HEDIS Coordinator

We are looking for an experience HEDIS coordinator who is dedicated to creating an organized plan and approach with members and providers on HEDIS. This position has 100% company paid Medical, Dental, and Vison. Also 17 days of paid time off and 9 holidays paid. Additionally, performance bonuses are paid every May and November for achievements in role.

HEDIS Coordinator

Catalytic Health Partners (CHP) Phoenix, AZ | Full-Time

About Catalytic Health Partners

At Catalytic Health Partners (CHP), we believe healthcare works best when members receive support that addresses their physical, behavioral, and social needs. Our team partners with health plans, providers, and community resources to help members navigate the healthcare system, close gaps in care, and improve health outcomes.

We are seeking a HEDIS Coordinator who is passionate about helping members while supporting CHP's quality improvement and HEDIS initiatives.

Position Summary

The HEDIS Coordinator serves a dual role supporting both quality operations and member support activities. This position is responsible for managing HEDIS measures, obtaining and reviewing medical records, coordinating quality reporting activities, monitoring gaps in care, and supporting health plan quality initiatives.

In addition to quality-related responsibilities, the Quality Specialist assists with incoming member calls, appointment coordination, medical record requests, and other operational functions that help members receive timely and appropriate care.

The ideal candidate is highly organized, detail-oriented, comfortable working within multiple systems, and passionate about improving healthcare quality while providing exceptional member service.

This is an in office position working a shift of 7am to 4pm

Office address: 3050 W Agua Fria Freeway Phoenix, AZ 85027

Quality & HEDIS Responsibilities

• Manage and monitor member HEDIS measures.
• Identify opportunities to close gaps in care.
• Review medical records to validate quality measure completion.
• Obtain and upload supporting documentation into member charts.
• Track quality metrics and follow up on outstanding items.
• Monitor measures that are at risk of expiration.
• Reconcile quality reporting discrepancies between CHP and health plans.
• Maintain quality reporting and tracking tools.
• Prepare information and supporting documentation for health plan quality meetings.
• Collaborate with internal teams and health plan partners to improve quality outcomes.
• Assist with quality improvement and population health initiatives.
• Monitor alerts and quality-related workflows as assigned.

Member Support & Administrative Responsibilities

• Answer incoming member, provider, and partner calls.
• Establish positive relationships with members and provide excellent customer service.
• Assist members in navigating healthcare services and benefits.
• Coordinate primary care and specialty appointments.
• Request, receive, and distribute medical records.
• Communicate with providers, health plans, facilities, and community partners.
• Support CHP teams in ensuring members receive timely, coordinated care.

Required Qualifications

• Legally authorized to work in the United States.
• High school diploma or equivalent.
• Minimum of one year working on HEDIS/Gaps in Care measures
• Experience working in a customer service environment.
• Strong verbal and written communication skills.
• Ability to multitask and manage competing priorities.
• Strong organizational skills and attention to detail.
• Ability to work independently while collaborating effectively with a team.
• Proficiency in Microsoft Office, including Outlook, Word, and Excel.

Preferred Qualifications

• Experience with HEDIS measures.
• Experience reviewing medical records.
• AHCCCS or Medicaid experience.
• Managed care or health plan experience.
• Medical Assistant certification.
• Population health or quality improvement experience.
• Experience working within electronic medical records (EMR/EHR) systems.
• Spanish-speaking preferred.

What Makes Someone Successful in This Role

• Strong follow-through and accountability.
• Excellent attention to detail.
• Ability to investigate and resolve discrepancies.
• Professional communication skills.
• Comfortable working with data, documentation, and member interactions.
• Ability to prioritize changing workloads and deadlines.
• Commitment to delivering compassionate, member-centered service.

Benefits

• 100% company-paid employee medical, dental, and life insurance
• 401(k) with employer match up to 4%
• 17 days of PTO accrued annually
• Educational time off and support
• Paid holidays
• Employee Assistance Program (EAP)
• Vision insurance options
• Health Savings Account (HSA)
• Performance bonus opportunities

Pay: $18.00 - $23.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Professional development assistance
• Retirement plan
• Vision insurance

Experience:

• HEDIS Metrics: 1 year (Required)

Ability to Commute:

• Phoenix, AZ 85027 (Required)

Work Location: In person

Salary : $18 - $23