Evergreen Nephrology
Healthcare
QualityProgramManager
Neural analysis suggests this role is
optimal for Manager candidates.
“Quality Program Manager at Evergreen Nephrology. Skills: Quality programs, Team leadership, Operational management, NCQA accreditation. Manage performance of Quality Improvement Specialists. Ensure consistent execution of quality workflows”
What You'll Achieve.
Improve patient outcomes; Improve quality of life; Delay disease progression; Shift care to home; Accelerate kidney transplants; Drive accountability for care gap closure; Achieve quality targets; Improve care gap closure rates; Ensure operational compliance
Industry & Context.
Performance improvement; Corrective actions; Barrier removal; Problem identification; Problem resolution
Home internet 25 Mbps download, Home internet 10 Mbps upload, Dedicated workspace
What They're Looking For.
Must Have
3–5+ years healthcare operations, Experience with HEDIS, Experience with Medicare Stars, Experience with CKCC, Experience leading teams, Supervising frontline staff experience, Understanding care gap closure workflows, Understanding clinical operations, Use data to drive execution, Use data to drive performance improvement, NCQA accreditation experience, Regulatory compliance experience, Support audits experience, Support surveys experience, Support readiness efforts experience, Intermediate MS Office Suite skills, Work effectively in remote environment
Nice to Have
Value-based care models experience, CKD/ESKD programs experience, Chronic care management programs experience, Familiarity with documentation practices, Familiarity with coding practices
What You'll Do.
Manage performance of Quality Improvement Specialists
Ensure consistent execution of quality workflows
Drive accountability for care gap closure
Support performance improvement across programs
Ensure operations align with NCQA standards
Oversee documentation practices
Oversee workflow adherence
Oversee compliance with required processes
Support audit and survey readiness
Operationalize quality initiatives
Remove barriers to achieving quality targets
Manager Quality Improvement Specialists
Manager other quality team members
Establish clear expectations
Establish performance targets
Monitor individual productivity
Monitor team productivity
Monitor quality outcomes
Monitor execution metrics
Ensure consistency in outreach execution
Ensure consistency in gap closure execution
Ensure consistency in documentation execution
Oversee day-to-day quality operations
Ensure workflows executed consistently
Monitor adherence to care gap closure processes
Monitor adherence to outreach protocols
Monitor adherence to documentation standards
Identify breakdowns in execution
Implement corrective actions
Support teams to meet deadlines
Support teams to meet deliverables
Support implementation of enterprise quality initiatives
Drive targeted interventions
Improve care gap closure rates
Identify workflow inefficiencies
Recommend improvements
Increase effectiveness
Reinforce best practices in documentation
Reinforce best practices in coding
Reinforce best practices in care coordination
Oversee execution of care gap identification
Oversee execution of care gap closure
Ensure accurate documentation
Ensure proper capture of quality data
Reinforce documentation standards
Reinforce coding standards
Monitor hybrid measure workflows
Monitor medical record submission processes
Serve as operational bridge
Partner with Clinical Operations teams
Integrate quality workflows
Coordinate with Analytics
Ensure reporting accuracy
Ensure data needs met
Work with Market Operations
Address local barriers
Support delivery of quality insights
Reinforce expectations for care gap closure
Reinforce expectations for documentation workflows
Partner with markets to identify challenges
Partner with markets to address challenges
Ensure alignment between enterprise priorities
Ensure alignment between frontline workflows
Partner with Accreditation specialists
Partner with NCQA specialists
Ensure operational compliance with NCQA standards
Ensure workflows align with accreditation
Ensure documentation aligns with accreditation
Ensure team practices align with accreditation
Support NCQA readiness activities
Identify compliance gaps
Implement corrective actions
Reinforce NCQA-aligned practices
Support training related to accreditation
Support education related to accreditation
Support training related to documentation
Support education related to documentation
How You'll Work.
Team & Collaboration
Clinical Operations teams; Analytics teams; Market Operations teams; Quality leadership; Frontline execution; Accreditation specialists; NCQA specialists
Process & Methodology
Program management
Full Job Description
Who We Are 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 Program Manager with Evergreen Nephrology, you are responsible for leading the day-to-day execution of Evergreen’s clinical quality programs and managing the performance of Quality Improvement Specialists (QIS) and related quality roles. This role ensures consistent execution of quality workflows, drives accountability for care gap closure, and supports performance improvement across HEDIS, Medicare Stars, CKCC, and other value-based care programs. The Quality Program Manager is also responsible for ensuring th
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