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

V R Della Infotech Inc

Title Examiner I Job at V R Della Infotech Inc

 ...Job Description: Job Description Job Summary Provides Nationwide title services. Responsible for supporting real estate transactions by searching public records and examining titles for properties to determine legal condition of property title as part of production... 

U.S .Vision

Optical Manager/Licensed Optician Job at U.S .Vision

 ...Our heritage in eye care spans more than 100 years.In 1885, opticians William Wall and Charles Ochs opened their first eyeglass store and manufacturing facility in Philadelphia, PA. Their reputation for fine eyewear and superior eye care grew, and Wall & Ochs was soon... 

Professional Alternatives

Escrow Officer - Houston Job at Professional Alternatives

Job ID#: 31082 The Escrow Officer is responsible for handling all duties related to the closing process while keeping all parties informed. This role is not remote, onsite in Houston, TX. Your Key Responsibilities Include: Must have knowledge of all escrow processes...

Graham & Associates

Civil Engineer - Design - Airports and Transportation Job at Graham & Associates

Searching for an engineer but not just any engineer. Need Civil Engineer with BSCE and EIT or PE. Need engineer who either has experience in design for airport and airfield projects. OR Civil Engineer who has design skills and experience and is interested in airport and...

Lumen

Assistant General Counsel, Employment Job at Lumen

 ...interested in joining a collegial team of lawyers providing advice and counsel to human resources and business leaders related to employees,...  ..., national origin, religion, veteran status, disability, genetic characteristic or information, age, gender, sexual orientation,...