Quality Improvement Specialist

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

We help nephrologists focus on the right patients at the right time across the full care spectrum. We do this by providing them with the best-in-class interdisciplinary clinical resources, analytical insight and tools, and services to patients. We listen to the needs of our patients, our employees, and our client partners, continually working to push beyond the status quo in which the care system manages patients today.

You are devoted, compassionate, and enjoy being on the front lines of healthcare, changing the lives of patients by supporting them and the team by focusing on customers. You’re excited about being part of a team that is building a healthcare delivery model that ensures the highest possible quality of life and best outcomes for those in our care. You believe people living with kidney disease deserve the best person-centered, holistic, comprehensive care and want to influence the healthcare system to drive towards that.

You thrive in innovative and evolving environments with high rates of change.

As a Quality Improvement Specialist with Evergreen Nephrology, you are responsible for serving as the connector between patients, provider practices, and internal teams to identify, manage, and close quality gaps through targeted education, consistent outreach, anddata driven collaboration. The Quality Improvement Specialist managesa defined patient and provider panel, delivers actionable performance insights, and drives improvement across HEDIS and Medicare Stars measures using payer specific specifications,timelines and attribution logic.

The ideal candidate is effectiveacrosspatient engagement, provider coaching, workflow optimization, and crossfunctionalteamwork, and is comfortable operating in a fast pace, performance-oriented value-based care environment.

• Provider Engagement, Quality Education & Measure Performance
  • Serve as a trusted partner to nephrology and primaryorspecialty practices on HEDIS and Stars expectations, documentation standards, and Evergreen’svalue-basedcarepriorities.
  • Share and interpret quality reports, caregaplists, and dashboards, translating performance data into clear, practical improvement stepsthat align with Evergreen’s workflows and practice capabilities.
  • Educateproviderpractices on documentation accuracy, coding completeness, and bestpracticeworkflows that directlyimpactHEDIS and Starsmeasureperformance,including practiceworkflowstiming and acceptable data sources.
  • Facilitate recurring meetings with providers and practice staffto review quality trends, resolve workflow barriers, andco-develop action plans for performance improvement.
  • Support provider adoption ofPay-for-Performance (P4P) components related to HEDIS and Stars by clarifying incentives, expectations, andmeasurespecifications.