HEDIS Coordinator

Medical Specialists of The Palm Beaches

Boynton Beach, FL

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JOB DETAILS

SKILLS

Analysis Skills, Best Practices, Centers for Medicare and Medicaid Services (CMS), Clinical Support, Coaching, Communication Skills, Cross-Functional, Data Analysis, Dental Insurance, Detail Oriented, Documentation, Documentation Standards, Electronic Medical Records, Follow Through, Gap Closure, Health Science, Healthcare, Healthcare Administration, Healthcare Effectiveness Data and Information Set (HEDIS), Healthcare Quality, Insurance, Interpersonal Skills, Leadership, Life Insurance, Managed Care, Medical Coding, Medical Genetics, Medicare, Microsoft Excel, Microsoft Office, Microsoft PowerPoint, Microsoft Word, Military, Multitasking, Nursing, Operational Improvement, Operations Planning, Organizational Skills, Patient Care, Performance Analysis, Performance Management, Performance Metrics, Preventive Medicine, Primary Care, Problem Solving Skills, Process Development, Process Improvement, Public Health, Quality Assurance, Quality Management, Quality Metrics, Regulations, Risk, Team Player, Time Management, Training/Teaching, Vision Plan

LOCATION

Boynton Beach, FL

POSTED

Today

Located In:
Boynton Beach, Florida 33437We are seeking a highly motivated and detail-oriented HEDIS Coordinator to support the organization's value-based care and quality improvement initiatives across our primary care practices. This role plays a key part in driving HEDIS gap closure performance, supporting provider education, improving operational workflows, and enhancing system efficiencies to optimize patient outcomes and quality metrics.
The HEDIS Coordinator will collaborate closely with providers, clinical teams, and operational leadership to implement best practices that align with organizational goals related to population health management and value-based care strategies. This is an excellent opportunity for a healthcare professional who is passionate about quality improvement, provider engagement, and operational excellence. Essential Duties & Responsibilities
* Support organizational quality initiatives with a primary focus on HEDIS gap closure and value-based care performance
* Educate providers and clinical staff on quality measures, documentation standards, coding accuracy, and preventive care initiatives
* Collaborate with operational leadership to develop and improve workflows and quality processes
* Monitor quality performance metrics and identify opportunities for operational and clinical improvement
* Assist with implementing standardized workflows and system efficiencies across multiple office locations
* Partner with providers and office teams to improve patient outreach, care coordination, and preventive screening compliance
* Support chart review and quality validation activities to ensure accurate documentation and reporting
* Identify operational barriers impacting quality outcomes and recommend actionable solutions
* Support organizational goals tied to value-based contracts and risk arrangements
* Provide ongoing support and guidance to clinical teams regarding quality initiatives and best practices
* Participate in meetings, audits, trainings, and special projects related to quality improvement and operational performance
* Maintain current knowledge of HEDIS, CMS, Medicare Advantage, and value-based care guidelines
* Assist with reporting, tracking, and analysis of quality performance data
Qualifications
* Bachelor's degree in Healthcare Administration, Health Sciences, Nursing, Public Health, or related field preferred
* Experience in value-based care, HEDIS, quality improvement, population health, or managed care preferred
* Knowledge of Medicare Advantage and risk adjustment programs preferred
* Experience working within a primary care or multispecialty physician group preferred
* Experience with EMR systems required; Athena EMR experience preferred
* Strong interpersonal, organizational, analytical, and communication skills
* Proficiency in Microsoft Office applications including Excel, Word, and PowerPoint
Competencies
* Strong collaboration and teamwork skills across multidisciplinary teams
* Professional communication skills with providers, leadership, and staff
* Ability to educate, coach, and support clinical teams on workflow improvements and quality initiatives
* Strong problem-solving skills with the ability to identify process improvement opportunities
* High attention to detail and commitment to quality outcomes
* Ability to manage multiple priorities in a fast-paced environment
* Sound judgment and strong decision-making skills
* Accountability and follow-through on assigned responsibilities and deadlines
* Adaptability to evolving healthcare regulations and organizational priorities
Here are just a few things we offer:
* Access to health, dental, and vision insurance
* Health Savings Account
* Eligible for PTO and Holiday pay
* Company paid life insurance.
* Access to voluntary short and long-term disability insurance
* Access to additional life insurance
* Access to Accident and Critical Illness Insurance
* 401K with automatic employer contribution
Medical Specialists of the Palm Beaches, Inc. (“MSPB”) is an Equal Opportunity Employer and Prohibits Discrimination and Harassment of Any Kind: MSPB is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment. All employment decisions at MSPB are based on business needs, job requirements and individual qualifications, without regard to race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. MSPB will not tolerate discrimination or harassment based on any of these characteristics. MSPB encourages applicants of all ages.

About the Company

Medical Specialists of The Palm Beaches

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