About Us: Florida Doctors Group is a leading MSO committed to improving health outcomes, ensuring compliance, and supporting our providers through hands-on collaboration. We’re 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.