Provider Network National ACO Lead for Value-Based Contracting
$150k/y-$175k/y
CINQCARE2 days ago
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OnsiteFull-timeDirector
Summary
CINQCARE is seeking a Provider Network National ACO Lead for Value-Based Contracting to join their team in New York, NY. The role involves building, managing, and optimizing a high-performing ACO Provider Network focused on shared savings and risk adjustment.
About the Role
As the National Network ACO Lead, you will develop and execute a financially driven ACO network strategy, lead negotiations for ACO participation agreements, and manage provider recruitment and performance. You will also serve as the primary financial relationship manager for ACO providers, ensuring alignment of incentives and sustained profitability.
About You
Required:
- Bachelor’s degree in finance, Business, Healthcare Administration, or related field; MBA, MHA, or CPA strongly preferred.
- 7–10+ years of progressive experience in value-based care network development and financial performance management, with direct ACO, MSSP, or Medicare Advantage experience required.
- Advanced knowledge of CMS payment methodologies: prospective assignment, risk adjustment (HCC), shared savings calculations, quality withhold, and risk corridors.
- Proven track record negotiating risk-based and capitated contracts that delivered positive shared savings.
- Expert-level financial modeling skills (Excel, SQL, or BI tools) with ability to build provider-level P&L forecasts.
- Deep understanding of site-of-service economics, bundled payments, and ancillary cost drivers.
- Exceptional executive presence and ability to translate complex financial concepts into compelling provider value propositions.
Preferred:
- Experience with actuarial pricing, stop-loss reinsurance, or population health analytics.
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.
CINQCARE
CINQCARE's purpose is to every day deliver health and care where you live, to those who need care the most, with a deep commitment to high-needs, urban and rural communities.
New York, NY