Risk Adjustment Manager

Cinqcare • Washington, DC

1d

About The Position

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 Risk Adjustment Manager reports to the VP, Risk 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

Requirements

• Bachelor’s degree or equivalent degree with a record of strong academic achievement.
• At least 5 years of risk experience.
• 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.
• Ability to build and effectively manage relationships with business leaders and external constituents.
• Good judgement, impeccable ethics, and a strong team player; desire to succeed and grow in a fast-paced, demanding and entrepreneurial Company.

Nice To Haves

• Ideal candidates will have 5+ years of relevant risk experience in the healthcare industry.

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.
• Prepare and present regular reports to senior leadership, detailing performance on risk adjustment, and regulatory compliance.
• Use data to inform decision-making and drive initiatives for improvement in risk adjustment and quality outcomes.

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager