HEDIS Coordinator

The HEDIS Coordinator supports quality improvement initiatives by conducting outbound outreach to health plan members, assisting with medical records retrieval, and helping close HEDIS and risk adjustment gaps in care.

Key Responsibilities

• Conduct outbound phone outreach to members for HEDIS, wellness, and quality initiatives

• Support closure of care gaps including preventive care, medication adherence, and health risk assessments

• Collect and track medical records from provider offices and internal systems

• Coordinate outreach and retrieval efforts with provider offices (physician offices, IPAs, MSOs)

• Document all outreach activity accurately in internal systems

• Limited on-site provider office visits as needed (approximately 10–15%)

• Participate in ongoing training related to HEDIS, Stars, and Risk Adjustment programs

Requirements

• Native or near-native fluency in a required language (professional level in Korean, Farsi or Vietnamese) 

• Healthcare experience required (medical records, provider office, front desk, dental office, or similar)

• Strong verbal communication skills (role is very phone-heavy)

• Comfortable with outbound calling and documentation

• EMR/CRM experience preferred

• Valid driver’s license, reliable transportation, and ability to travel locally

• A language assessment is required as a prerequisite to moving forward in the interview process.

Work Environment

• Hybrid role with field?based responsibilities

• Local travel to provider offices required

• Ability to sit for extended periods and perform computer and phone work

• Ability to lift up to 15 lbs as needed

Benefits include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, an EAP program, commuter benefits, and a 401K plan. Our program allows employees to choose the type of coverage that meets their individual needs. Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria.

Pay Details: $20.00 to $25.00 per hour

Search managed by: Joanna Calderon

Equal Opportunity Employer/Veterans/Disabled

Military connected talent encouraged to apply

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The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:

• The California Fair Chance Act
• Los Angeles City Fair Chance Ordinance
• Los Angeles County Fair Chance Ordinance for Employers
• San Francisco Fair Chance Ordinance

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