As our Provider Data Analyst, you will maintain DHMSO's provider data network in QNXT.
Every day you will create and update provider records, work with Contracting and Credentialing on questions, and partner with Configuration, Claims, and Enrollment so claims are paid accurately and on time.
To be successful in this role, you will bring provider data management experience, QNXT or similar system knowledge, and meticulous accuracy.
As a remote employee, we will provide you with the equipment needed to work from home, including a laptop, docking station, dual monitors, and accessories.
While this position can reside anywhere in the US, working PST business hours will be expected.
- Works on provider Load template - understand all the data elements that must be completed to load the providers and work any that error out.
- Maintains and updates Monthly Rosters for multiple participating groups.
- Troubleshoots provider load configuration issues based on testing results.
- Maintains the Provider Data (demographic and contractual) for all network and non-network providers.
- Ensures all provider information is accurately recorded and maintained to provide for proper reimbursement and member access (i.e., directory listings).
- Develops and maintains standards for database integrity, database alignment, and manages communication processes with other departments regarding database improvements.