HEDIS Coordinator Jobs
What is a HEDIS Coordinator?
A HEDIS Coordinator plays a vital role in healthcare organizations by managing the collection, analysis and reporting of data used to evaluate the quality of care provided to patients. The role centers around the Healthcare Effectiveness Data and Information Set (HEDIS), a widely used performance measurement tool developed by the National Committee for Quality Assurance (NCQA).
What does a HEDIS Coordinator do?
HEDIS coordinators perform different tasks to ensure HEDIS data and reports are accurate, including investigation, auditing and improvement opportunities.
Key job responsibilities for a HEDIS coordinator may include:
Coordinate, complete, and update management on all HEDIS processes and results
Organize and maintain a plan of action to improve HEDIS scores
Request and evaluate reports for member compliance and improvement opportunities for each HEDIS measure
Work with providers and internal departments on rate investigation and validation activities, which includes maintaining all evidence, documentation and changes
Oversee the HEDIS project for quality and timeliness regarding nurse assignments, vendor oversight and timeline adherence
Ensure compliance by conducting quality audits and maintaining all data and process controls
How to Work as a HEDIS Coordinator
The ideal HEDIS Coordinator is a detail-oriented and data-savvy professional with a strong background in healthcare administration or nursing. They are passionate about improving patient outcomes through data-driven insights and thrive in collaborative environments.
Skills and qualifications needed:
Bachelor’s degree in related field or equivalent experience
3+ years of quality improvement or healthcare related experience
HEDIS requirements preferred
Must be organized with the ability to keep accurate notes and records
Excellent verbal/written communication skills
Proficient in Microsoft Word, Excel and Outlook
Should possess leadership capabilities
Where Do HEDIS Coordinators Work?
HEDIS coordinators are found in a variety of healthcare environments, including but not limited to:
Health insurance companies
Hospitals and health systems
Managed care organizations
Outpatient clinics
Consulting firms specializing in healthcare quality
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