<p>A hybrid Clinical Quality Coordinator role is open in the Orlando, FL market, supporting HEDIS and CMS Star Ratings performance across a managed care physician group. This position sits at the intersection of clinical documentation, data analytics, and quality improvement — ideal for a healthcare professional with a sharp eye for chart review and a working knowledge of gap-closure workflows. The role carries a small group membership panel and operates in a collaborative, mission-driven environment focused on equitable outcomes for Medicare-age patients.</p>
<h3>Perks and Benefits</h3> <ul> <li>Hourly pay range: $20.00 – $36.00 per hour (full-time), determined by local labor market, education, and experience</li> <li>Comprehensive medical, dental, and vision benefits package (subject to eligibility requirements)</li> <li>401(k) with company contribution</li> <li>Employee stock purchase plan (equity participation)</li> <li>Incentive and recognition programs tied to performance</li> <li>Hybrid schedule — combination of remote and on-site work in the Orlando market</li> <li>Career development pathways with defined direction for advancement into other roles</li> </ul>
<h3>Practice Highlights</h3> <ul> <li>Primary focus on HEDIS and CMS Star Ratings data gathering, chart review, and gap-in-care closure across assigned physician groups</li> <li>Performs quality medical record reviews to evaluate completeness and accuracy of clinical documentation against HEDIS/Star technical specifications</li> <li>Supports chart chase process — requesting records directly from provider offices as needed to close outstanding gaps</li> <li>Partners with leadership on data mining initiatives including group-level, large-practice, targeted, and special project reviews</li> <li>Tracks and trends barriers at assigned groups: appointment access issues, referral follow-up gaps, and inconsistent billing practices</li> <li>Navigates multiple documentation and EMR systems to extract relevant medical record sections supporting specific HEDIS/Star measures</li> <li>Assists with local Inter-Rater Reliability (IRR) audits</li> <li>Communicates scheduling challenges or emerging trends that could negatively affect quality outcomes to the leadership team</li> <li>Maintains current working knowledge of HEDIS and Star measure updates and technical specifications</li> <li>Manages a small group membership panel alongside broader quality coordination responsibilities</li> </ul>
<h3>Qualifications</h3> <ul> <li>High school diploma or GED required; 2+ years of college coursework toward a bachelor's or associate degree preferred</li> <li>3+ years of healthcare experience, including direct experience in a managed care setting</li> <li>3+ years of experience with data analysis and quality chart reviews, with demonstrated ability to interpret data and recommend improvements</li> <li>Proficiency in Microsoft Office applications — Word, Excel (including spreadsheets and databases)</li> <li>2+ years of hands-on HEDIS/Star measures experience preferred</li> <li>ICD-10/11 and CPT coding knowledge preferred</li> <li>EMR experience preferred; familiarity with health plan reporting systems a plus</li> <li>Experience in a physician, provider, or medical office setting preferred</li> <li>Must complete tuberculosis screening and provide proof of immunity or vaccination for Measles, Mumps, Rubella, Varicella, Tetanus, Diphtheria, and Pertussis prior to start</li> <li>Must pass a pre-employment drug screening</li> </ul>
<h3>About the Community</h3> <p>Orlando, Florida offers a year-round warm climate, no state income tax, and one of the most dynamic metropolitan economies in the Southeast — making it an attractive base for healthcare professionals at any career stage. The greater Orlando area combines world-class cultural amenities, a diverse restaurant and arts scene, and proximity to both Atlantic and Gulf Coast beaches within a two-hour drive. Top-rated suburban communities throughout Orange, Seminole, and Lake counties offer strong public and private school options, affordable housing relative to other major Florida metros, and easy access to major interstate corridors.</p>