Job Description
Note: The job is a remote job and is open to candidates in USA. Pediatric Associates Family of Companies is a healthcare organization seeking a Manager for Quality/HEDIS Accreditation. The role involves maintaining HEDIS performance, supervising outreach coordinator activities, and assisting with accreditation administration. Responsibilities • Track and monitor HEDIS performance for the organization as per contracted performance by plan. • Utilize HEDIS tracking sheets to direct outreach teams as needed to maintain needed performance metrics. • Oversee the administrative aspects of accreditations. • Input and track accreditation information and task requirements. • Prepare and submit periodic reporting required by the accrediting agency to maintain status. • Communicate performance trends and documentation issues to the quality team for quality improvement actions. • Hires, trains, coaches, counsels, and evaluates the performance of direct reports. • Completes annual employee evaluations, manages new hires and staff development. • Monitor and evaluate outreach teams’ performance, to include, but not limited to, all performance evaluations, call volume, and provide coaching opportunities and corrective actions when needed. • Responsible for the supervision of training and development of new and existing patient outreach coordinators by assisting with new-hire training classes and conducting refresher training. • Collaborate with external payers in the submission of supplemental data files and quality performance meetings. • Perform various duties as assigned. Skills • 5 years of healthcare experience required • Strong communication skills • Strong clinical, interpersonal, organizational and communication skills • Strong English writing skills with excellent spelling, grammar, and punctuation • Ability to manipulate data and create presentations • Excel, PowerPoint, Outlook, and Word are consistent with basic Microsoft Office certification • Willing to learn the quality process as it relates to medical practice • Requires strong computer skills and experience with electronic health records • Ability to work independently and as a team player • Detail-oriented, ability to multitask • Positive attitude and display exceptional customer service skills • Strong telephonic skills and verbal articulation skills • Ability to assess emergency situations and act accordingly • Effective working relationships with patients, parents, guardians, co-workers, and the public • Experience supervising and managing direct reports preferred • Experience with clinical quality metrics/HEDIS preferred Education Requirements • Bachelors in healthcare administration, nursing, or other healthcare-related field • Master’s preferred Company Overview • About Us: Company Overview: Pediatric Associates has been caring for infants, children and adolescents since 1955. It was founded in 1955, and is headquartered in Pembroke Pines, Florida, USA, with a workforce of 1001-5000 employees. Its website is Company H1B Sponsorship • Pediatric Associates Family of Companies has a track record of offering H1B sponsorships, with 19 in 2025, 13 in 2024, 12 in 2023, 16 in 2022, 1 in 2021. Please note that this does not guarantee sponsorship for this specific role. Apply tot his job