Why join CINQCARE?

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 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.

Overview

The Risk Adjustment & Quality Reporting Manager reports to the VP Quality & Risk Adjustment with accountability for providing strategy, judgment, organization, and evidenced-based analysis to influence decisions, and directly to meet CINQCARE requirements. They should embody CINQCARE’s core values, including, Trusted, Empathetic, Committed, Humble, Creative and Community-Minded. At CINQCARE, we don’t have patients or customers – we have Family Members.

Primary Responsibilities

The Risk Adjustment & Quality Reporting Manager will have the following responsibilities:

• Lead the implementation and ongoing management of risk adjustment strategies to ensure accurate risk scores and optimal reimbursement.
• Monitor and analyze the effectiveness of risk adjustment initiatives and adjust strategies to improve performance.
• Collaborate with clinical teams to identify high-risk patients and ensure that all relevant diagnoses are appropriately captured and documented.
• Analyze data to identify trends, gaps, and opportunities in risk adjustment and quality performance.
• Prepare and present regular reports to senior leadership, detailing performance on risk adjustment, quality reporting, and regulatory compliance.
• Use data to inform decision-making and drive initiatives for improvement in risk adjustment and quality outcomes.

General Duties

The Risk Adjustment & Quality Reporting Manager should have the following duties:

• Leadership: The Risk Adjustment & Quality Reporting Manager will lead in defining and executing strategies and solutions to create business value in quality & risk, including building a team to design, develop, and execute those strategies and solutions to deliver desired outcomes.
• Strategy: The Risk Adjustment & Quality Reporting Manager will establish the business strategy and roadmap: (1) improve outcomes for CINQ Care Inc. members; (2) enhance the efficacy of other CINQ Care Inc. business divisions; and (3) develop and deliver external market opportunities for CINQ Care products and services. In establishing the business strategy, the Risk Adjustment & Quality Reporting Manager will define and innovate sustainable revenue models to drive profitability of the Company.
• Collaboration: The Risk Adjustment & Quality Reporting Manager will ensure that quality & risk capabilities form a cohesive offering, including by working closely with other business divisions to learn their needs, internalize their knowledge, and define solutions to achieve the business objectives of CINQ Care Inc.
• Knowledge: The Risk Adjustment & Quality Reporting Manager will provide subject matter expertise in the quality & risk solutions, including determining and recommended approaches for quality & risk, solution deployment and performance evaluation.
• Culture: The Risk Adjustment & Quality Reporting Manager is accountable for creating a productive, collaborative, safe and inclusive work environment for the qualit6y & risk team and as part of the larger Company.

Qualifications

The Risk Adjustment & Quality Reporting Manager should have the following qualifications:

• Education. Bachelor’s or equivalent degree with a record of strong academic achievement.
• Experience. At least 5 years of quality & risk experience. Ideal candidates will have 5+ years of relevant quality & risk experience in the healthcare industry.
• Entreprenurial. CINQ seeks to fix gaps that have persisted for generations in the delivery of care to Black and Brown populations. This position is accountable for ensuring CINQ is positioned to innovatively deliver on its promise.
• Communication. Excellent verbal, written communication and presentation skills; ability to clearly articulate and present concepts and models in an accessible manner to CINQ’s team, investors, partners and other stakeholders. Proficiency in all Microsoft Office applications.
• Relationships. Ability to build and effectively manage relationships with business leaders and external constituents.
• Culture. Good judgement, impeccable ethics, and a strong team player; desire to succeed and grow in a fast-paced, demanding and entrepreneurial Company.

Our Benefits

At CINQCARE, we care for our team like we care for our patients—holistically. We offer flexible, comprehensive benefits so you can thrive while delivering top-notch care.

• Medical Plans: Two options, including a $0 cost plan for individuals.
• 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:

Work is performed indoors in a setting with conditioned air and artificial light. Travel to and work in offices or other environments is required.

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.