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Empowering nephrologists to transform kidney care and improve patient outcomes
Vice President, Quality
Location
United States
Posted
81 days ago
Salary
$200K - $220K / year
Seniority
Lead
Job Description
Vice President, Quality
Evergreen Nephrology
• Full execution of quality strategy end to end • Full accountability for the development, configuration, and execution of Evergreen's enterprise quality strategy • Define the quality framework that supports value-based care performance across CKCC, HEDIS, and Stars, and all contracted payer quality programs • Establish an enterprise quality operating model that supports quality performance across markets, care teams, and payer partnerships with clear accountability structures, workflows and performance cadences • Ensure quality strategy is aligned with Evergreen’s broader clinical, financial and growth objectives • Translate quality priorities into clear operational structures, workflows, and accountability frameworks across the organization, from enterprise strategy through program level execution • Drive and own Evergreen's performance across CKCC quality measures, HEDIS and Medicare Star Ratings with end-to-end accountability for results across all markets and payer partnerships • Partner with payer partners and the Evergreen growth team to align on measure definitions, reporting requirements, performance baselines, and improvement strategies • Lead quality strategy development and measure prioritization across all payers and program relationships, translating quality commitments into contract execution and clinical program design • Define quality performance expectations by measure, market, and care teams ensuring they are clearly operationalized and tracked at the appropriate level of granularity across all clinical programs • Establish the reporting structure, performance cadence, and accountability required to manage quality performance across the organization • Partner closely with Clinical Operations leadership to ensure the quality strategy is embedded within Evergreen’s care management programs and clinical workflows • Serve as the executive leader responsible for enterprise quality performance reporting to the SVP of Clinical Operations, Executive Leadership Team, provider partners, and payer partners • Responsible for accurate and timely reporting across CKCC, HEDIS, Medicare Stars, and other payer programs in alignment with applicable submission deadlines and regulatory requirements • Develop dashboards and reporting that allow leaders and providers to manage quality performance in real time • Own and manage the annual quality operations budget, aligning resource allocation with strategic quality priorities, program requirements, and organizational performance goals • Evaluate and optimize the return on investment of quality and population health programs, identifying opportunities to improve operational efficiency without compromising performance • Identify variation in clinical practice and implement targeted improvement programs that drive consistent, evidence-based care delivery across the CKD and ESKD population • Promote a culture of accountability, data-driven decision-making, and continuous improvement across all quality and clinical teams • Lead a matrixed organization including Quality Improvement Specialists (QIS), analysts, IT, clinical program leaders, and market operations responsible for executing Evergreen quality performance • Establish clear performance expectations, development pathways, and accountability structures for quality outcomes across markets, programs, and care teams • Drive alignment across Clinical Operations, Analytics, Technology, Market Operations, and Payer partnerships to ensure consistent execution of quality strategy • Serve as the senior leader spokesperson for quality performance representing Evergreen in payer meetings, provider engagements, and leadership forums and is accountable for enterprise quality performance and decision making
Job Requirements
- 10+ years of progressive leadership experience in healthcare quality within a population health, managed care, or value-based care environment
- 5+ years of senior leadership experience developing and executing HEDIS, Medicare Stars, CKCC, or comparable payer quality programs including direct oversight of teams responsible for quality performance delivery
- Strong understanding of clinical workflows, provider documentation practices, and the impact of quality, risk adjustment, and value-based care programs on patient outcomes, provider performance, and organizational results
- Experience leading enterprise quality strategy and driving measurable performance improvement across complex, multi-payer quality programs
- Experience managing enterprise budgets and optimizing resource allocation across quality programs and market segments
- Intermediate skills with MS Office Suite of products including Outlook and Teams
- Able to work effectively in a primarily remote environment
Benefits
- Flexible time off policy 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
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