Provider Data & Network Support Specialist

County of Ventura Government; Ventura (CA); On-site; USD 52,000 - 72,000; Full time

Job summary

County of Ventura Government seeks a Provider Maintenance Specialist to maintain, analyze, and report provider data ensuring accuracy and regulatory compliance for Ventura County Health Care Plan.

The ideal candidate is organized, analytical, and detail-oriented with strong communication and customer service skills; proficiency in Word and Excel is required, with experience in managed care and DMHC regulations preferred.

Qualifications

• Proficiency in MS Word and Excel; strong communication, administrative, and customer service skills.
• Experience with managed health care and DMHC regulations is desirable.
• Ability to maintain provider data and meet regulatory requirements.

Responsibilities

• Maintains provider data accuracy in the QNXT system and provider enrollment.
• Answers provider and member inquiries by phone or email.
• Analyzes and prepares a variety of reports and surveys.
• Oversees provider directory maintenance and provider communications.
• Maintains provider services spreadsheets and SOPs.
• Provides customer service to members, clinics, and other entities.

Skills

Microsoft Word

Excel

Customer service

Data analysis

Regulatory knowledge

Education

Associate Degree

Tools

QNXT system

Job description

County of Ventura Government seeks a Provider Maintenance Specialist to maintain, analyze, and report provider data ensuring accuracy and regulatory compliance for Ventura County Health Care Plan.

The ideal candidate is organized, analytical, and detail-oriented with strong communication and customer service skills; proficiency in Word and Excel is required, with experience in managed care and DMHC regulations preferred.