HEDIS / Stars Coordinator Job at RTD Talent Solutions, LLC, Miami, FL

SC9lZlVZS2FkMHZRN2h2ck9KTDcvU0pwNWc9PQ==
  • RTD Talent Solutions, LLC
  • Miami, FL

Job Description

RTD Talent Solutions is currently representing one of the fastest-growing Medicare Advantage (Part C) organizations in the market. The plan is recognized for delivering comprehensive coverage tailored to the needs of its members, with an emphasis on personalized service. Members benefit from traditional medical coverage as well as enhanced programs such as dental, vision, hearing, wellness initiatives, transportation assistance, prescription drug coverage, and over-the-counter (OTC) allowances. They are seeking a HEDIS/Stars Coordinator.

As the HEDIS/Stars Coordinator, you would be responsible for reviewing medical records, improving documentation practices, and maintaining accurate review activities. You would ensure all submitted data meets HEDIS/Stars specifications while supporting quality initiatives and contributing to a positive, patient-centered care experience. This role is key to enhancing performance, compliance, and overall member satisfaction.

 

Other key job duties:

  • Patient & Provider Support – Deliver excellent customer service by addressing patient and client needs, making scheduling/education calls, and assisting providers with identifying HEDIS/Stars opportunities.
  • Quality & Compliance Oversight – Assist with audits, track and trend barriers to care, and communicate challenges impacting outcomes to ensure compliance with HEDIS/Stars standards and close care gaps.
  • Collaboration & Continuous Improvement – Partner with leadership and practice staff to identify trends, develop improvement strategies, and maintain an up-to-date knowledge base of HEDIS/Stars requirements.

Job Tags

Full time,

Similar Jobs

Aprio

Internship, Video Production + Growth (Atlanta) Job at Aprio

 ...Internship, Video Production + Growth Work with a nationally ranked CPA and advisory firm that is passionate for what's next. Aprio has 30 U.S. office locations, one in the Philippines and more than 2,100 team members that speak 60+ languages across the globe. By bringing... 

Montana Staffing

Meat Cutter/Butcher Job at Montana Staffing

 ...Meat Cutter/Butcher Position Available Employer has an opening for a meat cutter/butcher. Will be working in a meat processing plant. Must be able to lift 50 pounds. Work around live animals. Must be able to work with saws and knives. Will be butchering cattle, sheep... 

ARMStaffing

Travel X-Ray Technician Job at ARMStaffing

 ...Job Description ARMStaffing is seeking a travel Radiology Technician for a travel job in Morristown, New Jersey. Job Description &...  ...~ Shift: 8 hours, evenings ~ Employment Type: Travel X-Ray Technician - Clinical Position\n\n Job Description\n Perform... 

Career Group

Team Coordinator - Outstanding Investment Firm Job at Career Group

 ...Job Description Job Description Team Coordinator Outstanding Investment Firm $65-85k DOE + discretionary bonus + phenomenal benefits A wonderful, employee-centric investment firm is looking for a stellar Team Coordinator/Executive Assistant for a wonderful... 

Walt Labs

Project Manager (Part-time, Contractor) Job at Walt Labs

 ...We're searching for a part-time Project Manager to join our team ! You will be the go-to person for everything involving a project's organization and timeline, coordinating people and processes. You'll develop detailed project plans, ensuring resource availability and...