Senior Director Quality & Practice Performance
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.
Overview
This role is focused on driving quality performance across contracted medical practices and internal provider teams, with an emphasis on Medicare and Medicaid quality programs such as Stars and HEDIS. The position blends data analysis, strategy development, provider support, and education to ensure high-quality care delivery, optimal patient outcomes, and maximized revenue.
Duties & Responsibilities
Develop and implement strategies for contracted medical practices and internal providers to achieve high performance in quality, Stars and HEDIS performance.
Interpret data/performance results for Senior Leadership
Stay abreast of changes in CMS updates, cut points and rules regarding quality measures for Medicare and Medicaid
Support internal staff training and education programs regarding Stars/HEDIS requirements for gap closure.
Manage the end-to-end strategy and process for closure of all pertinent quality gaps for family members
Monitor, interpret, and track HEDIS and other quality performance measures, at a practice, market and national level, to optimize care outcomes and maximize revenue. Identify performance gaps from report data and guide care teams towards solutions.
Develop strategies for closing quality gaps based on month over month performance.
Support & educate the Practice Facilitation team, to ensure medical practices are addressing quality gaps for their membership.
Qualifications
Education: Bachelor’s or equivalent degree with a record of strong academic achievement.
Possesses a solid knowledge of internal enterprise-wide contractual requirements including, Medicaid and Medicare, and payor regarding Stars/HEDIS.
Possess strong knowledge base and 5+ years’ experience with Value Based Care Models.
5+ years’ experience in Stars/HEDIS work with both Medicare and Medicaid contracts.
The working environment and physical requirements of the job include:
In-office work is performed indoors in a traditional office setting with air conditioning, artificial light, and an open workspace.
In this position you will need 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.
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 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.
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.
About the job
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Senior Director Quality & Practice Performance
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.
Overview
This role is focused on driving quality performance across contracted medical practices and internal provider teams, with an emphasis on Medicare and Medicaid quality programs such as Stars and HEDIS. The position blends data analysis, strategy development, provider support, and education to ensure high-quality care delivery, optimal patient outcomes, and maximized revenue.
Duties & Responsibilities
Develop and implement strategies for contracted medical practices and internal providers to achieve high performance in quality, Stars and HEDIS performance.
Interpret data/performance results for Senior Leadership
Stay abreast of changes in CMS updates, cut points and rules regarding quality measures for Medicare and Medicaid
Support internal staff training and education programs regarding Stars/HEDIS requirements for gap closure.
Manage the end-to-end strategy and process for closure of all pertinent quality gaps for family members
Monitor, interpret, and track HEDIS and other quality performance measures, at a practice, market and national level, to optimize care outcomes and maximize revenue. Identify performance gaps from report data and guide care teams towards solutions.
Develop strategies for closing quality gaps based on month over month performance.
Support & educate the Practice Facilitation team, to ensure medical practices are addressing quality gaps for their membership.
Qualifications
Education: Bachelor’s or equivalent degree with a record of strong academic achievement.
Possesses a solid knowledge of internal enterprise-wide contractual requirements including, Medicaid and Medicare, and payor regarding Stars/HEDIS.
Possess strong knowledge base and 5+ years’ experience with Value Based Care Models.
5+ years’ experience in Stars/HEDIS work with both Medicare and Medicaid contracts.
The working environment and physical requirements of the job include:
In-office work is performed indoors in a traditional office setting with air conditioning, artificial light, and an open workspace.
In this position you will need 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.
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 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.
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.