Remote Provider Data Analyst – QNXT & Data Integrity

Dignity Health; Bakersfield (CA); Remote; USD 44,000 - 66,000; Full time

Job summary

Dignity Health MSO is seeking a Provider Data Analyst to maintain the provider data network in QNXT and ensure accurate records for reimbursement and member access. The role collaborates with Contracting, Credentialing, and Enrollment to support timely payments.

Remote position with PST hours; equipment provided for home setup. Applicable knowledge of DHPR and CMS rules is required to ensure compliant data handling and provider directory listings.

Qualifications

• Bachelor's degree or equivalent experience.
• Minimum of 3 years experience managing provider data and working in QNXT.
• Proven ability to work with other business functions.
• Working knowledge of DHPR and CMS rules for Claim.
• Submission, Claim Payment, Eligibility.
• Appeals for Commercial, MediCare and MediCal lines of business.

Responsibilities

• Load provider data using the provider Load template and fix errors.
• Maintain and update monthly rosters for multiple participating groups.
• Troubleshoot provider load configuration issues based on testing results.
• Maintain provider data (demographic and contractual) for all network and non-network providers.
• Ensure provider information is accurately recorded for proper reimbursement and member access.
• Develop and maintain standards for database integrity and communications with other departments.

Skills

Provider data management

Cross-functional collaboration

Data accuracy

Education

Bachelor's degree or equivalent experience

Tools

QNXT

CMS rules knowledge

Job description

Dignity Health MSO is seeking a Provider Data Analyst to maintain the provider data network in QNXT and ensure accurate records for reimbursement and member access. The role collaborates with Contracting, Credentialing, and Enrollment to support timely payments.

Remote position with PST hours; equipment provided for home setup. Applicable knowledge of DHPR and CMS rules is required to ensure compliant data handling and provider directory listings.