HEDIS / Stars Coordinator Job at RTD Talent Solutions, LLC, Miami, FL

cEdWRThjSkRNMzNzdzJ1QklpRlJSakFRZFE9PQ==
  • RTD Talent Solutions, LLC
  • Miami, FL

Job Description

RTD Talent Solutions is currently representing one of the fastest-growing Medicare Advantage (Part C) organizations in the market. The plan is recognized for delivering comprehensive coverage tailored to the needs of its members, with an emphasis on personalized service. Members benefit from traditional medical coverage as well as enhanced programs such as dental, vision, hearing, wellness initiatives, transportation assistance, prescription drug coverage, and over-the-counter (OTC) allowances. They are seeking a HEDIS/Stars Coordinator.

As the HEDIS/Stars Coordinator, you would be responsible for reviewing medical records, improving documentation practices, and maintaining accurate review activities. You would ensure all submitted data meets HEDIS/Stars specifications while supporting quality initiatives and contributing to a positive, patient-centered care experience. This role is key to enhancing performance, compliance, and overall member satisfaction.

 

Other key job duties:

  • Patient & Provider Support – Deliver excellent customer service by addressing patient and client needs, making scheduling/education calls, and assisting providers with identifying HEDIS/Stars opportunities.
  • Quality & Compliance Oversight – Assist with audits, track and trend barriers to care, and communicate challenges impacting outcomes to ensure compliance with HEDIS/Stars standards and close care gaps.
  • Collaboration & Continuous Improvement – Partner with leadership and practice staff to identify trends, develop improvement strategies, and maintain an up-to-date knowledge base of HEDIS/Stars requirements.

Job Tags

Full time,

Similar Jobs

Lucid Staffing Solutions

Travel Cath Lab Technician Job at Lucid Staffing Solutions

Job Description Lucid Staffing Solutions is seeking a travel Cath Lab Technologist for a travel job in Salem, Massachusetts. Job Description & Requirements ~ Specialty: Cath Lab Technologist ~ Discipline: Allied Health Professional ~ Start Date: 02/15/202...

Hyatt Hotels

Housekeeper/Room Attendant - Full-Time Job at Hyatt Hotels

 ...rewards, where talent opens doors to exciting challenges in the hospitality industry. The hourly rate of pay for the full-time housekeeper/room attendant position is $21.70 per hour. Hyatt associates work in an environment that demands exceptional performance yet... 

Government Jobs

Administrative Office Assistant (Confidential Office Support I) Job at Government Jobs

 ...Administrative Office Assistant (Confidential Office Support I) Classification: Confidential Office Support I Department: President's Office Salary Range: $3,494 - $4,000 per month Appointment Type: Ongoing Time Base: Full Time Work Schedule: Monday Friday... 

The UPS Store #5157

UPS Store Associate Job at The UPS Store #5157

 ...: The UPS Store -Center Associate Employment Type: Full-Time Compensation: $15/hour Company: The UPS Store Location: 3245 Main Street, Ste 235, Frisco, TX 75034 Or 2831 Eldorado Parkway, Ste 103, Frisco, TX 75033 Or 11450 US Hwy 380, Ste 130, Cross... 

Core Medical Group

Travel Pediatric Licensed Practical Nurse (LPN) Job at Core Medical Group

 ...Job Description Core Medical Group is seeking a LPN / LVN Pediatrics for a travel job in Poughkeepsie, New York. Job Description & Requirements ~ Specialty: Pediatrics ~ Discipline: LPN / LVN ~ Start Date: ASAP ~ Duration: 13 weeks ~40 hours per week...