Why CINQCARE is Different

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 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 Job

The Provider Network Lead, ACO REACH is a specialized role focused on building and managing a high-performing network of providers participating in the ACO REACH (Accountable Care Organization Realizing Equity, Access, and Community Health) Model. This position is responsible for recruiting eligible providers, managing ongoing relationships, ensuring compliance with program requirements, and fostering collaboration to achieve shared savings and improve quality of care for attributed beneficiaries. This role requires a deep understanding of value-based care, population health management, and the specific requirements of the ACO REACH Model. The ACO REACH Lead will drive the Provider Experience and initiate process improvements to continually improve provider engagement.

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

Primary Responsibilities

The Provider Network Lead, ACO REACH will have the following responsibilities: 

ACO REACH Network Strategy and Development:Develop and implement a strategic plan for ACO REACH provider network development, aligned with organizational goals, CMS requirements, and market opportunities.Conduct market analyses to identify potential provider partners eligible and suitable for participation in the ACO REACH Model.Develop and maintain a strong understanding of the ACO REACH Model, including its payment mechanisms, quality metrics, beneficiary attribution methodologies, and compliance requirements.Collaborate on selection of tool to estimate ACO-REACH attribution in prospective providers. Provider Recruitment:Identify, recruit, and onboard eligible providers (e.g., physicians, hospitals, post-acute care facilities, community providers) into the ACO REACH network.Educate potential providers on the benefits of participating in the ACO REACH Model and the value proposition of the organization's ACO.Negotiate participation agreements with providers, ensuring alignment with CMS requirements and internal policies.Build and maintain strong relationships with key provider leadership and staff.Represent the organization at relevant healthcare conferences, meetings, and industry events related to value-based care and ACOs.Provider Account Management:Serve as the primary point of contact for ACO REACH provider partners within the network.Monitor provider performance against key quality metrics, cost targets, and program requirements.Provide ongoing support, education, and technical assistance to providers on value-based care concepts, data reporting, and quality improvement initiatives.Facilitate communication and collaboration among ACO REACH providers, promoting best practice sharing and coordinated care delivery.Conduct regular performance reviews and site visits to providers to address performance issues, identify opportunities for improvement, and strengthen relationships.Data Analysis and Performance Management:Work closely with data analytics teams to track and analyze key metrics related to ACO REACH performance, including quality scores, cost savings, and beneficiary outcomes.Develop and implement strategies to improve provider performance and achieve shared savings targets.Prepare regular reports for leadership and participating providers on ACO REACH performance and strategic initiatives.Compliance and Regulatory Oversight:Ensure compliance with all relevant CMS regulations and requirements related to the ACO REACH Model.Monitor provider compliance with program requirements and internal policies.Collaborate with internal compliance and legal teams to address any compliance issues or concerns.Collaboration and Internal Coordination:Collaborate closely with internal stakeholders (e.g., contracting, finance, operations, quality management, IT) to ensure seamless implementation and management of the ACO REACH program.

General Duties

The Provider Network Lead, ACO REACH should have the following duties:

Leadership: The Provider Network Lead, ACO REACH will lead in defining and executing strategies and solutions to create business value in Networks, including building a team to design, develop, and execute those strategies and solutions to deliver desired outcomes. Strategy: The Provider Network Lead, ACO REACH will suggest new programs, procedures and policies to continually improve efficiency and morale and to improve the employee experience. Collaboration: The Provider Network Lead, ACO REACH will participate in development of people objectives and systems, including metrics, queries, and standard reports for ongoing company requirements Knowledge: The Provider Network Lead, ACO REACH will provide subject matter expertise in Network solutions, including determining and recommended approaches for Networks, solution deployment and performance evaluation.Culture: The Provider Network Lead, ACO REACH is accountable for creating a productive, collaborative, safe and inclusive work environment for the Networks team and as part of the larger Company.

Qualifications

The Provider Network Lead, ACO REACH should have the following qualifications:

Education: Bachelor's degree in healthcare administration, business administration, public health, or a related field required; master’s degree preferred.Experience: Minimum of 5-7 years of experience in healthcare provider network management, value-based care, or related field, with demonstrated experience working with ACOs or similar value-based care models.Strong understanding of the ACO REACH Model, including its payment mechanisms, quality metrics, and regulatory requirements.Excellent negotiation, communication, and interpersonal skills, with the ability to build rapport with diverse stakeholders.   Strong analytical and problem-solving skills, with the ability to interpret data and identify trends.   Proficiency in Microsoft Office Suite and data analytics tools.Excellent verbal, written communication, and presentation skills; Exceptional interpersonal and communication skills Proficiency in all Microsoft Office applications Ability to build and effectively manage relationships with business leaders, coworkers, and clients. Maintain a high degree of confidentiality and discretionGood 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.