Regional Director, Provider Network Management (Southern) - 0573

Job Description

Job Description

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 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.

Position Overview

The Director, Provider Network Management is a director-level position responsible for leading provider network strategy, development, and management across CINQCARE's southern region, with a primary focus on driving practice profitability through strategic provider partnerships and optimized financial performance. Serving as the executive contact for CINQCARE network providers participating in programs such as ACO REACH, Medicare Shared Savings Program (MSSP), and payer value-based care arrangements, this role ensures robust network growth, maximizes revenue, and aligns with CINQCARE's mission. The ideal candidate possesses advanced expertise in finance, revenue cycle management (RCM), and value-based contracting, with a proven ability to enhance profitability while fostering high-level provider relationships and achieving regional performance goals.

Key Responsibilities

Strategic Network Leadership and Development

• Oversee the strategic development and expansion of CINQCARE's provider network in the southern region, recruiting primary care practices, FQHCs, specialty groups such as IPAs and PLEs, and building preferred provider networks to support ACO REACH, MSSP, and payer value-based care programs, prioritizing profitability.
• Conduct regional network gap analyses to identify opportunities for meeting recruitment targets and budgeted revenue through cost-effective growth, ensuring geographic coverage, and service accessibility in underserved communities while optimizing financial returns.
• Lead initiatives to integrate value-based contracting models that drive profitability through shared savings, risk-sharing, gain sharing and performance-based incentives.

Executive Provider Engagement

Finance and Revenue Cycle Management (RCM)

Contract Negotiation and Value-Based Contracting

Performance Monitoring and Reporting

Regulatory and Compliance Leadership

Cross-Functional and Team Leadership

Required Qualifications

7+ years in healthcare network management, provider contracting, or regional leadership, with at least 3 years in a director-level or equivalent role.

Advanced financial acumen with deep knowledge of healthcare economics, reimbursement methodologies (e.g., fee-for-service, capitation, shared savings), and value-based care principles, with a focus on profitability.

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.

The working environment and physical requirements of the job include :

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 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.

Equal Opportunity & Reasonable Accommodation Statement

CINQCARE is an Equal Opportunity Employer committed to creating an inclusive environment for all employees. We provide equal employment opportunities to all individuals regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic under applicable law.

If you require a reasonable accommodation during the application or employment process, please indicate this in your application or speak with your recruiter during the hiring process.

Disclaimer

This job description is intended to describe the general nature and level of work being performed. It is not intended to be an exhaustive list of all responsibilities, duties, and skills required. Management reserves the right to modify, add, or remove duties as necessary.