Director Data Insights-ACO Reach

Cinqcare - Washington, DC

Part-time - Director

Washington, DC

About the position

The Director of Data Insights-ACO Reach at CINQCARE is responsible for leading data analytics and reporting efforts to support value-based care initiatives. This role involves providing strategic insights and consultation to local markets and national leaders, ensuring that CINQCARE effectively delivers on its commitment to improving health outcomes for Black and Brown communities. The Director will leverage their expertise in healthcare economics to influence decisions and drive program development, while embodying CINQCARE's core values of trust, empathy, commitment, humility, creativity, and community-mindedness.

Responsibilities

• Responsible for data analytics and reporting in support of trend identification, program development, and program validation related to revenue, cost, utilization, and quality.
• Assess trends and variables impacting ACO 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.
• Responsible for financial reporting activities including pro formas, budgets, cash flow reporting, profit and loss statements, and forecasts.
• Perform quantitative and qualitative research on topics relating to finance and programmatic matters impacting value-based care programs and opportunities.
• 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 CMS Innovation Center 4i system and interaction with CMS on related matters.
• Collaborate with practices participating in CINQCARE ACOs on matters related to areas of responsibility.
• Support cross-functional teams to review, analyze, interpret, document, and communicate details of value-based care arrangements with providers.
• Develop full understanding of value levers and set performance goals and KPIs.
• Collect, interpret, and analyze historical claims, premium, capitation, and membership data in support of healthcare analyses.
• 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.
• Work with internal teams to translate 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.

Requirements

• Bachelor's degree in economics, statistics, mathematics, actuarial science, or a related field, OR 8+ years of equivalent experience in healthcare economics.
• 8+ years of Medicare-related experience with payer, provider or value-based contracting; ACO REACH experience preferred.
• Excellent computer skills with advanced proficiency in Microsoft Office applications including Word, Excel, PowerPoint, and Outlook.
• Proficiency with SQL, SAS and/or other data management programs.
• Knowledge of statistical software and other analytic software and programming languages.
• Experience working in an Enterprise Data Warehouse environment or multiple source data warehouse.
• Problem solving and critical thinking skills with excellent attention to detail.
• Effective public speaking skills and data visualization skills.

Nice-to-haves

• Master's degree in economics, statistics, finance, business, or health administration or related field (preferred).
• Medicaid experience (preferred).
• Proficiency with query tools, database platforms, data mapping/ETL, system platforms and software packages (preferred).

Benefits

• Healthcare benefits for employees working an average of 30+ hours/week, with costs shared between the company and the employee.