Head of Provider Network Development & Account Management - CinqCare : Job Details

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Why CINQCARE is DifferentCINQCARE 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 Black and Brown 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 Family Members' race, culture, and environment is critical to delivering improved health outcomes. By empowering Family Members, 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.

About The JobThe Head of Provider Network Development & Account Management is a critical role responsible for the strategic growth and management of a high-performing national provider network with a focus on day-to-day operations, across all Markets with P&L accountability for value-based performance at the practice level. This position leads a team focused on both provider recruitment and ongoing provider account management, ensuring network adequacy, network composition to support the mission, cost-effectiveness, growth, attribution, top and bottom-line revenue and quality of care for members. This position will develop and execute national recruitment strategies, build strong provider relationships, and drive network performance to meet organizational goals. The National Lead will be responsible for the roll out of the new Network Account Management structure in collaboration with the Clinical Team. The National Lead will drive the Provider Experience and initiate process improvements to continually improve provider engagement.

This position reports to the VP National Network Management. The Head of Provider Network Development & Account Management should embody CINQCARE's core values, including Trusted, Empathetic, Committed, Humble, Creative, and Community Minded.

Primary ResponsibilitiesThe Head of Provider Network Development & Account Management will have the following responsibilities:

• Network Strategy and Development:
  • Develop and implement a national provider network expansion strategy aligned with business objectives, mission and market needs.
  • Conduct market analysis to identify target provider types and geographic areas for recruitment.
  • Monitor network adequacy and identify gaps in coverage.
  • Collaborate with internal stakeholders (e.g., ACO-REACH program team, finance, operations) to ensure seamless network integration.
  • Collaborate with external stakeholders such as Payors – both Government and Private.
  • Work closely with Network experts in FQHCs, ACO-REACH and Non-Traditional Programs to plan for inclusion of appropriate providers in Network design.
• Provider Recruitment:
  • Lead and oversee the provider recruitment team, setting performance goals and providing coaching and mentorship.
  • Develop and implement innovative recruitment strategies, utilizing various channels (e.g., conferences, online platforms, direct outreach).
  • Negotiate contracts with providers, ensuring favorable terms and compliance with regulatory requirements.
  • Build and maintain strong relationships with key provider stakeholders, including physician groups, hospitals, and ancillary providers.
• Account Management:
  • Oversee the provider account management team, ensuring ongoing provider satisfaction and engagement.
  • Develop and implement provider communication and engagement strategies.
  • Monitor provider performance against key metrics (e.g., quality, cost, utilization).
  • Conduct regular provider meetings to address issues, provide updates, and gather feedback.
  • Resolve provider disputes and escalate issues as needed.
• Data Analysis and Reporting:
  • Track and analyze key network metrics, including provider recruitment, network adequacy, and provider performance.
  • Prepare regular reports for leadership on network performance and strategic initiatives.
  • Utilize data to identify trends and opportunities for network improvement.
• Compliance and Quality Assurance:
  • Ensure compliance with all relevant regulations and accreditation standards related to provider network management.
  • Implement quality assurance processes to monitor provider performance and ensure quality of care.
• Budget Management:
  • Manage the budget for provider recruitment and account management activities.

QualificationsThe Head of Provider Network Development & Account Management should have the following qualifications:

• Education: Bachelor's degree in healthcare administration, business administration, or a related field required; Master's degree preferred.
• Experience: A minimum of 7-10 years of experience in provider network management, with a focus on recruitment and account management. Demonstrated experience leading and managing teams.
• Strong understanding of healthcare reimbursement methodologies (e.g., fee-for-service, value-based care).
• Knowledge of healthcare regulations and compliance requirements.
• Excellent negotiation, communication, and interpersonal skills.
• Strong analytical and problem-solving skills.
• Proficiency in Microsoft Office Suite and network management software.
• National provider network experience is highly preferred.
• Excellent verbal, written communication, and presentation skills.
• Ability to build and effectively manage relationships with business leaders, coworkers, and clients. Maintain a high degree of confidentiality and discretion.
• Good judgment, impeccable ethics, and a strong team player; desire to succeed and grow in a fast-paced, demanding and entrepreneurial company.

CINQCARE provides all employees working an average of 30+ hours/week with the option to enroll in healthcare benefits. The cost of healthcare is shared between the company and the employee.

The working environment and physical requirements of the job include:

This position requires both in-home and office-based work. The job requires frequent travel for home visits and travel to physician offices, hospitals, sub-acute facilities, community partners and non-home-based market offices in all types of weather conditions. In-office work is performed indoors in a traditional office setting with conditioned air, artificial light, and an open workspace.

In this position you will need an ability to travel frequently by car and/or public transportation, the ability 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 30 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.

Compensation: From $160,000 to $180,000 per year

• Director

• Full-time

• Business Development and Sales
• Industries: Hospitals and Health Care