Cano Health · 9 hours ago
Auditor, ACO Quality
Miami, FL
Full-time
Hybrid
Entry, Mid Level
2+ years expCano Health is committed to building the best primary care environment for patients and is seeking healthcare enthusiasts to join their team. The ACO Quality Auditor is responsible for maintaining HEDIS/Stars Ratings across all payors and providing quality improvement guidance to practices.
FitnessHealth CarePrimary and Urgent Care
Responsibilities
Performs on-site and remote clinical validation audits and interpretation of medical documentation to capture all Quality Care Gaps
Represent the Quality department with tracking open gaps to ensure HEDIS standards are meet as follow but not limited to: Part-D & Medication Adherence, Part-C & Preventive Care measures, Patient Experience and Audit Process
Commit to training of office manager, medical assistant, medical technician, biller etc. on applying HEDIS best practices for gaps closure
Responsible for distributing the HEDIS care gaps report by practice, review pending gaps and areas of opportunities and follow up as needed
Guide and suggest practices uniformity on the generalization on daily process where Quality data is collected
Complete Care Gap audits and analyzes data to identify trends and improvement opportunities
Other daily activities include the ability to manage large amounts of data electronically, extract and analyze data, file documents in electronic filing software, faxing, scanning, and abstracting documents from electronic storage devices
Serves and protects the practice by adhering to professional standards, policies and procedures, federal, state, and local requirements
Attend Meetings/Identify any gaps in process and create action plan
Any other duties or responsibilities assigned
Qualification
Required
High school Diploma or higher education
Fluency in English and Spanish is required to communicate effectively
Required Certified Coder; CPC
Ability to communicate with employees, patients, and other individuals in a professional and courteous manner
Bilingual (English & Spanish)
Ability to pay close attention to detail and to ensure accuracy of reports and data
Skill in operating phones, personal computer, software, and other IT systems
Must be a quick learner, who can demonstrate the ability to follow multi-step instructions, be a problem solver, and adhere to department protocols
Preferred
Minimum two (2) years of related work experience
Medical Assistant or Clinical Administrative Assistant experience
Knowledge of Quality- HEDIS Measures
Company
Cano Health
Cano Health is a rapidly growing operator of “Primary Care Plus” healthcare centers.
1001-5000 employees
H1B Sponsorship
Cano Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2024 (1)
2023 (1)
2022 (1)
2020 (1)
Funding
Current Stage
Public CompanyTotal Funding
$950MKey Investors
Barry Sternlicht
2023-02-24Post Ipo Debt· $150M
2021-06-04Post Ipo Equity· $800M
2021-06-04IPO
Leadership Team
Robert Camerlinck
Chief Operating Officer
David Armstrong, Esq.
SVP, General Counsel, Chief Compliance Officer & Corporate Secretary
Recent News
2025-10-20
Seattle TechFlash
2025-04-30
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