HEDIS Coordinator

TEKsystems

. Coordinate and track clinical quality metrics, HEDIS processes, performance, and results.

Posted 10/27/2026contractRemote • Florida • United StatesMid-LevelSenior💰 $20 - $22 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in coordinating clinical quality metrics and HEDIS processes, with a strong focus on data analysis, compliance, and quality improvement initiatives. Proven ability to manage projects, collaborate with healthcare providers, and communicate findings effectively.

Highest-signal resume keywords

HEDIS Project CoordinationClinical Quality Metrics AnalysisNCQA Standards KnowledgeQuality Improvement ExperienceData Documentation and Reporting

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

HEDIS Measures FamiliarityQuality AuditsData Collection and ValidationPerformance Data InterpretationProject Management

Soft Skills

Strong Organizational SkillsAttention to DetailWritten and Verbal CommunicationAbility to Work IndependentlyAccountability

Certifications & Qualifications

Bachelor's Degree in Related Field

Industry Keywords

Healthcare Quality ImprovementCompliance-Driven ProcessesClinical Teams CollaborationPerformance MetricsVendor Oversight

About the role

Key responsibilities & impact

Coordinate and track clinical quality metrics, HEDIS processes, performance, and results.
Develop and maintain action plans focused on improving HEDIS scores.
Request, track, and evaluate member compliance reports for HEDIS measures.
Identify trends and opportunities for improvement based on quality and performance data.
Collaborate with healthcare providers and internal departments on rate investigation and validation activities.
Maintain accurate documentation, evidence, and records to support audits and compliance requirements.
Coordinate HEDIS projects, including assigning work, monitoring timelines, and supporting vendor oversight.
Conduct quality audits and maintain data and process controls to ensure accuracy and compliance.
Communicate findings, trends, and recommendations to internal stakeholders.
Support additional quality improvement and HEDIS initiatives as needed.

Requirements

What you’ll need

Bachelors degree in a related field or equivalent professional experience.
3+ years of healthcare or quality improvement experience.
Working knowledge of NCQA (National Committee for Quality Assurance) standards.
Familiarity with HEDIS measures and requirements preferred.
Experience with project coordination or project management in a healthcare or quality-focused environment.
Ability to review and interpret clinical quality metrics and performance data.
Strong organizational skills with the ability to manage multiple deadlines and priorities.
Excellent attention to detail, particularly with data, documentation, and reporting.
Strong written and verbal communication skills.
Ability to work independently and stay accountable in a fully remote environment.
Previous experience with HEDIS data collection, validation, or reporting.
Experience supporting clinical quality improvement initiatives within a health plan, insurance organization, or healthcare setting.
Experience working with clinical teams, healthcare providers, analysts, or external vendors.
Familiarity with compliance-driven processes and quality audits.

Benefits

Comp & perks

Medical, dental & vision
Critical Illness, Accident, and Hospital
401(k) Retirement Plan with pre-tax and Roth post-tax contributions
Life Insurance (Voluntary Life & AD&D for the employee and dependents)
Short and long-term disability
Health Spending Account (HSA)
Transportation benefits
Employee Assistance Program
Time Off/Leave (PTO, Vacation or Sick Leave)