HEDIS Coordinator

Job Description

Job Description

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 :

Preferred :