Full-Time
Manager – Quality Reporting
Posted on 2/21/2025
Interwell Health
501-1,000 employees
Specialized kidney care management services
Mid, Senior
Remote in USA
You match the following Interwell Health's candidate preferences
Employers are more likely to interview you if you match these preferences:
- Direct experience with HEIDIS or Quality Measure reporting.
- Ability to work with multiple large datasets and cross walking data features across membership.
- Experience presenting results and being able to explain source material to a technical and non-technical audience.
- Management of data analytics focused team.
- Previous experience with SQL Azure, SAS, Databricks as well as experience with Jira.
- Analytical skills to identify issues and develop solutions to improve reporting quality.
- Effective communication to present complex data and findings clearly to stakeholders.
- Proficiency in managing large datasets, data validation, and data integrity.
- Assist the Director of Actuarial Services in planning, organizing, and overseeing quality reporting.
- Monitor and evaluate performance metrics and assist in identifying areas for improvement.
- Coordinate and support the implementation of new and existing quality programs.
- Manage and track progress of ongoing projects, ensuring they align with organizational goals.
- Organize project meetings, prepare agendas, and manage deliverables and other project related milestones.
- Facilitate communication between departments to ensure project milestones are met.
- Prepare reports, presentations, and correspondence for the Director.
- Manage and prioritize incoming requests and communications for the Director.
- Address operational issues and assist in developing solutions to improve processes.
- Provide support in troubleshooting and resolving day-to-day operational challenges.
- Review and understand existing code in order to guide team to improve outputs for reporting needs.
- Serve as a liaison between various departments and the Director of Actuarial Services.
- Facilitate smooth communication and collaboration across teams.
- Assist in ensuring compliance with regulatory requirements and organizational policies.
- Support quality assurance initiatives to enhance patient care and operational efficiency.
Interwell Health manages kidney care by partnering with physicians to improve healthcare for patients with kidney disease, focusing on early detection and prevention. They operate under a value-based care model, prioritizing patient outcomes and cost-efficiency, which helps reduce healthcare costs while enhancing care quality. Their services include patient education, personalized care plans, and data analytics to monitor kidney health, aiming to delay disease progression and reduce the need for costly treatments. Interwell Health generates revenue through partnerships with healthcare providers, aligning their financial success with the health outcomes of their patients.
Company Size
501-1,000
Company Stage
Series B
Total Funding
$64.2M
Headquarters
Waltham, Massachusetts
Founded
2014
Simplify's Take
What believers are saying
- Telehealth expansion offers remote monitoring and consultations for kidney care.
- AI-driven predictive analytics enhance early detection and intervention strategies.
- Partnerships with tech firms can improve data analytics and patient management.
What critics are saying
- Integration challenges with Epic EHR could lead to operational inefficiencies.
- Expansion into Florida may face complex regulatory hurdles.
- Rapid provider network growth could strain resources and affect care quality.
What makes Interwell Health unique
- Interwell Health integrates with Epic EHR for seamless nephrology care management.
- The company focuses on early detection and prevention of kidney disease.
- Interwell Health partners with over 2,000 nephrologists nationwide.
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Benefits
Remote Work Options
Flexible Work Hours
Growth & Insights and Company News
6 month growth
↑ 40%1 year growth
↑ 40%2 year growth
↑ 40%What You Should Know:– Interwell Health, a value-based kidney care management company, has unveiled Acumen Rounder, a nephrology rounding application that seamlessly integrates with Epic’s electronic health record (EHR) system.– The innovation is set to transform how nephrologists manage patient workflows and deliver value-based care.Enhancing Nephrology WorkflowsAcumen Rounder offers a comprehensive suite of features designed to improve efficiency, accuracy, and the user experience for nephrologists conducting rounds in hospitals and dialysis centers. Key features include:Patient Tracking: Enables easy identification of patients needing attention and their location, with flags for those in value-based care arrangements.Enables easy identification of patients needing attention and their location, with flags for those in value-based care arrangements. Hospital Follow-Up: Facilitates seamless communication of follow-up needs for hospitalized patients to office staff, improving care transitions.Facilitates seamless communication of follow-up needs for hospitalized patients to office staff, improving care transitions. Transitional Care Management (TCM): Automates workflows for managing recently discharged dialysis patients, including outreach, documentation, and billing for TCM visits.Automates workflows for managing recently discharged dialysis patients, including outreach, documentation, and billing for TCM visits. Clinical Documentation: Supports efficient dialysis note entry and consolidated monthly capitated billing (MCP).Supports efficient dialysis note entry and consolidated monthly capitated billing (MCP). Predictive Text: Streamlines data entry with predictive text for diagnoses, enhancing documentation speed.Streamlines data entry with predictive text for diagnoses, enhancing documentation speed
What You Should Know:– Interwell Health, a value-based kidney care management company, has unveiled Acumen Rounder, a nephrology rounding application that seamlessly integrates with Epic’s electronic health record (EHR) system.– The innovation is set to transform how nephrologists manage patient workflows and deliver value-based care.Enhancing Nephrology WorkflowsAcumen Rounder offers a comprehensive suite of features designed to improve efficiency, accuracy, and the user experience for nephrologists conducting rounds in hospitals and dialysis centers. Key features include:Patient Tracking: Enables easy identification of patients needing attention and their location, with flags for those in value-based care arrangements.Enables easy identification of patients needing attention and their location, with flags for those in value-based care arrangements. Hospital Follow-Up: Facilitates seamless communication of follow-up needs for hospitalized patients to office staff, improving care transitions.Facilitates seamless communication of follow-up needs for hospitalized patients to office staff, improving care transitions. Transitional Care Management (TCM): Automates workflows for managing recently discharged dialysis patients, including outreach, documentation, and billing for TCM visits.Automates workflows for managing recently discharged dialysis patients, including outreach, documentation, and billing for TCM visits. Clinical Documentation: Supports efficient dialysis note entry and consolidated monthly capitated billing (MCP).Supports efficient dialysis note entry and consolidated monthly capitated billing (MCP). Predictive Text: Streamlines data entry with predictive text for diagnoses, enhancing documentation speed.Streamlines data entry with predictive text for diagnoses, enhancing documentation speed
New Application Integrates Seamlessly with Acumen Epic Connect for Improved Care Coordination. BOSTON, Nov. 20, 2024 /PRNewswire/ -- Interwell Health, a value-based kidney care management company, is proud to announce the launch of Acumen Rounder, the first and only nephrology rounding application that tightly integrates with Epic. The application works seamlessly with Acumen Epic Connect, the most adopted nephrology-specific electronic health record (EHR). Acumen Rounder supports nephrologists and care teams in managing patient workflows in value-based kidney care. The web and mobile toolset offers a comprehensive suite of features designed to improve patient outcomes, efficiency, accuracy, and the user experience for busy nephrologists rounding in hospitals and dialysis centers, including: Patient Tracking: Enables nephrologists to assess which patients need to be seen and where the patient is located
Humana, Interwell Health Expand Value-Based Kidney Care Agreement to Florida. by Fred Pennic 09/24/2024 Leave a Comment. What You Should Know: – Humana Inc., a health and well-being company, and kidney care management company Interwell Health are expanding their value-based care agreement to include Florida. – The expansion will provide eligible Humana Medicare Advantage members living with chronic kidney disease (CKD) and end-stage kidney disease (ESKD) in Florida with access to Interwell’s comprehensive care and specialized resources.Value-Based Care for Improved OutcomesValue-based care is a patient-centered model focused on improving patient health outcomes and quality of life through coordinated efforts. With this expanded agreement, members in the program will have access to Interwell’s network of 2,000 nephrologists, renal care coordinators, and in-home virtual support from a multidisciplinary team.Humana’s Success in Value-Based Kidney CareHumana’s commitment to value-based care partnerships has shown promising results, including a 5% reduction in unnecessary hospital admissions in 2023. One notable success story is that of Mary Johnson, who received a successful pre-emptive kidney transplant thanks to the support of the Interwell care team.Expanded Access to Specialized CareWith this expansion, Interwell’s value-based support services are now available in 14 states for eligible members with CKD and in 39 states for those with ESKD. This increased access to specialized care is critical for improving the lives of individuals living with kidney disease. “We are proud of this opportunity to serve even more Humana members with kidney disease and help them to live their best lives,” said Dr
Expansion Fueled by Success in Value-Based Care Programs and in Puerto RicoCAMBRIDGE, Mass., Aug. 1, 2024 /PRNewswire/ -- Interwell Health, a kidney care management company that partners with physicians on its mission to reimagine healthcare, has surpassed 2,000 nephrologists in its Provider Network, the largest in value-based kidney care. In the past year, the company has added more than 300 physicians and 75 nephrology practices."More and more nephrologists are embracing the shift to value-based kidney care and our mutual goal to improve outcomes for patients while lowering costs," said Dr. George Hart, chief medical officer for Interwell Health. "We are proud to support practices with the resources needed to succeed in value-based agreements with government and private payers. Together we are successfully working to reduce unnecessary hospitalizations and slow kidney disease progression, offering more time for patients to choose a treatment path best for them, including a kidney transplant or in-home treatment options."The more than 210 network practices spanning 38 states and Puerto Rico include single practitioners and large urban nephrology groups with dozens of doctors