Quality Improvement Specialist

About the Company

Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic, and comprehensive approach. We are committed to improving patient outcomes and quality of life by delaying disease progression, shifting care to the home, and accelerating kidney transplants.

Responsibilities

• Serve as a partner to nephrology and specialty practices on HEDIS and Stars expectations and documentation standards
• Interpret quality reports and dashboards to translate performance data into practical improvement steps
• Educate provider practices on documentation accuracy and coding completeness
• Manage an assigned panel of patients, monitoring and prioritizing HEDIS and Stars care gaps
• Conduct proactive patient outreach via phone and electronic channels to support screenings, labs, and immunizations
• Identify and address patient-level barriers such as transportation, scheduling, or health literacy
• Collaborate with Quality, Clinical Operations, and Pharmacy teams to ensure payer-aligned support
• Maintain accurate documentation in EMRs and quality systems in compliance with HIPAA

Requirements

• 1-2 years of experience in quality improvement, population health, or care coordination
• Experience in patient-facing outreach
• Understanding of quality workflows and gap closure processes
• Proficiency with EMR and healthcare technology tools
• Intermediate skills with MS Office Suite (Outlook, Teams)
• Ability to work in a remote environment with high-speed internet and a dedicated, private workspace

Preferred Qualifications

• Hands-on experience with HEDIS and Medicare Stars measures
• Experience in nephrology, CKD/ESRD, or chronic disease management
• Medical Assistant or LPN license
• Bachelor's degree in a health-related field