Senior Care STARS/HEDIS Quality Coordinator

ArchWell Health; Fort Myers (FL); On-site; USD 50,000 - 70,000; Full time

Job summary

ArchWell Health is seeking a Market Quality Coordinator to monitor CMS STARS and HEDIS measures, conduct patient outreach, and partner with center leadership to close care gaps in an outpatient senior-focused primary care setting. You will review medical records, coordinate with care teams, ensure HIPAA compliance, and drive quality initiatives across the market.

Experience in primary care and EMR systems like EClinicalWorks is preferred.

Qualifications

• High school diploma or GED required.
• Minimum 1 year of work experience as a Medical Assistant.
• Graduation from a nationally accredited Medical Assistant program OR comparable healthcare vocational training.
• BLS for Healthcare Providers required.
• EClinicalWorks or similar EMR experience.
• Experience working with geriatric patients is a plus.
• Experience with the CMS STARS program (HEDIS) preferred.

Responsibilities

• Conduct enterprise and local strategies and initiatives for closing STARS gaps.
• Medical record review to document and close Focus On Care measures.
• Request medical records and upload documentation to electronic medical records system.
• Perform patient outreach calls to support quality gap closure.
• Schedule and perform ancillary visits to complete in-center screenings.
• Meet regularly with Market Leaders to discuss progress and initiatives.
• Ensure compliance with OSHA safety standards and documentation.

Skills

Quality gap closure

Primary care experience

Microsoft Office

Team building

Attention to detail

HIPAA privacy

Cultural sensitivity

Education

High school diploma or GED

Medical Assistant program graduate

BLS for Healthcare Providers

EClinicalWorks EMR experience

Geriatric care experience

CMS STARS (HEDIS) knowledge (preferred)

Tools

EClinicalWorks

MS Office Suite

EMR systems

Job description

ArchWell Health is seeking a Market Quality Coordinator to monitor CMS STARS and HEDIS measures, conduct patient outreach, and partner with center leadership to close care gaps in an outpatient senior-focused primary care setting. You will review medical records, coordinate with care teams, ensure HIPAA compliance, and drive quality initiatives across the market.

Experience in primary care and EMR systems like EClinicalWorks is preferred.