Provider Data Analyst & Directory Auditor

Community Health Group; Chula Vista (CA); On-site; USD 37,000 - 41,000; Full time

Job summary

Community Health Group currently seeks a Provider Directory & Data Integrity Analyst to ensure accurate contract information is entered into Symplr with alignment to QNXT. The role supports the Provider Directory compilation and oversees daily Committee Finals, in a compliance-focused environment.

Two years of related experience or equivalent education is required, with knowledge of Vistar and QNXT databases. Occasional travel within San Diego County is expected.

Qualifications

• 2 years’ work experience or equivalent education.
• Knowledge of Vistar and QNXT databases.
• Proficient in word processing and database management.
• Strong analytical and problem-solving skills.
• Thorough, accurate and detail oriented.

Responsibilities

• Develop operations procedures by coordinating provider information internally through contract development and claims submission, and externally through survey or direct contact with network providers.
• Determines contracts to be assigned to providers by reviewing contract language.
• Maintains, produces and distributes network provider directories for all plan types by updating provider site listings and creating database queries.
• Inform all affected departments of updated information by meetings or routing notices.
• Understand credentialing information to ensure QNXT data matches provider credentials.
• Produce reports, labels and directories in a timely manner; maintain policies and procedures; participate in educational programs and meetings.
• Backup support in the area of the Provider Directory compilation.
• Occasional travel within the San Diego County area.
• Maintain review, monitoring and auditing of daily Committee Finals.

Skills

Vistar

QNXT

Word processing

Database management

Analytical skills

Detail oriented

Communication

Education

AA Degree or equivalent

Job description

Community Health Group currently seeks a Provider Directory & Data Integrity Analyst to ensure accurate contract information is entered into Symplr with alignment to QNXT. The role supports the Provider Directory compilation and oversees daily Committee Finals, in a compliance-focused environment.

Two years of related experience or equivalent education is required, with knowledge of Vistar and QNXT databases. Occasional travel within San Diego County is expected.