What are the responsibilities and job description for the HEDIS Coordinator position at FLORIDA DOCTORS GROUP CORP?
Benefits:
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.
Background in healthcare administration, nursing, or public health.
- 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. 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.
- 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.
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.