Quality Program Manager

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 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.   Role Responsibilities   Team Leadership & Management   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   Execution Oversight & Operational Management   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   Quality Improvement Education   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   Care Gap & Workflow Management   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   Cross-Functional Coordination   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   Provider & Market Support   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   NCQA   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.   Required Qualifications   3–5+ years of experience in healthcare operations, quality, or population health   Experience with HEDIS, Medicare Stars, or similar quality programs   Prior experience leading teams or supervising frontline staff   Strong understanding of care gap closure workflows and clinical operations   Ability to use data to drive execution and performance improvement   NCQA accreditation or regulatory compliance   Experience supporting audits, surv