HEDIS / Stars Coordinator Job at RTD Talent Solutions, LLC, Miami, FL

UWRiU3FDblVTNTN2ckQxakFzeStLaDM0SlE9PQ==
  • RTD Talent Solutions, LLC
  • Miami, FL

Job Description

RTD Talent Solutions is currently representing one of the fastest-growing Medicare Advantage (Part C) organizations in the market. The plan is recognized for delivering comprehensive coverage tailored to the needs of its members, with an emphasis on personalized service. Members benefit from traditional medical coverage as well as enhanced programs such as dental, vision, hearing, wellness initiatives, transportation assistance, prescription drug coverage, and over-the-counter (OTC) allowances. They are seeking a HEDIS/Stars Coordinator.

As the HEDIS/Stars Coordinator, you would be responsible for reviewing medical records, improving documentation practices, and maintaining accurate review activities. You would ensure all submitted data meets HEDIS/Stars specifications while supporting quality initiatives and contributing to a positive, patient-centered care experience. This role is key to enhancing performance, compliance, and overall member satisfaction.

 

Other key job duties:

  • Patient & Provider Support – Deliver excellent customer service by addressing patient and client needs, making scheduling/education calls, and assisting providers with identifying HEDIS/Stars opportunities.
  • Quality & Compliance Oversight – Assist with audits, track and trend barriers to care, and communicate challenges impacting outcomes to ensure compliance with HEDIS/Stars standards and close care gaps.
  • Collaboration & Continuous Improvement – Partner with leadership and practice staff to identify trends, develop improvement strategies, and maintain an up-to-date knowledge base of HEDIS/Stars requirements.

Job Tags

Full time,

Similar Jobs

Pattern Promotions

Event Coordinator Job at Pattern Promotions

 ...Job Description Job Description Event Coordinator Company : Pattern Promotions Location : Austin, TX Salary : $18.50 - 23.00 per hour Job Type : Full-Time About Us At Pattern Promotions, we are a dynamic and innovative promotional products company... 

ADP

Director - Carrier Relations Job at ADP

 ...ADP is hiring a Director, Strategic Carrier Relations Are you an experienced professional with a deep understanding of the Benefits Carrier industry? Can you develop strategic relationships that drive both new partnerships and growth of existing partnerships? Do... 

Delta Companies

Dentist Job at Delta Companies

 ...Comfortable Providing Care for a Rural Location Staff: 3 Dental Hygienists and 3 Dental Assistants (EFDA) QUALIFICATIONS AND...  ...for food, and A- for Sports REFERENCE NUMBER:208100 ABOUT DELTA PHYSICIAN PLACEMENT Delta Physician Placement (DPP), the permanent... 

St. Louis Park Public Schools

Supervision Assistant | Health Office Assistant Job at St. Louis Park Public Schools

 ...Title: Supervision Assistant/Health Office Assistant DBM Classification: B21/Class 4 | B22/Class 5 Department: Elementary Salary Range: $18.54 - $27.36 Employee Group: EM Spark Prepared Date: August 2025 Reports to: School Building... 

Auditionsfree

Asian Male Actor in Sacramento Area for CNBC Docu-Series (Sacramento) Job at Auditionsfree

Actor wanted who matches the following description: Male Asian/Middle Eastern Ethnicity Dark Hair/Full 30 40+ Years Over 200lbs Dates: Feb. 10th or 11th Experience with re-creation work is a plus, but not necessary. Non-speaking role, paid. Please...