What are the responsibilities and job description for the HEDIS Coordinator position at Vivamas Medical Centers LLC?
At Viva Mas Medical Centers, we are guided by the saying “The Hands that Care for You.” We are growing and are looking for great people to join our mission!
En los Centros Médicos Viva Más, nos guiamos por el lema “En manos que te cuidan”. ¡Estamos creciendo y buscamos personas buena para unirse a nuestra mission!
We currently have an opportunity for a HEDIS Coordinator at our Doral location.
The HEDIS Coordinator, will play a crucial role in ensuring the accurate and timely completion of Healthcare Effectiveness Data and Information Set (HEDIS) measures, coordinates HEDIS data collection, managing data validation processes, and collaborating with internal departments to improve HEDIS performance. Additional, related duties may be required based on operational need
Job Responsibilities:
- Lead and manage the collection of Healthcare Effectiveness Data and Information Set (HEDIS) data specifically for Medicare and Medicaid populations.
- Ensure compliance with Medicare and Medicaid program requirements and regulations governing HEDIS data collection.
- Coordinate data collection efforts with internal teams and healthcare providers.
- Conduct thorough validation and analysis of HEDIS data for Medicare and Medicaid populations to ensure accuracy and completeness.
- Identify discrepancies or anomalies in the data and collaborate with Director of Billing and Coding and Vice President of Operations to resolve issues in a timely manner.
- Analyze HEDIS performance metrics for Medicare and Medicaid populations, identifying trends and opportunities for improvement.
- Collaborate with quality improvement teams and healthcare providers to develop and implement strategies for improving HEDIS performance measures.
- Stay abreast of Medicare and Medicaid program requirements, guidelines, and reporting deadlines related to HEDIS data collection and reporting.
- Ensure compliance with all relevant regulatory standards issued by the Centers for Medicare & Medicaid Services (CMS) and state Medicaid agencies.
- Maintain accurate and up-to-date documentation of HEDIS data collection processes, validation procedures, and quality improvement initiatives for Medicare and Medicaid populations.
- Prepare and submit HEDIS reports and documentation to CMS, state Medicaid agencies, and health plan partners in accordance with prescribed timelines and specifications
