HEDIS Quality Coordinator – Ambulatory Quality

The Christ Hospital Health Network

. Support the health network’s quality and performance goals and 5-star value-based care and ACO performance .

Posted 10/13/2026full-timeNorwood • Ohio • United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in HEDIS performance analysis, care coordination, and quality improvement strategies within healthcare settings. Proficient in utilizing Epic dashboards and Microsoft Excel to manage data and ensure compliance with NCQA and CMS regulations.

Highest-signal resume keywords

HEDIS Performance AnalysisCare CoordinationEpic ExperienceHealthcare Data SystemsBilingual English/Spanish

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

HEDIS MeasuresData AnalysisQuality Measure AdherencePatient OutreachCustomer ServiceCare-Gap Closure StrategiesMedical Record ReviewData ReconciliationSpreadsheet ProficiencyCompliance Monitoring

Soft Skills

Verbal CommunicationInterpersonal SkillsProblem-SolvingMotivational SkillsTeam Collaboration

Tools & Technologies

Epic CC DashboardPayer PortalsMicrosoft OfficeEMRsSpreadsheets

Industry Keywords

Quality ImprovementValue-Based CareACO PerformanceNCQA GuidelinesHIPAA Compliance

About the role

Key responsibilities & impact

Support the health network’s quality and performance goals and 5-star value-based care and ACO performance
Conduct outbound member calls to previsit plan, encourage preventive care, and close HEDIS gaps
Contact medical offices to coordinate appointments and necessary services
Analyze HEDIS performance using Epic dashboards and payer reports; identify trends and present findings to leadership
Audit and reconcile data to ensure accuracy and completeness
Develop and implement care-gap closure and quality-improvement strategies
Conduct medical record reviews and abstraction in accordance with NCQA guidelines
Educate and support providers and engage members in preventive care
Monitor HEDIS specifications, NCQA standards, and CMS regulations for compliance
Manage payer-contract quality performance, member compliance reports, rate investigation, validation, and supplemental data submission
Collaborate with payer representatives, providers, office staff, clinical teams, and payer liaison teams
Verify service completion and retrieve medical documentation
Refer members to population-health support services when needed
Document interactions, maintain outreach records, escalate issues, and monitor outcomes
Use Epic CC Dashboard, payer portals, and spreadsheets to prioritize work
Participate in the Joint Operations Committee with the payer
Meet productivity goals and maintain HIPAA and organizational-policy compliance

Requirements

What you’ll need

High school graduate required
Minimum of 2+ years of experience in a healthcare or payer setting, focused on patient outreach, customer service, or care coordination
Knowledge of HEDIS measures, Commercial, Medicare, Medicaid quality programs, and quality measure adherence preferred
Excellent verbal communication and interpersonal skills, with ability to educate, motivate, and problem-solve over the phone
Comfortable making high-volume outbound calls to members, providers, and payers
Proficient in Microsoft Office, specifically Excel
Experience with healthcare data systems or EMRs
Basic analytical skills, including spreadsheet experience and ability to interpret and organize data
Ability to work independently and as part of a cross-functional team
Commitment to confidentiality and compliance with HIPAA and organizational standards
Relevant associate degree and/or equivalent healthcare experience preferred
Bachelor's degree a plus
Epic experience a plus
Previous patient care experience a plus
Bilingual English/Spanish a plus

Benefits

Comp & perks

Full-time day schedule
Patient benefits, including paid incentives, may be connected to members
80 hours per pay period
07:30 a.m.–4:00 p.m. schedule
Hybrid work arrangement