Remote HEDIS & Stars Quality Coordinator II

Imperial Health Plan of California, Inc.; Dallas (TX); Remote; USD 48,000 - 52,000; Full time

Job summary

Imperial Health Plan of California, Inc. is seeking a Quality & Risk Adjustment coordinator in Dallas, TX to manage HEDIS data collection, validation, and submission under QI leadership.

This role also supports CMS Stars activities and ensures regulatory compliance with quality standards. You will collaborate with provider offices, IT, and external partners to ensure accurate reporting and continual performance improvement.

Qualifications

• High school graduate or GED equivalent.
• 2-3 years’ experience supporting HEDIS, AMP, or other performance program preferred.
• Or at least 3 years’ experience in IPA/MSO/Health plan or healthcare quality environment.

Responsibilities

• Coordinate HEDIS data collection, validation, and submission per NCQA timelines.
• Ensure data accuracy through regular reviews of Cozeva/EDI reconciliation.
• Stay updated on HEDIS/Stars specs and regulatory requirements.
• Maintain detailed records of data collection methods, validation, and results.
• Provide actionable insights from HEDIS data to provider partners.
• Prepare and maintain HEDIS reports for management and providers.
• Assist in training materials for internal and external stakeholders.
• Continuously improve documentation and inter-department coordination.
• Collaborate with providers, IT, and other departments to ensure smooth data processes.
• Coordinate meetings and communications related to HEDIS/Stars activities.

Skills

Verbal communication

Written communication

Time management

Prioritization

Education

High school diploma or GED

Tools

Cozeva

Microsoft Word

Excel

PowerPoint

Outlook

Job description

Imperial Health Plan of California, Inc. is seeking a Quality & Risk Adjustment coordinator in Dallas, TX to manage HEDIS data collection, validation, and submission under QI leadership.

This role also supports CMS Stars activities and ensures regulatory compliance with quality standards. You will collaborate with provider offices, IT, and external partners to ensure accurate reporting and continual performance improvement.