Job description
Overview
The purpose of Dignity Health Management Services Organization (Dignity Health MSO) is to build a system-wide integrated physician-centric full-service management service organization structure. We offer a menu of management and business services that will leverage economies of scale across provider types and geographies and will lead the effort in developing Dignity Health’s Medicaid population health care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups hospitals health plans and employers with a business objective to excel in coordinating patient care in a manner that supports containing costs while continually improving quality of care and levels of service. Dignity Health MSO accomplishes this by capitalizing on industry-leading technology and integrated administrative systems powered by local human resources that put patient care first.Dignity Health MSO offers an outstanding Total Rewards package that integrates competitive pay with a state-of-the-art flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives employees the ability to choose the benefits they want from a variety of options including medical dental and vision plans for the employee and their dependents Health Spending Account (HSA) Life Insurance and Long Term Disability. We also offer a 401k retirement plan with a generous employer-match. Other benefits include Paid Time Off and Sick Leave.
Responsibilities
The Provider Data Analyst is responsible for the maintenance of the DHMSO Provider Data Network within Qnxt. The maintenance includes creating new provider records updating existing provider records and working with the Contracting and Credentialing teams as needed when questions arise. The Provider Data Analyst partners with Configuration Claims and Enrollment to ensure end to end accuracy to pay claims accurately and timely.
Qualifications
Minimum Qualifications:
The purpose of Dignity Health Management Services Organization (Dignity Health MSO) is to build a system-wide integrated physician-centric full-service management service organization structure. We offer a menu of management and business services that will leverage economies of scale across provider types and geographies and will lead the effort in developing Dignity Health’s Medicaid population health care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups hospitals health plans and employers with a business objective to excel in coordinating patient care in a manner that supports containing costs while continually improving quality of care and levels of service. Dignity Health MSO accomplishes this by capitalizing on industry-leading technology and integrated administrative systems powered by local human resources that put patient care first.Dignity Health MSO offers an outstanding Total Rewards package that integrates competitive pay with a state-of-the-art flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives employees the ability to choose the benefits they want from a variety of options including medical dental and vision plans for the employee and their dependents Health Spending Account (HSA) Life Insurance and Long Term Disability. We also offer a 401k retirement plan with a generous employer-match. Other benefits include Paid Time Off and Sick Leave.
Responsibilities
The Provider Data Analyst is responsible for the maintenance of the DHMSO Provider Data Network within Qnxt. The maintenance includes creating new provider records updating existing provider records and working with the Contracting and Credentialing teams as needed when questions arise. The Provider Data Analyst partners with Configuration Claims and Enrollment to ensure end to end accuracy to pay claims accurately and timely.
Qualifications
Minimum Qualifications:
- 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.
- Bachelor’s Degree - Bachelor’s Degree or equivalent experience.
- A compensation range of $42,000/year to $79,000/year is the reasonable estimate that CommonSpirit in good faith believes it might pay for this particular job based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.
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