Quality Improvement Specialist

Responsibilities

• Serve as a partner to nephrology and primary practices on HEDIS and Stars expectations and documentation standards
• Share and interpret quality reports and dashboards to translate data into improvement steps
• Educate provider practices on documentation accuracy and coding completeness
• Manage an assigned panel of patients to monitor and prioritize HEDIS and Stars care gaps
• Conduct proactive patient outreach via phone and electronic channels to support screenings, labs, and immunizations
• Address patient-level barriers such as transportation or scheduling
• Collaborate with cross-functional teams including Clinical Operations and Pharmacy to ensure payer-aligned support
• Maintain accurate documentation in EMRs and quality systems
• Adhere to HIPAA guidelines and compliance standards

Requirements

• 1-2 years of experience in quality improvement, population health, provider engagement, or care coordination
• Patient-facing outreach experience
• Understanding of quality workflows, gap closure processes, and documentation requirements
• EMR proficiency and familiarity with healthcare technology tools
• Intermediate skills with MS Office Suite (Outlook and Teams)
• Ability to work in a remote environment with required internet speeds

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

Benefits

• Paid time off starting at 4 weeks for full-time employees
• 12 paid holidays per year
• Medical, dental, vision, and life insurance including HSA with employer match
• 401(k) program with up to 4% employer match
• Paid parental leave
• Reimbursement for continuing medical education
• Robust training and development program