CENTERLIGHT

Data Analyst

• Perform quality audits and reviews of all data submitted by the IDT teams in Care Compass
• Complete quality validation calls to participants, providers, and home care agencies to confirm that all services requested were received
• Capture and modify any data missing by the PACE staff and communicate key updates
• Maintain accurate records of all scheduled appointments and ensure compliance with regulatory requirements
• Inspect participant’s requests submitted by IDT and ensure deliverables are received
• Provide analysis reports of data information to management and prepare recommendations for review

Data Quality Analyst

Manager

• Oversee the timely collection, completion, accuracy, and compliance of all clinical visit documentation.
• Ensure that visit notes meet regulatory standards and are properly downloaded and documented.
• Provide overall leadership and operational oversight of the Shared Services Data Quality team.
• Monitor daily Visit Notes reports and KPI metrics to track documentation status.
• Perform routine quality assurance activities, including audits of documentation and data.
• Act as the primary liaison between Shared Services and Provider Relations.
• Manage escalated cases, grievances, complaints, and ensure timely investigation and resolution.
• Support audit readiness by maintaining accurate documentation records and reports.
• Provide coaching, training, and ongoing development for staff to reinforce policies and standards.
• Drive continuous process improvement initiatives in collaboration with Quality, Compliance, and IT teams.

Shared Services Visit Notes Manager

• Deliver ongoing care, support, and health education to participants with chronic illnesses including COPD, Diabetes, Heart Failure, cardiovascular disease, and degenerative neurological or musculoskeletal disorders.
• Collaborate closely with medical providers, behavioral health specialists, and operational leaders to develop and implement strategies that reduce avoidable utilization.
• Conduct clinical reviews using evidence-based criteria to ensure appropriateness of care for chronic disease–related needs.
• Monitor utilization patterns and proactively engage participants to reduce unnecessary, repetitive, or avoidable service use.
• Support participants in navigating the healthcare system and reinforce chronic-condition self-management practices.

Data Quality Analyst

Shared Services Visit Notes Manager

RN Care Manager – Complex Care & High Utilizer Management