Remote HEDIS Coordinator for Quality & Data Improvement

Spectraforce Technologies, Inc.; Raleigh (NC); Remote; USD 65,000 - 90,000; Full time

Job summary

Spectraforce Technologies, Inc. is seeking a remote HEDIS Coordinator to ensure data accuracy and lead quality improvement initiatives. You will audit records, investigate discrepancies, and drive opportunities across Medicaid and Marketplace populations.

The role requires 3+ years in quality improvement or HEDIS, with strong EMR and Excel skills. Remote work, Q4 focus, and cross-functional collaboration are key elements of this contract.

Qualifications

• 3+ years in Quality Improvement/HEDIS
• Bachelor's Degree preferred
• Knowledge of NCQA and HEDIS requirements preferred

Responsibilities

• Coordinate, complete, and update management on clinical quality metrics and HEDIS processes and results
• Establish and maintain an action plan to improve HEDIS scores
• Implement process to request and evaluate member compliance reports for each HEDIS measure
• Collaborate with providers and internal departments on rate investigation and validation activities
• Manage the HEDIS project including nurse assignments and vendor oversight
• Conduct quality audits and maintain data/process controls for compliance
• Performs other duties as assigned
• Complies with all policies and standards

Skills

HEDIS experience

EMR experience

Team collaboration

Education

Bachelor's degree

Tools

Microsoft Excel

Microsoft Office

Job description

Spectraforce Technologies, Inc. is seeking a remote HEDIS Coordinator to ensure data accuracy and lead quality improvement initiatives. You will audit records, investigate discrepancies, and drive opportunities across Medicaid and Marketplace populations.

The role requires 3+ years in quality improvement or HEDIS, with strong EMR and Excel skills. Remote work, Q4 focus, and cross-functional collaboration are key elements of this contract.