HEDIS / Medicare Coordinator

CLIENT OVERVIEW: Our client, a provider of Health, Dental, Vision, Medicaid and Medicare Healthcare service plans in the state of California with 4.7 million members and $22.9 billion of annual revenues, seeks an accomplished HEDIS / Medicare Coordinator. JOB OVERVIEW:

• Position: Project Coordinator OR HEDIS / Medicare Coordinator
• Pay Rate: $35/hour on W2 contract
• Work Location: Remote — California candidates only
• Assignment Duration: 6+ months [Potential to Extend? YES]
• Work Hours: Start time between 8:30–9:00 AM; end time 5:00 PM PST

JOB DESCRIPTION

• The Project Coordinator will provide administrative, operational, and coordination support across clinical quality and care management initiatives.
• This role will assist with meeting documentation, filing submissions, provider communications, HEDIS gap closure activities, reporting support, and other project-related tasks as needed.
• Business Units / Teams: Clinical Quality Analytics, Pharmacy Team, and Care Management.

JOB RESPONSIBILITIES:

• Support administrative tasks, including taking meeting minutes.
• Submit tickets for access to shared drives as needed and facilitate ticket completion.
• Support sFTP file data uploads until an analyst is hired.
• Process, collect, rename, and facilitate submission of medical records as needed.
• Manage email communications, including Care Gap Reports, to identified provider organizations.
• Support HEDIS measure gap closure activities, including telephonic outreach, medical record requests, and follow-ups.
• Assist with meeting deck preparation in PowerPoint.
• Support data reconciliation activities in Excel.
• Complete other ad hoc tasks as assigned.

JOB REQUIREMENTS:

• Minimum 2 years of HEDIS and/or Medicare Stars experience.
• Intermediate Microsoft Office skills, specifically Excel and PowerPoint.
• Excellent written and verbal communication skills.
• Strong organizational and multitasking skills.
• High attention to detail and problem-solving ability.
• Excellent interpersonal skills.

________________________________________________________________________________ Amerit Consulting provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. Applicants, with criminal histories, are considered in a manner that is consistent with local, state and federal laws. Apply tot his job Apply To this Job