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Somatus Quality Auditor in McLean, Virginia

Overview

As the largest and leading value-based kidney care company, Somatus is empowering patients across the country living with chronic kidney disease to experience more days out of the hospital and healthier at home.

It takes a village of passionate and tenacious innovators to revolutionize an industry and support individuals living with a chronic disease to fulfill our purpose of creating More Lives, Better Lived. Does this sound like you?

Showing Up Somatus Strong

We foster an inclusive work environment that promotes collaboration and innovation at every level. Our values bring our mission to life and serve as the DNA for every decision we make:

  • Authenticity: We believe in real dialogue. In any interaction, with patients, partners, vendors, or our teammates, we are true to who we are, say what we mean, and mean what we say.

  • Collaboration: We appreciate what every person at Somatus brings to the table and believe that together we can do and achieve more.

  • Empowerment: We make sure every voice gets heard and all ideas are considered, especially when it comes to our patients’ lives or our partners’ best interests.

  • Innovation: We relentlessly look for ways to improve upon the status quo to continuously deliver new solutions.

  • Tenacity: We see challenges as opportunities for growth and improvement — especially when new solutions will make a difference for our patients and partners.

Showing Up for You

We offer more than 25 Health, Growth, and Wealth Work Perks to help teammates learn, grow, and be the best version of themselves, including:

  • Subsidized, personal healthcare coverage (medical, dental vision)

  • Flexible Paid Time Off (PTO)

  • Professional Development, CEU, and Tuition Reimbursement

  • Curated Wellness Benefits supporting teammates physical and mental well-being

  • Community engagement opportunities

  • And more!

The Quality Auditor effectively and efficiently manages a diverse workload in a fast- paced, rapidly growing environment. The Quality Auditor provides support to the local market teams but reports centrally to the Director of Audit and Risk. This individual will monitor the effectiveness and outcomes of the Quality program in the division, local market population health interventions, member experience, as well as the quality of service provided to Somatus by any vendors. The Quality Auditor is also responsible for identifying and applying appropriate metrics for CKD and ESKD patients, evaluating the data, reporting results to various audiences, and designing and implementing process improvement projects as needed. This individual collaborates with multiple leaders at various levels throughout Somatus, including directors and vice presidents, for the purpose of supporting and improving the Quality program and all quality efforts.

This is a role that requires you to be local on-site at our HQ in McLean, VA-

Responsibilities

  • Uphold and support the mission, values, and policies of Somatus

  • Assist Directors of Quality and UM on quality and utilization audits as assigned, including targeted audits as requested by the Director.

  • Analyze and interpret data to makes recommendations to optimize Population Health and kidney care specific outcomes that support Somatus corporate goals (including but not limited to peritoneal dialysis rates, central venous catheter utilization rates, kidney transplant rates)

  • Document audit results, record findings, and suggest appropriate actions.

  • Provide consultation and advice to Population Health leadership and Corporate leadership related to policies and procedures identified as out of date or incomplete and investigate, develop, and recommend process improvements and solutions.

  • Monitor and analyze processes and outcomes to ensure Somatus goals, objectives, accreditation, and regulatory requirements are met.

  • Support quality improvement team in the development of reporting to prioritize clinical and service improvement initiatives and address identified barriers.

  • Actively participate in new employee orientation, ongoing educational and compliance programs, staff meetings, continuous quality improvement, and periodic performance/protocol evaluations and development

  • Maintain current nursing licensure by completing applications for renewal in a timely manner and by complying with all requirements for continuing education. Travel (up to 25%) to local renal care providers for quality oversight and utilization review collection

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

Qualifications

Required

• Graduate of an accredited School of Nursing with BS/BA in Nursing at a minimum

• Prior clinical experience in dialysis or renal care setting is a must.

• Current Registered Nurse compact state licensure and other states as deemed necessary by state

law or client contract.

• Minimum of three years recent clinical experience in a data-driven, quality focused role with a

health plan, hospital, dialysis center, or large physician practice

• Participation in continuing education programs to maintain licensure.

• Strong Microsoft Word, Excel, PowerPoint skills to effectively communicate data and reports to

internal and external stakeholders concisely and clearly.

• Prior experience with analyzing, interpreting, and presenting data sets.

Preferred

• Prior experience in population health, implementing market strategies, analyzing interventions

and outcomes, and quality indicator data.

• Experience with data to inform clinical intervention processes, resource management, and

strategic decision making.

• Experience with using or advising on data use for dashboard development, clinical best practices,

and workflows.

• Knowledge of industry regulatory standards and accrediting bodies for population health,

healthcare quality assurance, and care management

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Our priority is the health and safety of our members, colleagues, partners, and community. Proof of COVID-19 Vaccination is required for employment. If you are unable to be vaccinated for medical reasons or sincerely-held religious beliefs, we will consider requests for reasonable accommodations consistent with our policy, and where we are able to provide such accommodations without undue hardship to the company. All requests for proof of vaccination or for exemptions from the vaccination requirement will be subject to any limitations stipulated by current state and/or federal laws.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Somatus, Inc. provides equal employment opportunity to all individuals regardless of their race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, or any other characteristic protected by state, federal, or local law. Further, the company takes affirmative action to ensure that applicants are employed, and employees are treated during employment without regard to any of these characteristics. Discrimination of any type will not be tolerated.

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