How to Apply to Evergreen Nephrology

10 min read Last updated April 20, 2026 5 open positions
Blake Crosley
Blake Crosley Researched using publicly available information, hiring data, and ATS analysis.

Key Takeaways

  • Evergreen Nephrology is a Nashville-headquartered value-based kidney care company founded in 2021 inside Rubicon Founders, with $200M+ raised from Rubicon, Oak HC/FT, and General Catalyst.
  • The business depends on the CMS Kidney Care Choices (KCC) Model, extended through 2026, plus direct Medicare Advantage partnerships with carriers including Humana, Aetna/CVS, and Centene.
  • Greenhouse is the ATS; apply at boards.greenhouse.io/evergreennephrology with a clean, single-column PDF resume and explicit value-based care keywords if relevant.
  • Co-Founder and CSO Adam Boehler (former CMS Innovation Center director) gives the company unusual policy credibility; CEO Andrew Reeves leads day-to-day operations.
  • Competitive pressure from Strive Health, Somatus, Monogram Health, InterWell Health, and incumbents DaVita and Fresenius is real and ongoing; candidates should assume the market remains contested.
  • Macro tailwinds (KCC extension, SGLT2/GLP-1 uptake) are favorable, but value-based execution is operationally difficult and KCC's long-term structure is a regulatory dependency, not a guarantee.
  • Interview process is structured, fast, and mission-forward; expect take-homes for analytics roles, scenario questions for clinical roles, and a values conversation with a senior leader.
  • Best fit: candidates who want to build inside a serious, clinically grounded, venture-backed healthcare startup and who can articulate a real reason to care about CKD outcomes.

About Evergreen Nephrology

Evergreen Nephrology is a value-based kidney care company headquartered in Nashville, Tennessee, founded in 2021 inside the Rubicon Founders incubator led by Adam Boehler, the former director of the CMS Innovation Center and later head of the U.S. International Development Finance Corporation. The company partners with independent and affiliated nephrology practices, dialysis providers, and Medicare Advantage plans to take on financial risk for patients with chronic kidney disease (CKD) and end-stage renal disease (ESRD). Its core thesis is that the U.S. kidney care system is misaligned: nephrologists are paid more when patients progress to dialysis, while patients, payers, and clinicians would all be better served by slowing CKD progression, delaying dialysis, increasing transplant rates, and shifting patients who do start dialysis toward home modalities. Evergreen sells its model into two payment vehicles. The first is the CMS Kidney Care Choices (KCC) Model, the multi-year demonstration that pays nephrology practices for keeping CKD stage 4 and 5 patients out of unplanned dialysis starts; KCC has been extended through 2026, which is the regulatory tailwind underwriting much of the company's growth. The second is direct value-based contracts with Medicare Advantage carriers, including announced partnerships with Humana, Aetna/CVS, and Centene. Evergreen has raised more than $200 million from Rubicon Founders, Oak HC/FT, and General Catalyst, and employs an estimated 500 to 700 people across clinical, operations, technology, actuarial, and corporate roles. The CEO is Andrew Reeves, a healthcare operator with prior experience scaling care delivery organizations; Adam Boehler serves as Co-Founder and Chief Strategy Officer and remains the public face of the company in policy circles. The competitive set is crowded and well-capitalized: Strive Health (backed by Town Hall Ventures, NEA, and CapitalG), Somatus, Monogram Health (Frist Cressey, General Catalyst), CareMore Health (Anthem), DaVita Integrated Kidney Care, Fresenius Health Partners, and InterWell Health (which absorbed Cricket Health in 2022) all chase overlapping populations. Dialysis incumbents DaVita, Fresenius Medical Care, U.S. Renal Care, and Satellite Healthcare sit in an adjacent segment but increasingly experiment with value-based arrangements of their own. Macro tailwinds beyond KCC include the rapid uptake of SGLT2 inhibitors and GLP-1 agonists, which have shown meaningful effects on slowing CKD progression and align directly with Evergreen's clinical playbook. The risks are equally concrete: KCC is a demonstration, not a permanent program, and CMS could narrow or restructure it; value-based execution is operationally hard, and several peers have pulled back markets after losing money; and the Strive Health competitive overhang is real, especially in payer RFPs. Candidates should evaluate Evergreen as a mission-driven, venture-backed healthcare startup operating at clinical-services scale, not as either a pure tech company or a stable health system employer.

Application Process

  1. 1
    Open the Greenhouse board at boards

    Open the Greenhouse board at boards.greenhouse.io/evergreennephrology and filter by department (Clinical, Operations, Technology, Actuarial, People, Growth) and by location to surface remote, hybrid, or Nashville-based roles.

  2. 2
    Read the full job description carefully: clinical roles (RN Care Manager, Nurse

    Read the full job description carefully: clinical roles (RN Care Manager, Nurse Practitioner, Pharmacist, Social Worker) have licensure and state-specific requirements that are non-negotiable, while corporate and tech roles often list value-based care experience as preferred but not required.

  3. 3
    Tailor a one-page resume that explicitly names value-based care, risk-bearing en

    Tailor a one-page resume that explicitly names value-based care, risk-bearing entities, CKD/ESRD, dialysis, Medicare Advantage, KCC, ACOs, or population health if you have any of that background; recruiters here scan for these terms specifically.

  4. 4
    Apply through Greenhouse with a resume in PDF, a short cover letter (3-4 paragra

    Apply through Greenhouse with a resume in PDF, a short cover letter (3-4 paragraphs) tying your background to Evergreen's mission of slowing CKD progression, and complete any voluntary EEO and demographic fields.

  5. 5
    Expect a recruiter screen within 1-2 weeks if your background fits; Evergreen re

    Expect a recruiter screen within 1-2 weeks if your background fits; Evergreen recruiters typically ask about your motivation for kidney care, comfort with startup ambiguity, and compensation expectations on the first call.

  6. 6
    Move into a hiring manager interview focused on role-specific scope, your unders

    Move into a hiring manager interview focused on role-specific scope, your understanding of value-based payment mechanics, and concrete examples of impact you have driven in prior roles.

  7. 7
    Complete a panel or skills exercise: clinical roles include scenario-based quest

    Complete a panel or skills exercise: clinical roles include scenario-based questions about patient outreach and care plan escalation, analytics and actuarial roles include a take-home or live SQL/modeling exercise, and operations roles often include a written case on launching or scaling a market.

  8. 8
    Final round typically includes a values interview with a senior leader (often a

    Final round typically includes a values interview with a senior leader (often a VP or C-suite member) and may include a conversation with Andrew Reeves or another founder for senior hires.

  9. 9
    Reference checks are conducted before an offer is extended; offers usually arriv

    Reference checks are conducted before an offer is extended; offers usually arrive within a week of final interviews and include base, target bonus, and equity (stock options) for non-clinical roles.

  10. 10
    Background checks, drug screens (for clinical roles), and licensure verification

    Background checks, drug screens (for clinical roles), and licensure verification are required before start; clinical roles also require credentialing in each state where you will see patients.

Resume Tips for Evergreen Nephrology

recommended

Lead the summary with kidney care, value-based care, or risk-bearing care delive

Lead the summary with kidney care, value-based care, or risk-bearing care delivery experience if you have it; if you do not, lead with the most adjacent experience (Medicare Advantage, ACO, primary care at risk, dialysis operations, population health).

recommended

Use plain section headers (Experience, Education, Licenses & Certifications, Ski

Use plain section headers (Experience, Education, Licenses & Certifications, Skills) so Greenhouse's parser captures fields cleanly; avoid columns, tables, headers/footers, and graphics.

recommended

Quantify clinical and operational outcomes: percent reduction in unplanned hospi

Quantify clinical and operational outcomes: percent reduction in unplanned hospitalizations, dialysis crash starts avoided, transplant evaluations completed, home dialysis penetration, MLR improvement, member panel size, or cost per attributed life.

recommended

Name the payment models you have worked under: KCC (CKCC, KCF, CKD), MSSP, Direc

Name the payment models you have worked under: KCC (CKCC, KCF, CKD), MSSP, Direct Contracting/ACO REACH, Medicare Advantage capitation, bundled payments, or shared savings.

recommended

For clinical roles, list active licenses with state and expiration date, board c

For clinical roles, list active licenses with state and expiration date, board certifications (RN, NP, PA, PharmD, LCSW, MD/DO), and any compact licenses (NLC) you hold.

recommended

For technology roles, list the actual stack you used (Python, SQL, dbt, Snowflak

For technology roles, list the actual stack you used (Python, SQL, dbt, Snowflake, Databricks, Looker, FHIR, HL7, claims data) rather than buzzwords; healthcare data engineering experience is heavily weighted.

recommended

Keep the resume to one page for under 10 years of experience and two pages above

Keep the resume to one page for under 10 years of experience and two pages above that; recruiters at high-growth healthcare startups read fast and reward clarity.

recommended

Save and submit as PDF named First-Last-Resume

Save and submit as PDF named First-Last-Resume.pdf; Greenhouse handles PDFs cleanly and the filename makes you easier to find in the recruiter's inbox.

recommended

Mirror language from the specific job description (patient outreach, care naviga

Mirror language from the specific job description (patient outreach, care navigation, prior authorization, utilization management, actuarial reserving, contract modeling) without keyword-stuffing.

recommended

If you are pivoting from a traditional fee-for-service or hospital role, add a o

If you are pivoting from a traditional fee-for-service or hospital role, add a one-line 'Why Evergreen' note in your cover letter that acknowledges the pivot and explains your motivation; it preempts the recruiter's first question.

ATS System: Greenhouse

Evergreen Nephrology uses Greenhouse as its applicant tracking system, hosted at boards.greenhouse.io/evergreennephrology. Greenhouse is the most widely used ATS among venture-backed healthcare and technology companies; it parses resumes into structured fields, supports structured interview kits and scorecards, and gives recruiters strong filtering and tagging tools. Applications submitted through Greenhouse are visible to recruiters and the hiring team in a shared pipeline, and every interview is logged with structured feedback before any offer decision.

  • Apply through the official Greenhouse board at boards.greenhouse.io/evergreennephrology rather than third-party aggregators to ensure your application is attached to the correct requisition.
  • Submit your resume as a PDF; Greenhouse parses PDFs reliably while .pages, .doc, and image-based files frequently lose data.
  • Use standard, ATS-friendly section headers and a single-column layout; Greenhouse extracts work history, education, and skills into structured fields that recruiters search and filter on.
  • Fill in the LinkedIn URL field and any custom application questions completely; Evergreen recruiters often filter by completeness signals as a first pass.
  • Complete the voluntary EEO and self-identification fields; the data is reported in aggregate, separated from your application, and never used in hiring decisions, but completion is tracked at a company level.
  • If you are referred by a current employee, use the referral link or candidate-provided URL they send you; that attribution flows directly into Greenhouse and routes your application to a referred-candidate queue.

Interview Culture

Evergreen Nephrology runs a structured, mission-forward interview process that reflects its hybrid identity as both a clinical organization and a venture-backed startup.

Expect every loop to begin with a recruiter screen focused on motivation: why kidney care, why value-based care, and why a Series-stage company instead of a hospital system or a more mature payer. Recruiters here are looking for candidates who can articulate a real reason for caring about CKD outcomes, not generic mission language. Hiring manager interviews drill into role-specific scope and your understanding of how the company actually makes money: per-member-per-month payments, shared savings, downside risk, and the mechanics of the KCC model. Panels include cross-functional partners, often pairing a clinical leader with an operations or analytics leader, which signals how the work actually happens in the field. Take-home exercises for analytics, actuarial, and product roles are time-boxed and grounded in claims, eligibility, or quality data; expect to defend assumptions, not just produce a number. Clinical interviews include case scenarios about engaging hard-to-reach CKD patients, escalating to nephrologists, and working inside an interdisciplinary care team. Final rounds typically include a values conversation with a senior leader; the published values emphasize patient-first thinking, ownership, humility, and operating with urgency. Compensation discussions are direct and data-driven, with salary bands defined per level and equity grants for non-clinical roles. Throughout the process, candidates report that the company is honest about being a startup: roles evolve, processes are still being built, and the work is hard. That honesty is itself a signal. Interview turnaround is generally fast (2-4 weeks from screen to offer for most roles), and the company gives explicit feedback on rejections more often than is typical in healthcare.

What Evergreen Nephrology Looks For

  • Genuine motivation for kidney care and value-based care, not generic healthcare mission statements; candidates who can name a specific reason for caring stand out.
  • Comfort with startup ambiguity: roles will change, processes will be rebuilt, and you will be expected to write the playbook rather than execute one.
  • Bias to action paired with clinical or operational rigor; the company explicitly avoids both 'move fast and break things' recklessness and bureaucratic slowness.
  • For clinical roles, demonstrated experience with longitudinal care management, motivational interviewing, and interdisciplinary team coordination, ideally with a CKD, ESRD, or complex-care population.
  • For operations and growth roles, evidence of launching or scaling a market, navigating health plan contracting, or managing a P&L under capitation or risk.
  • For technology and analytics roles, fluency with healthcare data (claims, eligibility, EHR, HL7/FHIR, lab results) and the ability to translate clinical questions into data models.
  • For actuarial and finance roles, hands-on experience with risk adjustment, MLR forecasting, reserve setting, and value-based contract modeling.
  • Strong written and verbal communication; the company runs distributed and asynchronous, and internal documents carry a lot of weight in decisions.
  • Demonstrated humility about what is hard: candidates who acknowledge that value-based kidney care is operationally difficult tend to fare better than those who pitch it as a solved problem.
  • Cultural alignment with Nashville-rooted, mission-driven healthcare operators; the company has a distinct tone that is more 'serious clinical operator' than 'tech bro startup.'

Frequently Asked Questions

What does Evergreen Nephrology actually do?
Evergreen partners with nephrology practices, dialysis providers, and health plans to take on financial responsibility for chronic kidney disease (CKD) and end-stage renal disease (ESRD) patients. It earns revenue through the CMS Kidney Care Choices Model and through direct value-based contracts with Medicare Advantage plans, and it deploys care management, pharmacy, social work, and patient outreach to slow disease progression, delay dialysis, increase transplant rates, and shift dialysis to home modalities.
Is Evergreen Nephrology a startup or an established healthcare company?
It is a venture-backed startup founded in 2021, currently estimated at 500 to 700 employees, with more than $200 million raised. It operates at clinical-services scale (real patients, real licensed clinicians, real risk), but internally it still has the ambiguity, evolving processes, and equity-heavy compensation typical of a Series B/C healthcare company.
Who founded Evergreen and who runs it?
Evergreen was incubated by Rubicon Founders, the Nashville-based healthcare investment and operating firm led by Adam Boehler, who previously ran the CMS Innovation Center and the U.S. International Development Finance Corporation. Boehler serves as Co-Founder and Chief Strategy Officer. Andrew Reeves is the CEO and runs day-to-day operations.
Who are Evergreen's main competitors?
Direct value-based kidney care competitors include Strive Health, Somatus, Monogram Health, CareMore Health (Anthem), InterWell Health (which absorbed Cricket Health in 2022), DaVita Integrated Kidney Care, and Fresenius Health Partners. Dialysis incumbents DaVita, Fresenius Medical Care, U.S. Renal Care, and Satellite Healthcare sit in an adjacent segment and increasingly run their own value-based programs.
What ATS does Evergreen use and where do I apply?
Evergreen uses Greenhouse. The official board is at boards.greenhouse.io/evergreennephrology. Apply through that URL rather than through third-party job boards or aggregators to ensure your application is properly attached to the requisition and visible to the Evergreen recruiting team.
Is Evergreen remote, hybrid, or on-site?
It depends on the role. Clinical care management roles are often remote within a specific state or region tied to where you are licensed. Corporate, technology, and analytics roles are frequently remote or hybrid, with some roles based in or expected to travel to Nashville. The Greenhouse posting will state location requirements explicitly.
What is the CMS Kidney Care Choices (KCC) Model and why does it matter for Evergreen?
KCC is a CMS Innovation Center demonstration that pays nephrology practices and risk-bearing entities for keeping CKD stage 4 and 5 patients out of unplanned dialysis starts and improving transplant and home dialysis rates. It has been extended through 2026 and is a major revenue and growth driver for Evergreen. It is also a regulatory dependency: CMS could narrow, restructure, or end the program in future cycles.
What backgrounds does Evergreen typically hire?
Clinical hires include nurse practitioners, registered nurses (often as care managers), pharmacists, licensed social workers, and physicians. Non-clinical hires span operations, growth and partnerships, actuarial, finance, data engineering, analytics, product, software engineering, people/HR, and corporate strategy. Prior experience in value-based care, Medicare Advantage, ACOs, or risk-bearing primary care is heavily weighted but not always required.
How long does the interview process take?
Most candidates report a 2 to 4 week timeline from initial recruiter screen to offer. The process typically includes a recruiter screen, hiring manager interview, panel or skills exercise, and a final values interview with a senior leader. Senior or executive roles can run longer and may include a conversation with the CEO or a co-founder.
What are the realistic risks of joining Evergreen?
Three honest risks: regulatory dependency on the KCC model (which CMS could change), execution risk inherent to value-based care (peers have pulled back markets after losing money), and competitive pressure from well-capitalized rivals like Strive Health and Monogram Health. Candidates should also expect normal startup risk: roles change, priorities shift, and a meaningful portion of compensation is in equity that may or may not be liquid.
Does Evergreen offer equity, and how should I think about it?
Non-clinical roles typically include stock options as part of total compensation, with grants sized by level. Equity is private and illiquid; valuation is set at the most recent funding round and may move up or down. Treat the cash and benefits package as your floor and equity as upside, not as guaranteed compensation.
Is the company hiring right now?
Open roles are listed on the Greenhouse board at boards.greenhouse.io/evergreennephrology. Headcount in this segment is sensitive to payer contracts and KCC market expansion, so the board can shift week to week. If your target role is not listed, set up a Greenhouse job alert for the company and check back.

Open Positions

Evergreen Nephrology currently has 5 open positions.

Check Your Resume Before Applying → View 5 open positions at Evergreen Nephrology

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Sources

  1. Evergreen Nephrology - Official Website —
  2. Evergreen Nephrology Careers (Greenhouse Job Board) —
  3. Rubicon Founders - Portfolio —
  4. CMS Kidney Care Choices (KCC) Model - Center for Medicare and Medicaid Innovation —
  5. Oak HC/FT - Portfolio Companies —
  6. General Catalyst - Health Assurance Portfolio —
  7. Adam Boehler - U.S. International Development Finance Corporation (Archived) —
  8. Strive Health - Company Overview —
  9. Monogram Health - Company Overview —
  10. InterWell Health (Cricket Health Acquisition Announcement) —
  11. Greenhouse Software - Applicant Tracking System —
  12. DaVita Integrated Kidney Care —
  13. Fresenius Health Partners - Value-Based Kidney Care —