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

ZU40cWNvc3JiZ2hybnhWTmpSVkprQWZCQXc9PQ==
  • 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

Sunrise Senior Living

Cook - Senior Living Job at Sunrise Senior Living

**When you join Sunrise Senior Living, you will be able to use your unique skills to empower residents to live longer, healthier, and happier lives. Not only will you build meaningful relationships with residents, their families, and team members alike, you will also gain... 

Recruiting Resources, Inc.

AVP, Data Operations-ESG | Investment Firm Job at Recruiting Resources, Inc.

 ...Exciting opportunity! A leading, high growth global investment management firm is seeking a Senior Data Leader to lead data strategy, governance, and reporting across their various platforms. This role is perfect for a leader with 10+ years in investment management and... 

Exclusive Household Staff

Live-in Nanny Job at Exclusive Household Staff

Our client, a lovely informal French/English family based in Bel Air, Los Angeles, are looking for a professional Live-in Nanny to take shared and sole charge of their three girls aged 18 months, 6 & 9 years. The couple are looking for a loving, kind, educated, enthusiastic... 

Cox Media Group

Media Consultant - Orlando Radio Job at Cox Media Group

 ...FL-Orlando-John Young Job Title: Media Consultant - Orlando Radio Position Overview Cox Media Group (CMG) is seeking Media...  ...through insight proposals, performance metrics, and maximizing all station assets. To be successful youll need to be driven,... 

Cigna

Managed Care Resident - Express Scripts - Remote (Physician Engagement) Job at Cigna

 ...POSITION SUMMARY The Pharmacy Graduate will participate in a 12-month post-PharmD training program with a primary focus on Physician Engagement, including but not limited to; the use of digital applications, data, and insights to enable informed provider decisions...