Provider Network Lead, FQHC
Networks | Virtual - Any US CINQCARE Location | Full Time | From $145,000 to $165,000 per year
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 high-needs, urban and rural 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 patient’s race, culture, and environment is critical to delivering improved health outcomes. By empowering patients, 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 for FQHC Recruitment and Account Management is a specialized role focused on developing and maintaining strong relationships with Federally Qualified Health Centers (FQHCs) within a defined service area or network. This position is responsible for recruiting FQHCs into the network, managing ongoing relationships, ensuring contract compliance, and fostering collaborative partnerships to improve access to care for underserved populations. This role requires a deep understanding of the unique operational and financial landscape of FQHCs. The FQHC Lead will drive the Provider Experience and initiate process improvements to continually improve provider engagement.
Responsibilities
- FQHC Network Strategy and Development:
- Develop and implement a strategic plan for FQHC network development, aligned with organizational goals and community needs.
- Conduct market analyses to identify potential FQHC partners and assess service gaps.
- Develop and maintain a strong understanding of the FQHC service delivery model, funding mechanisms (e.g., 340B Drug Pricing Program, UDS reporting), and regulatory environment.
- FQHC Recruitment:
- Identify, recruit, and onboard FQHCs into the network, ensuring alignment with network criteria and contractual requirements.
- Negotiate contracts with FQHCs, considering their unique financial and operational needs.
- Build and maintain strong relationships with key FQHC leadership and staff.
- Represent the organization at relevant FQHC conferences, meetings, and community events.
- FQHC Account Management:
- Serve as the primary point of contact for FQHC partners within the network.
- Monitor FQHC performance against contractual obligations and quality metrics.
- Provide ongoing support and technical assistance to FQHCs, addressing operational, financial, and regulatory issues.
- Facilitate communication and collaboration between FQHCs and other network providers.
- Conduct regular site visits to FQHCs to foster relationships and address any concerns.
- Collaboration and Partnership Development:
- Collaborate with internal stakeholders (e.g., contracting, finance, operations, quality management) to ensure seamless integration of FQHCs into the network.
- Develop and maintain relationships with key external stakeholders, including Primary Care Associations (PCAs), Health Resources and Services Administration (HRSA), and other community organizations.
- Identify opportunities for joint initiatives and partnerships with FQHCs to improve access to care and address community health needs.
- Data Analysis and Reporting:
- Track and analyze key metrics related to FQHC network performance, including utilization, quality outcomes, and cost-effectiveness.
- Prepare regular reports for leadership on FQHC network performance and strategic initiatives.
- Utilize data to identify trends, opportunities for improvement, and areas for collaboration.
- Compliance and Quality Assurance:
- Ensure compliance with all relevant federal and state regulations and accreditation standards related to FQHC network participation.
- Monitor FQHC compliance with contractual obligations and quality standards.
- Bachelor's degree in healthcare administration, public health, business administration, or a related field; Master's degree preferred.
- Minimum of 5-7 years of experience in provider network management or related field, with demonstrated experience working with FQHCs or other community health centers.
- Strong understanding of the FQHC model, including funding mechanisms, operations, 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 network management software.
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.
- 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.
The working environment and physical requirements of the job include:
In-office work (minimum three days per week) is performed indoors in a traditional office setting with conditioned air, artificial light, and an open workspace.
In this position you will need an 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 10 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.
