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HEDIS Coordinator
HEDIS CoordinatorFLORIDA DOCTORS GROUP CORP • Miami, FL, US
HEDIS Coordinator

HEDIS Coordinator

FLORIDA DOCTORS GROUP CORP • Miami, FL, US
[job_card.30_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]

Job Description

Job Description

Benefits :

  • Competitive salary
  • Dental insurance
  • Free uniforms
  • Health insurance
  • Paid time off
  • Training & development
  • Vision insurance

About Us :

Florida Doctors Group is a leading MSO committed to improving health outcomes, ensuring compliance, and supporting our providers through hands-on collaboration. Were currently seeking a dedicated HEDIS Coordinator to join our Quality team and help drive performance across our provider network.

Job Summary :

We are looking for an experienced and proactive HEDIS Coordinator with a solid understanding of Medicare and Medicaid to support our quality improvement initiatives. The ideal candidate will have hands-on experience with HEDIS data collection, reporting, and compliance efforts, and be passionate about improving member health outcomes and supporting provider performance.

Key Responsibilities :

  • Oversee and coordinate HEDIS data collection and abstraction from EMRs and medical records.
  • Assist with the planning, implementation, and monitoring of quality improvement initiatives related to HEDIS measures.
  • Track provider performance and identify gaps in care.
  • Collaborate with provider offices to ensure appropriate documentation and timely submission of data.
  • Prepare and present regular updates and reports on HEDIS performance.
  • Ensure compliance with CMS guidelines and state-specific quality programs.
  • Support member outreach efforts related to preventative screenings and care closure.
  • Work with internal teams (credentialing, provider relations, IT) to streamline workflows and ensure data accuracy.
  • Assist in audit preparation and submissions when required.

    • Qualifications :

  • Minimum 1 year of experience working directly with HEDIS measures .
  • Strong understanding of Medicare and Medicaid programs .
  • Experience with EMRs / EHRs and medical record review.
  • Familiarity with NCQA standards and HEDIS metrics.
  • Proficient in Microsoft Excel and other data tools (e.g., reporting dashboards, quality tracking systems).
  • Strong organizational skills and attention to detail.
  • Excellent communication and collaboration abilities.
  • Bilingual (English / Spanish) preferred but not required.

    • Preferred :

  • Background in healthcare administration, nursing, or public health.
  • Experience working in an MSO or with managed care organizations.
  • Knowledge of care coordination and population health strategies.
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