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HEDIS Coordinator

Professional Management Enterprises
United States, Indiana, Indianapolis
9245 North Meridian Street (Show on map)
Aug 19, 2025
Perform duties to ensure HEDIS data accuracy and reporting, including investigation, auditing, and improvement opportunities.

Assist with quality improvement initiatives in the service and clinical areas Coordinate, complete, and update management on clinical quality metrics and HEDIS processes and results

Establish and maintain an action plan to improve HEDIS scores Implement process to request and evaluate member compliance reports for each HEDIS measure, including evaluating improvement opportunities

Collaborate with providers and internal departments on rate investigation and validation activities, including maintaining all evidences, documentations, and changes

Manage the HEDIS project to include assignment of nurses, adherence to plan timeline, and vendor oversight for timeliness and quality

Conduct quality audit and maintain all data and process controls to ensure compliance.

Education/Experience:

Associate's degree in related field or equivalent experience.2-4 years of experience
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