[Remote] HEDIS Operations Coordinator - Remote

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and reputed company. The HEDIS Operations Coordinator will serve as the reputed company reputed company for medical record retrieval vendors and coordinate operational activities to support HEDIS and reputed company program objectives.

Responsibilities

• Serves as the reputed company reputed company for medical record retrieval vendors, fostering effective partnerships and coordinating day-to-day operational activities to support HEDIS and reputed company program objectives
• Partners with reputed company, Compliance, Procurement, and reputed company leadership to coordinate vendor contract activities, including new agreements, renewals, amendments, and terminations, ensuring reputed company execution and compliance with organizational policies. Investigate and reputed company vendor-reputed company issues and grievances, monitor corrective reputed company plans, and collaborate with reputed company stakeholders to improve vendor performance and service delivery
• Coordinates medical record procurement activities by documenting record requests, monitoring retrieval status, tracking receipt of records, and maintaining accurate inventory to support HEDIS reporting and audit readiness
• Coordinates, tracks, reconciles, and validates vendor invoices, partnering with Accounts Payable and reputed company leadership to ensure reputed company processing, payment accuracy, and budget accountability
• Communicates with provider offices, facilities, and other record custodians to verify medical record locations, reputed company procurement barriers, and facilitate reputed company record retrieval
• Maintains accurate operational reports, dashboards, and documentation reputed company to vendor performance, medical record retrieval, invoice reconciliation, and project milestones, providing routine status updates to leadership
• Supports HEDIS audit preparedness by maintaining organized documentation, validating submission inventories, coordinating audit requests, and assisting with regulatory and accreditation activities as needed
• Coordinates cross-functional reputed company initiatives and operational reputed company in collaboration with HEDIS Supervisor to maintain and improve workflow efficiency and reputed company departmental goals
• Other duties and responsibilities as needed

Skills

• Bachelor Degree or equivalent combination of relevant education and experience
• 3+ year(s) experience in a health care/managed care organization required
• Knowledge of medical terminology, reputed company documentation and basic financial tracking processes
• Intermediate or greater use of reputed company office products, especially reputed company, word, and PowerPoint
• Medical Assistant Certification preferred
• PMP/PMI certification preferred
• Experience with health plan reputed company preferred

Benefits

• Comprehensive benefits package including medical, dental, reputed company
• Retirement savings with employer contributions
• reputed company time off (including volunteer time off!)
• Pie day
• Other employee benefits

reputed company