reporting with internal leaders and practices on a regular basis. The Program Manager, ACO will support ACO Board of Manager and Committee meetings, ACO Partner meetings, Joint Operating Committee meetings, ACO Leadership meetings, and ad hoc meetings as they arise through data and information collection, PowerPoint presentation development, agenda creation, meeting minutes and attendance as needed.
Key Responsibilities
- Enhances the relationship with providers and office staff for the ACO by scheduling, supporting, and participating in Joint Operations Committee meetings, with appropriate information sharing, by efficiently and effectively responding to requests for information, by monitoring and influencing physician growth opportunities and trends, and by successfully resolving issues related to capitation, claims, and other operational functions. Provide regular required reporting for ACO to practices as it relates to financial and clinical performance.
- Develop partnerships and collaborate with internal and external service providers to assist in implementing best practices.
- Support all ACO compliance deliverables and timelines as specified by CMS.
- Daily monitoring of CMS portal and sharing new reports and documents with relevant parties.
- Attend CMS webinars, maintain reporting calendar and deadlines, share pertinent information from weekly newsletters with relevant parties.
- Maintain and update all ACO distribution lists, master provider and practice lists as well as ACO dashboards.
- Acts as liaison with data technology solutions to ensure accurate quality and performance reports for internal operations and practices and ensure practices receive regular reports.
- Partner with Marketing and Compliance to review, approve and submit all marketing materials to CMS for formal approval.
- Ensure all marketing material needs and patient mailers are delivered timely.
- Partner with ACO Director with operational and strategic processes and documentation as needed.
- Participate in ACO Board meetings and committee meetings and assist Director, ACO with material prep, agendas and minutes.
- Process vendor invoices and other payments as they arise.
- Coordinate scheduling of events for ACO: town halls, practice visits/meetings and patient events.
- Maintain Signed Voluntary Alignment process for ACO with practices and submit updates to CMS per marketing plan.
- In partnership with ACO Director, develop and maintain ACO policies, procedures and workflows.
- Other duties as assigned
Required Qualifications
The Program Manager, ACO should have the following qualifications:
- Education: Bachelor’s degree or equivalent experience with a record of strong academic achievement.
- Experience: Ideal candidates will have 5+ years of relevant experience in healthcare environment. They will have experience tracking data and performance metrics, as well as project and/or program management.
- Communication: Excellent verbal, written communication and presentation skills; ability to clearly articulate and present concepts and models in an accessible manner to CINQCARE’s team, investors, partners, and other stakeholders. Proficiency in all Microsoft Office applications.
- Relationships: Ability to build and effectively manage relationships with business leaders and external constituents; and,
- Culture: Good judgement, impeccable ethics, and a strong team player; desire to succeed and grow in a fast-paced, demanding, and entrepreneurial Company.
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.
- Medical Plans: Two comprehensive options offered to Team members.
- 401K: 4% employer match for your future.
- Dental & Vision: Flexible plans with in-network savings.
- Paid Time Off: Generous PTO, holidays, and wellness time.
- Extras: Pet insurance, commuter benefits, mileage reimbursement, CME for providers, and company-provided phones for field staff.
The working environment and physical requirements of the job include:
In-office work (minimum three days per week) is performed indoors in a traditional office setting with conditioned air, artificial light, and an open workspace.
In this position you will need an 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 a 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.