Job Description

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:

• 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.

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