Quality Improvement Specialist

Role Responsibilities:

• Serve as a trusted partner to nephrology and primary practices on HEDIS and Stars expectations.
• Share and interpret quality reports and dashboards, translating performance data into clear, practical improvement steps.
• Educate provider practices on documentation accuracy and best practice workflows.

Patient Panel Management:

• Manage an assigned panel of patients, monitoring and prioritizing HEDIS and Stars care gaps.
• Conduct proactive patient outreach to educate, motivate, and support patients.
• Reinforce provider directed care plans and ensure clear communication between patients, practices and Evergreen care teams.

Cross Functional Collaboration:

• Collaborate with Quality, Clinical Operations, and Pharmacy to ensure payer aligned support for providers and patients.
• Participate in quality initiatives that are cross functional and designed to improve performance at scale.
• Adhere to Evergreen’s compliance standards and HIPAA guidelines.