Quality Improvement Specialist

Responsibilities

• Serve as a trusted partner to nephrology and primary/specialty practices on HEDIS and Stars expectations, documentation standards, and value-based care priorities
• Share and interpret quality reports, care gap lists, and dashboards, translating data into practical improvement steps
• Educate provider practices on documentation accuracy, coding completeness, and best-practice workflows impacting HEDIS and Stars performance
• Manage an assigned patient panel, monitoring and prioritizing care gaps across preventive care and chronic disease management
• Conduct proactive patient outreach via phone and electronic channels to educate and motivate completion of screenings, labs, immunizations, and appointments
• Identify and address patient-level barriers such as transportation, scheduling, and health literacy, leveraging internal resources when appropriate
• Collaborate with Quality, Clinical Operations, Coding & Documentation, Practice Transformation, and Pharmacy teams to ensure aligned support
• Maintain accurate, timely documentation in EMRs and quality systems while adhering to HIPAA and regulatory requirements

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
• Strong communication and relationship-building skills
• EMR proficiency and familiarity with healthcare technology tools
• Intermediate skills with MS Office Suite including Outlook and Teams
• Home internet supporting minimum 25 Mbps download and 10 Mbps upload
• Dedicated remote workspace lacking ongoing interruptions to protect PHI/HIPAA

Preferred Qualifications

• Hands-on experience with HEDIS and Medicare Stars measures, including gap identification and closure workflows
• Experience in nephrology, CKD/ESRD, or chronic disease management
• Medical Assistant or LPN license
• Bachelor’s degree in health-related field or equivalent healthcare experience

Benefits

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

About the Company

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