Quality Improvement Specialist

🔥 8 minutes ago

🇺🇸 United States – Remote

💵 $20 - $24 / hour

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Evergreen Nephrology

WebsiteLinkedInAll Job Openings

51 - 200 employees

🏥 Healthcare

⚕️ Healthcare Insurance

💊 Pharmaceuticals

💰 $4.3M Venture Round on 2022-06

Healthcare • Healthcare Insurance • Pharmaceuticals

Evergreen Nephrology is a company focused on transforming kidney care by empowering nephrologists to provide high-quality and personalized care to patients with chronic kidney disease (CKD) and end-stage renal disease (ESRD). By putting nephrologists at the forefront, the company provides them with financial backing, interdisciplinary clinical resources, analytical insights, and technology-enabled tools to improve patient outcomes and experience. Evergreen Nephrology collaborates with strategic partners to address healthcare challenges, including disparate electronic health records (EHRs), transplantation process visibility, and patient readmission risks. The company's co-founders, Adam Boehler and Abe Sutton, have been recognized for their contributions to kidney care models and organ procurement standards, reflecting a deep commitment to improving kidney care quality nationwide.

📋 Description

• Serve as the connector between patients, provider practices, and internal teams to identify, manage, and close quality gaps • Manage a defined patient and provider panel • Deliver actionable performance insights and drive improvement across HEDIS and Medicare Stars measures • Partner with nephrology and primary or specialty practices on HEDIS and Stars expectations, documentation standards, and value-based care priorities • Share and interpret quality reports, care gap lists, and dashboards • Educate practices on documentation accuracy, coding completeness, and best-practice workflows • Facilitate recurring meetings with providers and practice staff to review quality trends and co-develop improvement plans • Support provider adoption of Pay-for-Performance components related to HEDIS and Stars • Identify risks and gaps affecting measure outcomes and escalate appropriately • Manage an assigned patient panel and prioritize care gaps across preventive care, chronic disease management, and care coordination • Conduct proactive patient outreach by phone, electronic, and other approved channels • Address patient barriers such as transportation, scheduling, care-plan confusion, limited health literacy, and other social barriers • Reinforce provider-directed care plans and coordinate communication among patients, practices, and Evergreen care teams • Track outreach effectiveness, gap closure progress, and patient responsiveness • Maintain accurate and timely documentation in EMRs and quality systems • Collaborate with Quality, Clinical Operations, Coding & Documentation, Practice Transformation, and Pharmacy teams • Participate in cross-functional quality initiatives • Adhere to compliance standards, HIPAA guidelines, and regulatory requirements • Perform additional responsibilities aligned with value-based care and quality improvement objectives

🎯 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 • Ability to work effectively in a primarily remote environment • Home internet supporting at least 25 Mbps download and 10 Mbps upload; cable, fiber, or DSL hardwired connections recommended • Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information • Preferred: hands-on experience with HEDIS and Medicare Stars measures, including gap identification and closure workflows • Preferred: experience in nephrology, CKD/ESRD, or chronic disease management • Preferred: Medical Assistant or LPN license • Preferred: Bachelor’s degree in a 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 • Reimbursement for continuing medical education for eligible roles • 401(k) program with Evergreen matching up to 4% of contributions after six months of tenure • Paid parental leave • Robust training and development program from onboarding throughout your career • Annual bonus eligibility • Remote employees receive telephony applications and equipment to meet business requirements