Associate Director Healthcare Economics - Southeast Region

Cinqcare • Atlanta, GA

22h • Onsite

About The Position

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. Guided by our values of being trusted, empathetic, committed, humble, creative, and community-minded, we are committed to delivering person-centered care that creates meaningful, lasting impact. 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 that a deep understanding of our patients’ 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 Associate Director Healthcare Economics is accountable for providing support and consultation to local markets as well as national leaders related to clinical, financial, utilization, and actuarial reporting related to CINQCARE’s Medicare and Medicaid value-based care initiatives. The Associate Director, Healthcare Economics reports to the SVP Healthcare Economics and Analytics, CINQCARE with accountability for providing strategy, judgment, organization, and evidenced-based analysis to influence decisions, and directly to meet CINQCARE’s requirements. The Associate Director should embody CINQCARE’s core values, including Trusted, Empathetic, Committed, Humble, Creative and Community-Minded.

Requirements

• Bachelor’s degree in economics, statistics, mathematics, actuarial science, or a related field, or 5+ years of equivalent experience in healthcare economics.
• 5+years of years of Medicare-related experience with payer, provider or value-based contracting.
• Excellent computer skills required with advanced level of proficiency with Microsoft Office applications including Word, Excel, PowerPoint, and Outlook.
• Willingness to explore and learn new or unfamiliar applications and databases, and when prepared to teach practices and team members how to maximize technology.
• Knowledge of statistical software and other analytic software and programming languages.
• Problem solving and critical thinking skills.
• Excellent attention to detail
• Effective public speaking skills and data visualization skills
• Desire to work in a fast-paced, dynamic environment.
• Excellent verbal, written communication, presentation, and data visualization skills; ability to clearly articulate and present concepts and models in an accessible manner to CINQCARE’s team, investors, partners, and other stakeholders.
• Ability to build and effectively manage relationships with business leaders and external constituents.
• judgement, impeccable ethics, and a strong team player; desire to succeed and grow.

Nice To Haves

• Master's degree in economics, statistics, finance, business, or health administration or related field (preferred).
• Experience working in an Enterprise Data Warehouse environment or multiple source data warehouse (preferred)
• Medicaid experience (preferred)
• Proficiency with SQL, SAS and/or other data management programs (preferred)
• Proficiency with query tools, database platforms, data mapping/ETL, system platforms and software packages platforms (preferred)

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 levels 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 changing 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.
• 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.
• 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.
• 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.
• The Associate Director Healthcare Economics will provide subject matter expertise in data-based analysis and solutions.
• 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.

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Director