Evergreen Nephrology - Quality Program Manager

• 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 that frontline operations align with NCQA accreditation standards, including oversight of documentation practices, workflow adherence, and compliance with required processes to support audit and survey readiness. • This role partners closely with Clinical Operations, Analytics, CDI/Coding, and Market Operations to operationalize quality initiatives, monitor performance, and remove barriers to achieving quality targets. • Directly manager Quality Improvement Specialists and other quality team members • Establish clear expectations, workflows, and performance targets aligned to quality goals • Monitor individual and team productivity, quality outcomes, and execution metrics • Provide coaching, feedback, and development to improve performance and capability • Ensure consistency in how teams execute outreach, gap closure, and documentation workflows • Oversee day-to-day quality operations, ensuring workflows are executed consistently across teams and markets • Monitor adherence to care gap closure processes, outreach protocols, and documentation standards • Identify breakdowns in execution and implement corrective actions in real time • Coordinate resources and support teams to meet program deadlines and deliverables • Support implementation of enterprise quality initiatives at the team level • Drive targeted interventions to improve care gap closure rates and measure performance • Identify workflow inefficiencies and recommend improvements to increase effectiveness • Reinforce best practices in documentation, coding, and care coordination • Oversee execution of care gap identification and closure processes across teams • Ensure accurate documentation and proper capture of quality-related data • Partner with CDI and coding teams to reinforce documentation and coding standards • Monitor hybrid measure workflows and medical record submission processes as needed • Serve as the operational bridge between quality leadership and frontline execution • Partner with Clinical Operations teams (Navigation, TOC, CCPM, PAC) to integrate quality workflows • Coordinate with Analytics on reporting accuracy and data needs • Work with Market Operations to align execution and address local barriers • Support delivery of quality performance insights to providers and market leaders • Reinforce expectations for care gap closure and documentation workflows • Partner with markets to identify and address execution challenges • Ensure alignment between enterprise quality priorities and frontline workflows • Partner with Accreditation and NCQA specialists to ensure operational compliance with NCQA standards • Ensure workflows, documentation, and team practices align with accreditation requirements • Support NCQA readiness activities, including documentation review and workflow validation • Identify compliance gaps and partner cross-functionally to implement corrective actions • Reinforce NCQA-aligned practices across frontline teams • Support training and education related to accreditation standards and documentation requirements • Other duties consistent with this role, as assigned.