Quality Improvement Specialist
E
Evergreen NephrologyHealthcare
RemoteFull-TimeMiddle
Salary$20-$24/hr
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Job Details
- Experience
- 1-2 years
- Required Skills
- Microsoft OfficeDocumentation
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 (Outlook, Teams).
- Home internet with minimum download 25 Mbps and upload 10 Mbps.
- Ability to work from a dedicated space to protect PHI/HIPAA information.
- Hands-on experience with HEDIS and Medicare Stars measures 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 preferred.
Responsibilities
- Serve as a trusted partner to 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 to translate data into actionable improvement steps.
- Educate provider practices on documentation accuracy, coding completeness, and best practice workflows.
- Facilitate recurring meetings with providers and practice staff to resolve workflow barriers and develop action plans.
- Manage an assigned panel of patients, monitoring and prioritizing HEDIS and Stars care gaps across preventive care and chronic disease management.
- Conduct proactive patient outreach to educate, motivate, and support patients in completing screenings, labs, and appointments.
- Identify and address patient-level barriers such as transportation or care plan confusion.
- Collaborate cross-functionally with Quality, Clinical Operations, Coding, and Pharmacy teams.
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