Managed Care Assistant: Drive HEDIS & Quality Outcomes

Central Florida Health Care, Inc.; Winter Haven (FL); On-site; USD 35,000 - 52,000; Full time

Job summary

Central Florida Health Care, Inc. in Winter Haven, FL seeks a Managed Care Assistant (LPN or CMA) to support the Managed Care and Quality departments by coordinating medical record collection, performing data abstraction, and preparing charts for review.

This role ensures accurate retrieval and submission of documentation to support HEDIS and STARS initiatives. The position emphasizes closing quality care gaps and participating in organization-wide multilevel programs, including staff education

Qualifications

• Certification/Registration required for Medical Assistants, or Florida LPN license; maintain certification.
• CPR certification current.
• High school diploma required.
• Clinical experience required.

Responsibilities

• Coordinate data abstractions and EMR queries for baselines and screening outcomes.
• Develop and implement Managed Care campaigns to support HEDIS/STARS screenings.
• Pull care reports and monitor care gaps.
• Support education, training, and cross-functional work within the Managed Care Team.

Skills

Communication

Teamwork

Written/oral communication

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

Electronic Health Records

CPR certification

Education

LPN license

Medical Assistant certification/registration

CPR certification

High school diploma

Tools

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

Electronic Health Records (EHR)

Job description

Central Florida Health Care, Inc. in Winter Haven, FL seeks a Managed Care Assistant (LPN or CMA) to support the Managed Care and Quality departments by coordinating medical record collection, performing data abstraction, and preparing charts for review.

This role ensures accurate retrieval and submission of documentation to support HEDIS and STARS initiatives. The position emphasizes closing quality care gaps and participating in organization-wide multilevel programs, including staff education