Teams at Community Health Group

Maintain and audit provider directory data across Symplr and QNXT, ensure contract info and credentialing accuracy, produce reports and directories, coordinate updates with internal departments, and ensure regulatory compliance with DHCS/DMHC/CMS.

Conduct community outreach and presentations to educate beneficiaries and organizations about Medicare and Medi-Cal plans, enroll eligible individuals, represent the organization at events, perform provider surveys, and collaborate with internal teams while maintaining compliance with state and federal regulations.

Provide Medicare member support and care coordination through home visits, phone outreach, scheduling, interpreter/transportation/prior authorization facilitation, documentation, grievance referral, and community resource linkage. Participate in on-call rotations and complete welcome calls.