HEDIS Operations Coordinator

Martin's Point Health Care

HEDIS Operations Coordinator managing medical-record retrieval vendors and quality-program operations for Maine-based nonprofit health insurer. Supporting audits, contracts, invoices, and reporting.

Posted 8/5/2026full-timePortland • Maine • 🇺🇸 United StatesMid-LevelSenior💰 $65,725 - $81,190 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in vendor management, operational coordination, and quality program support within healthcare settings. Proficient in medical record retrieval processes, financial tracking, and compliance with regulatory standards.

Highest-signal resume keywords

Vendor ManagementHealthcare DocumentationMedical TerminologyMicrosoft Office SuiteHEDIS Audit Preparedness

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Vendor Performance MonitoringFinancial Tracking ProcessesMedical Record ProcurementOperational ReportingQuality Initiative Coordination

Soft Skills

CommunicationProblem-SolvingCollaboration

Tools & Technologies

Microsoft ExcelMicrosoft WordMicrosoft PowerPoint

Certifications & Qualifications

Medical Assistant CertificationPMP CertificationPMI Certification

Industry Keywords

HEDISManaged CareHealthcare QualityRegulatory Compliance

Tech Stack

Tools & technologies

PMP

About the role

Key responsibilities & impact

Serve as the primary liaison for medical record retrieval vendors and coordinate day-to-day operational activities supporting HEDIS and quality program objectives
Partner with Legal, Compliance, Procurement, and Quality leadership on vendor contracts, including agreements, renewals, amendments, and terminations
Investigate and resolve vendor issues and grievances, monitor corrective action plans, and improve vendor performance and service delivery
Coordinate medical record procurement by documenting requests, monitoring retrieval status, tracking records received, and maintaining inventory
Coordinate, track, reconcile, and validate vendor invoices with Accounts Payable and Quality leadership
Communicate with provider offices, facilities, and record custodians to verify record locations and facilitate timely retrieval
Maintain operational reports, dashboards, and documentation related to vendor performance, retrieval, invoices, and project milestones
Support HEDIS audit preparedness, including documentation, submission inventories, audit requests, and regulatory and accreditation activities
Coordinate cross-functional quality initiatives and operational projects with the HEDIS Supervisor
Perform other duties and responsibilities as needed

Requirements

What you’ll need

Bachelor Degree or equivalent combination of relevant education and experience
3+ years of experience in a health care/managed care organization required
Experience with health plan quality preferred
Knowledge of medical terminology
Knowledge of healthcare documentation
Knowledge of basic financial tracking processes
Intermediate or greater use of Microsoft Office products, especially Excel, Word, and PowerPoint
Medical Assistant Certification preferred
PMP/PMI certification preferred
Position is not eligible for immigration sponsorship

Benefits

Comp & perks

Medical insurance
Dental insurance
Vision insurance
Retirement savings with employer contributions
Paid time off
Volunteer time off
Pie day
Other employee benefits