HEDIS Coordinator
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Remote HEDIS Coordinator ensuring accurate healthcare quality reporting and HEDIS compliance. Managing audits, improvement plans, provider validation, nurses, timelines, and vendors.
Responsibilities:
- Perform duties to ensure HEDIS data accuracy and reporting
- Investigate, audit, and identify improvement opportunities
- Assist with quality improvement initiatives in service and clinical areas
- Coordinate, complete, and update management on clinical quality metrics and HEDIS processes and results
- Establish and maintain an action plan to improve HEDIS scores
- Request and evaluate member compliance reports for each HEDIS measure
- Collaborate with providers and internal departments on rate investigation and validation activities
- Maintain evidence, documentation, and changes
- Manage the HEDIS project, including nurse assignments, plan timelines, and vendor oversight
- Conduct quality audits and maintain data and process controls for compliance
- Perform other duties as assigned and comply with company policies and standards
Requirements:
- Bachelors degree in related field or equivalent experience
- 3+ years of quality improvement or healthcare related experience
- Working knowledge of the National Committee on Quality Assurance (NCQA)
- HEDIS requirements preferred
- Proficiency with MS Office Suite
- Knowledge of quality improvement and HEDIS
- Ability to work fully remotely
- Must be based in Atlanta, Georgia, USA
Benefits:
- Medical, dental & vision
- Critical Illness, Accident, and Hospital coverage
- 401(k) Retirement Plan with pre-tax and Roth post-tax contributions
- Voluntary Life & AD&D insurance for the employee and dependents
- Short- and long-term disability
- Health Spending Account (HSA)
- Transportation benefits
- Employee Assistance Program
- Time Off/Leave (PTO, Vacation or Sick Leave)
Similar Jobs
Regional Business Specialist
Regional Business Specialist expanding Braeburn’s opioid-use-disorder treatments across New England criminal justice and federal accounts. Driving access, contracting, education, and market development.
Delivery Lead, Digital Products
Delivery Lead coordinating digital product delivery across pricing, lending, analytics, and e-commerce for EZCORP, a pawn-loan provider. Managing dependencies, releases, vendors, governance, and executive reporting.
Técnico/a Comercial, Suministros Agrícolas
Técnico/a Comercial captando clientes agrícolas y vendiendo soluciones de riego e invernaderos. Desarrollo de negocio y asesoramiento técnico para empresa líder en soluciones agrícolas.
Asesor de llamadas, Full time
Asesor de atención al cliente remoto para GEA, empresa peruana de servicios asistenciales. Gestionando llamadas y cumpliendo metas con capacitación pagada e incentivos.
Site Contracts Negotiator I
Site Contracts Negotiator supporting clinical trial agreement and budget negotiations at ICON, a global healthcare intelligence and clinical research organisation. Tracking contracts and study start-up milestones.
Junior Media Specialist
Junior Media Specialist curating imagery and production-ready logos for Luxury Presence’s AI growth platform for real estate. Preparing compliant, organized asset packages for client websites.
Asesor de llamadas, Full time
Asesor remoto de atención al cliente para GEA, empresa peruana de servicios asistenciales. Atendiendo consultas, cumpliendo metas y participando en capacitación pagada.
Asesor de llamadas, Full time
Asesor de atención al cliente remoto para GEA, empresa de servicios asistenciales y call center. Atención telefónica y capacitación pagada, sin experiencia requerida.
Domain Expert, Banking – Loan Origination & Commercial Lending
US banking domain expert mapping credit and loan origination processes for Factify’s auditable AI decision agents. Encoding underwriting rules, test cases and exceptions for regulated lenders.
Performance & Closed Loop Specialist
Arabic-speaking Performance & Closed Loop Specialist turning customer data into measurable improvements. Managing DGE compliance, performance frameworks, and continuous improvement for Octopus by RTG.
Environmental and Social Safeguards Officer
Environmental and Social Safeguards Officer supporting WWF’s global Indigenous-led conservation initiative. Leading safeguards, stakeholder engagement, grievance mechanisms, and risk monitoring across partner projects.
Environmental and Social Safeguards Officer
Environmental and Social Safeguards Officer leading safeguards for WWF’s Indigenous-led global conservation initiative. Supporting partners, risk mitigation, grievance mechanisms, and compliance across Brazil, Cambodia, or Kenya.
Asesor Telefónico
Asesor telefónico remoto atendiendo clientes para GEA, empresa de servicios asistenciales presente en 16 países latinoamericanos. Sin experiencia; capacitación pagada y bonos.
Rheumatologist
Board-certified rheumatologists evaluating AI-generated rheumatology answers for Mercor. Reviewing patient charts, judging clinical safety, and writing structured rationales for AI labs.
Orthopedic Surgeon
Board-certified orthopedic surgeon evaluating AI-generated orthopedic answers against patient charts. Helping Mercor and leading AI labs improve clinical model safety and accuracy.
Part-time Faculty, Industrial and Organizational Psychology
Part-time Industrial-Organizational Psychology faculty teaching and supporting diverse adult learners. Providing feedback, grading, student support, and program-quality contributions at National University.
Part-time Faculty, Health Services
Part-time remote Health Services faculty teaching diverse adult learners at National University, a San Diego-based nonprofit university. Providing feedback, supporting student success, and contributing to program quality.
Part-time Faculty, Industrial and Organizational Psychology
Part-time Industrial and Organizational Psychology faculty teaching National University’s diverse adult learners remotely. Providing feedback, supporting student success, and contributing to program quality.
Part-time Faculty, Health Services
Part-time Health Services faculty teaching adult learners remotely at National University, a San Diego-based nonprofit university. Providing feedback, supporting student success, and contributing to program quality.
Document Coordinator
Document Coordinator coordinating electronic healthcare documents for Pentec Health’s Digital line of business. Processing referrals, entering patient data, and distributing information through CPR+.