Integrated ACO, LLC (IACO) is a network of physician practices based in Austin Texas serving several surrounding communities including San Antonio, Odessa, Port Lavaca and Weatherford. IACO is committed to bringing the benefits of coordinated care to member patients by taking a leading role in the transformation of the healthcare delivery system. The Accountable Care Organization (ACO) is dedicated to the goals of assuring quality of care, improving overall health and providing affordable care for its patient population.
IACO has successfully earned shared savings for multiple consecutive years in CMS’ MSSP program. The ACO also manages several commercial populations attributed to it under shared savings agreements.
Responsible for working with IACO’s physician leaders to manage the ACO’s operational, analytic and administrative functions. Related activities include administration, accounting, financial reporting, information management systems oversight, quality improvement, utilization/cost management, physician relations, commercial ACO contract negotiations, and information technology infrastructure development (HIE).
Responsible also for ensuring compliance with company, regulatory and contractual requirements. Must ensure the corporation operates within the established Bylaws and Operating Agreement. Continually looks to identify technology, policy and procedure improvements for increased efficiency & accuracy and improved processes.
Identify, develop and execute strategies for the ACO that meet financial, value-based/quality centric outcomes and patient/provider satisfaction goals. Lead collaborative strategies to address patient & provider engagement, support care management programs and quality metrics outcomes. Identify opportunities for strategic contracting and new provider partnerships.
Develop and review financial, quality metric and utilization reports to determine necessary corrective action plans on an ongoing basis.
Manage the ACO to an approved budget and be accountable for all variances.
Provide leadership and management of administrative staff and IACO department leads (IT, Analytics, Contracting, Care Coordination, Network Management, Project Management,) consulting teams, and non-member providers to enable effective results and timely problem resolution.
Monitor and maintain payer reports, vendor relationships (including marketing collateral, IT and patient satisfaction surveys), provider lists and website. Ensure these elements, as well as the ACO overall, meet company, regulatory, CMMI & contracting payor obligations.
This job description reflects management's assignment of essential functions. It does not prescribe or restrict other tasks that may be assigned. Requirements listed below are representative of the knowledge, skill, and/or ability required.
10+ years of experience in the healthcare industry, preferably in an IPA, HMO or other organization, with demonstrated leadership experience and proven financial outcomes.
3+ years of experience with an ACO, preferably managing both commercial and Medicare populations, with demonstrated outcomes.
3+ years of experience working with value based contracts, quality metric reporting and performance metric management.
Bachelor’s degree required, advanced degree in business or health care management preferred.
Strong computer skills and familiarity with MS Office applications (Word, Excel, Outlook, Power Point, etc.) and tele-conference programs such as GoToMeeting.
Proven success in leading/directing teams to achieving & surpassing key performance metrics, including financial, quality and provider/patient satisfaction targets.
Working knowledge of federal and state legislation related to ACO entities, Centers for Medicare/Medicaid, Department of Health Services and market specific regulatory requirements.
Strong written, verbal, and presentation skills. Ability to effectively lead teams and present information and respond to questions from board of directors, executive teams, senior management, employees, physicians and patients.
Ability to lead and shift from a high-level strategic focus to detail-oriented, task-driven actions as well as working concurrently on a variety of tasks/projects with competing deadlines and turnaround times.
Ability to motivate and engage team members by building trust and consensus.
Must have entrepreneurial reasoning skills and related problem-solving attitude and planning skills.
Strong analytical skills for processing and converting data into action plans.
Must be reliable, honest, have personal integrity and a strong work ethic.
Must be able to handle multiple tasks and complete such with minimal oversight.
Possess a personal, inherent drive that has produced a track record of professional accomplishments.
Internal Organizational Activities -- Specific Tasks:
Lead commercial contract negotiations. (Bi-weekly meetings with Reliance Consulting Group)
Ensure beneficiary notification process is completed in a manner that maximizes claims data penetration while ensuring compliance.
Meet weekly with Chief Medical Officer/Medical Director to review data and act accordingly. (Set up meetings with key physicians, address quality issues, etc.)
Assist founders and participants to recruit additional physicians.
Work with participants and care coordinators to increase the number of patients in the care coordination program.
Maintain records, prepare minutes, and issue stipends for committee attendance.
Attend CMS webinars as needed.
Respond to all CMS inquiries to ensure compliance.
Maintain accurate contact list in HPMS
Maintain a current list of Class A and B shareholders
Regularly meet with Chief Technology Officer (Satya Maruri) to develop and improve data analysis and reports for sharing with physician leaders and participants
EMR capability is not mandatory for physician practices but desirable. After developing relationships with each physician practice, the goal is to assist physician practices to modernize their medical records. This will happen over 1-2 years but if a physician practice asks for help sooner, be prepared to assist.
Newsletter for Physician Participants
Recruit, train and manage essential staff
Work closely with accountants, banking, book keeping and audit-proof financial system
Serve as staff for board meetings and committees, keep minutes and records; make arrangements to pay stipend for attendance
Work with Medical Director and Chief Medical Officer to orient care coordinators and focus on 2-3 common coordination problems within first 3-4 months; optimize Care Coordination panels.
Prepare and maintain participation rosters for commercial payer agreements as well as coordinate quarterly updates.
Coordinate annual or more frequent quality data submissions for CMS and commercial contracts.
Coordinate communications with participating physicians, payers and third parties on ACO issues.
CMS Relations and External Communications:
Attend all Webinars
Respond to all requests and emails in a timely manner
Work with monitoring system, evaluations and audits
Learn about compliance issues and meet compliance requirements
Candidate must be willing to relocate to the Austin Texas area as this position will require daily onsite presence.
Additional Salary Information: IACO maintains the vision that the ACO will make a difference in the lives of many patients by its effective management. As a leader of its management team of professionals you will receive:
•Medical, dental, vision insurance
Integrated ACO LLC is a network of individual practices of ACO professionals founded by Vipul Mankad, M.D., and Nick Shroff, M.D. The initial physician base was in Midland/Odessa and has since expanded to encompass physicians in Austin, San Antonio, Port Lavaca, and Weatherford. Physician and provider participation in Integrated ACO is entirely voluntary. We strive to help physicians in our ACO by... providing information and education on how they can best negotiate and implement value-based care payment models, and use this knowledge to the advantage of their practice and for the well-being of patients. Our ACO provides information that can support physicians operating in this new environment, while keeping in mind the importance of maintaining physician leadership of current and future accountable care structures.