Quality Improvement Specialist

Evergreen Nephrology, LLC.; Nashville (TN); Remote; USD 28,000 - 33,000; Full time

Benefits offered by this job

Annual bonus

Paid time off 4 weeks

12 paid holidays per year

Medical/dental/vision with HSA

401(k) with employer match up to 4%

Paid parental leave

Training and development program

Job summary

Evergreen Nephrology seeks a Quality Improvement Specialist to connect patients, practices, and internal teams. You will identify and close quality gaps via education, outreach, and data-driven collaboration in a fast-paced, value-based care setting.

Responsibilities include engaging providers, translating performance data into action, and guiding documentation and coding to improve HEDIS and Medicare Stars outcomes, while supporting patient panels and care coordination.

Qualifications

• 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
• MS Office Suite including Outlook and Teams
• Ability to work in a primarily remote environment with home internet requirements

Responsibilities

• Provider Engagement, Quality Education & Measure Performance: serve as a trusted partner to nephrology and primary or specialty practices on HEDIS and Star expectations, documentation standards, and Evergreen’s value-based care priorities.
• Share and interpret quality reports, gap lists, and dashboards, translating performance data into practical improvement steps.
• Educate practices on documentation accuracy, coding completeness, and best-practice workflows affecting HEDIS and Stars measures.
• Facilitate recurring meetings with providers and staff to review trends, resolve barriers, and co-develop action plans for performance improvement.
• Support provider adoption of Pay-for-Performance components related to HEDIS and Stars by clarifying incentives and specifications.
• Patient Panel Management, Outreach & Gap Closure: manage an assigned panel of patients, monitor care gaps, and conduct proactive outreach.
• Coordinate care and educate patients to complete screenings, labs, immunizations, and appointments.
• Identify barriers to care and work with teams to close gaps and improve wellbeing.
• Maintain timely documentation in EMRs and quality systems.
• Collaborate across Quality, Clinical Operations, Coding, Documentation, and Practice Transformation to align payer support.
• Adhere to HIPAA and regulatory requirements; perform other duties aligned with value-based care.

Skills

Quality improvement

Provider engagement

Care coordination

Population health

Patient outreach

Education

Bachelor's degree in health-related field

Tools

EMR

MS Office

Job description

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.

Who You Are

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.

Your Role

As a Quality Improvement Specialist with Evergreen Nephrology, you are responsible for serving as the connector between patients, provider practices, and internal teams toidentify, manage, and close quality gaps through targeted education, consistent outreach, anddata drivencollaboration. TheQuality ImprovementSpecialist managesa defined patient and provider panel, delivers actionable performance insights, and drives improvement across HEDIS and Medicare Stars measuresusing payer specific specifications,timelinesand 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.

Role Responsibilities

• Provider Engagement, Quality Education & Measure Performance
  • Serve as a trusted partner to nephrology and primaryorspecialty practices on HEDIS andStarsexpectations, documentation standards, andEvergreen’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 providersand practice staffto review quality trends, resolve workflow barriers, andco-develop action plans for performanceimprovement.
  • Support provider adoption ofPay-for-Performance (P4P)componentsrelated to HEDIS and Stars by clarifying incentives, expectations, andmeasurespecifications.
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  • Identifyrisksorgapsaffecting measure outcomes and elevate asappropriate, and partner with internal teams to drivetimelyintervention.
• Patient Panel Management, Outreach & Gap Closure
  • Manage an assigned panel of patients, monitoring and prioritizing HEDIS and Stars care gaps across preventive care, chronic disease management, andcoordination of care.
  • Conduct proactive patient outreachthrough phone, electronic and other approved communication channels toeducate,motivate, and support patients to complete screenings, labs, immunizations, specialty appointments, and other recommended care.
  • The Quality Improvement Specialist plays a pivotal role in patient care coordination as the gateway to closing quality gaps and improving overall patient well-being.
  • Identifyand addresspatient levelbarriers such as transportation, scheduling,care planconfusion, or limited healthliteracy or other social barriers,leveraginginternal resources and escalationpathwayswhenappropriate.
  • Reinforceprovider directedcare plans and ensure clear,timelycommunication between patients,practicesand Evergreencare teams.
  • Track outreach effectiveness, gap closure progress over time, and patient responsiveness,maintainingaccurateandtimelydocumentation of all patient interactions.
• Collaborate with Quality, Clinical Operations,Coding & Documentation, Practice Transformation, and Pharmacy toensure payer aligned support for providers and patients.
• Participate in quality initiatives that are cross functional and designed to improve performance at scale.
• Maintainaccurate,timelydocumentation in EMRs and quality systems.
• Adhere to Evergreen’s compliance standards, HIPAA guidelines, and all regulatory requirements.
• Performadditionalresponsibilities aligned with Evergreen’svalue-basedcare and quality improvementobjectives.
• Other duties consistent with this role, as assigned.

Required Qualifications

• 1-2 yearsof experienceinquality improvement, population health, provider engagement, or care coordination
• Patient-facingoutreach experience
• Understanding ofquality workflows, gapclosureprocesses, and documentationrequirements
• Strong communicationand relationshipbuildingskills
• EMRproficiencyand familiarity with healthcare technology tools
• Intermediate skills with MS Office Suite of products including Outlook and Teams
• Able to work effectively in a primarily remote environment:
  • Home internet must support a minimum download speed of 25 Mbps and upload speed of 10 Mbps. Cable, Fiber, or DSL connections hardwired to the internet device are recommended
  • Evergreen will provide remote employees with telephony applications and equipment to meet the business requirements for their role
  • Employees must work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

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 preferred, or equivalent healthcare experience

Compensation

The pay range for this role is $20-$24/hr. Exact pay is determined based on experience, education, demand for the role, and other role-specific factors.

This role is also eligible for an annual bonus.

Evergreen Nephrology’s total rewards program is designed to support you in and outside of work. You can expect:

• 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
• A 401(k) program where Evergreen matches up to 4% of contributions after six months of tenure
• Paid parental leave
• A robust training and development program that starts with onboarding and continues throughout your career with Evergreen Nephrology

Evergreen Nephrology is an equal opportunity employer. Applicants will not be discriminated against because of race, color, creed, sex, sexual orientation, gender identity or expression, age, religion, national origin, citizenship status, disability, ancestry, marital status, veteran status, medical condition or any other protected category under local, state or federal laws.

If you are an applicant with a disability who requires reasonable accommodation for any part of the hiring process, please contact us for assistance at [e-mail].

Voluntary Self-Identification

For government reporting purposes, we ask candidates to respond to the below self-identification survey.Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiringprocess or thereafter. Any information that you do provide will be recorded and maintained in aconfidential file.

As set forth in Evergreen Nephrology’s Equal Employment Opportunity policy,we do not discriminate on the basis of any protected group status under any applicable law.

If you believe you belong to any of the categories of protected veterans listed below, please indicate by making the appropriate selection.As a government contractor subject to the Vietnam Era Veterans Readjustment Assistance Act (VEVRAA), we request this information in order to measurethe effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. Classification of protected categoriesis as follows:

A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service‑connected disability.

A "recently separated veteran" means any veteran during the three‑year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval or air service.

An "active duty wartime or campaign badge veteran" means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.

An "Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.