HEDIS & Stars Quality Coordinator II

Imperial Health Plan of California, Inc.; Pasadena (CA); On-site; USD 70,000 - 90,000; Full time

Job summary

Imperial Health Plan of California, Inc. is seeking a HEDIS/Stars Coordinator II to oversee data collection, validation and reporting for NCQA HEDIS and CMS Stars initiatives. You will collaborate across departments and with provider offices to ensure timely, accurate submissions.

The role emphasizes data integrity, regulatory alignment, and continuous process improvement in a QA-focused environment. Strong communication and organization are essential.

Qualifications

• High school diploma or GED required.
• 2-3 years’ experience supporting HEDIS®, AMP, or similar program preferred OR 3+ years in a health plan/quality environment.

Responsibilities

• Coordinate HEDIS® data collection, validation and submission per NCQA timelines.
• Review HEDIS® data via Cozeva and perform data reconciliation.
• Ensure compliance with HEDIS®/Stars specifications and regulatory requirements.
• Maintain detailed records of methodologies, validation and results.
• Prepare and maintain HEDIS® reports for management and provider partners.

Skills

Time management

Verbal & written communication

Prioritization

Cozeva platform knowledge

EMR systems navigation

Tools

Cozeva

EMR systems

Microsoft Word

Excel

Outlook

PowerPoint

Job description

Imperial Health Plan of California, Inc. is seeking a HEDIS/Stars Coordinator II to oversee data collection, validation and reporting for NCQA HEDIS and CMS Stars initiatives. You will collaborate across departments and with provider offices to ensure timely, accurate submissions.

The role emphasizes data integrity, regulatory alignment, and continuous process improvement in a QA-focused environment. Strong communication and organization are essential.