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HEDIS Coordinator

Spectraforce Technologies

United States, North Carolina, Raleigh

500 West Peace Street (Show on map)

Nov 11, 2026

Position Title: HEDIS Coordinator

Work Arrangement: Remote

Assignment Duration: 3.5 Months

Schedule: 8:00-5:00 PM CST, Monday- Friday - OT as needed based on project needs

Day-to-day Responsibilities of this Position:

Monitor/manage incoming medical records, including downloading, splitting, and renaming incoming records via fax or email.
Investigate and contact providers to confirm demographic information and request medical records.
Escalation of chart retrieval efforts as needed to ensure record retrieval.
Management of pended 'unable to contact' records
Review claims database for evidence of date of service
Potential for rate max of medical records for compliance with HEDIS standards (depending on experience).

Education/Certification	High School Diploma	Preferred:
Licensure	N/A	Preferred:
Years of experience required Disqualifiers Best vs. average Performance indicators	Must haves: Medical Record Experience Health care or MCO experience Strong computer program and navigational skills (excel, outlook, adobe pdf, etc) Nice to haves: Claims Experience Datavant portal experience Provider outreach call experience HEDIS or NCQA knowledge Disqualifiers: Performance indicators: Required to onboarding medical record management test - including downloading, splitting and renaming files to show evidence of understanding of project steps prior to project start.
Top 3 must-have hard skills Level of experience with each Stack-ranked by importance Candidate Review & Selection	1	See above must haves
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