HEDIS Coordinator

Job not on LinkedIn

🔥 1 minute ago

🐊 Florida – Remote

infoinfo

💵 $20 - $22 / hour

⏳ Contract/Temporary

🟡 Mid-level

🟠 Senior

Where this job comes from

Posted on TEKsystems's careers page, not through a job board

First seen by Remote Rocketship 1 minute ago

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Logo of TEKsystems

TEKsystems

10,000+ employees

Founded 1983

💼 Consulting

🎯 Recruiter

🏢 Enterprise

Consulting • Recruitment • Enterprise

TEKsystems is a global IT and business services firm that provides technology consulting, talent solutions, managed services and workforce recruitment to enterprise clients. The company delivers cloud, digital and data services (including AI/ML and automation), application innovation, Agile/DevOps transformation, technology operations and digital experience work, and operates large-scale talent and managed service programs. TEKsystems works across industries (financial services, healthcare, public sector, telecommunications, retail/manufacturing, energy and more), maintains technology partnerships with major cloud and software providers, and reports more than $7B in annual revenue and 100+ locations worldwide.

📋 Description

• Coordinate and track clinical quality metrics, HEDIS processes, performance, and results. • Develop and maintain action plans focused on improving HEDIS scores. • Request, track, and evaluate member compliance reports for HEDIS measures. • Identify trends and opportunities for improvement based on quality and performance data. • Collaborate with healthcare providers and internal departments on rate investigation and validation activities. • Maintain accurate documentation, evidence, and records to support audits and compliance requirements. • Coordinate HEDIS projects, including assigning work, monitoring timelines, and supporting vendor oversight. • Conduct quality audits and maintain data and process controls to ensure accuracy and compliance. • Communicate findings, trends, and recommendations to internal stakeholders. • Support additional quality improvement and HEDIS initiatives as needed.

🎯 Requirements

• Bachelors degree in a related field or equivalent professional experience. • 3+ years of healthcare or quality improvement experience. • Working knowledge of NCQA (National Committee for Quality Assurance) standards. • Familiarity with HEDIS measures and requirements preferred. • Experience with project coordination or project management in a healthcare or quality-focused environment. • Ability to review and interpret clinical quality metrics and performance data. • Strong organizational skills with the ability to manage multiple deadlines and priorities. • Excellent attention to detail, particularly with data, documentation, and reporting. • Strong written and verbal communication skills. • Ability to work independently and stay accountable in a fully remote environment. • Previous experience with HEDIS data collection, validation, or reporting. • Experience supporting clinical quality improvement initiatives within a health plan, insurance organization, or healthcare setting. • Experience working with clinical teams, healthcare providers, analysts, or external vendors. • Familiarity with compliance-driven processes and quality audits.

🏖️ Benefits

• Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan with pre-tax and Roth post-tax contributions • Life Insurance (Voluntary Life & AD&D 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)

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