Data Administrator
Pacific Health Group
full-time
Posted on:
Location Type: Hybrid
Location: San Diego • California • 🇺🇸 United States
Visit company websiteSalary
💰 $24 - $27 per hour
Job Level
JuniorMid-Level
About the role
- Manage monthly and quarterly submission of Enhanced Care Management (ECM) Report Template Files (RTF) and Outreach Transmission Files (OTF) to all contracted health plans
- Gather, validate, and consolidate data from multiple internal systems to ensure accuracy of member demographics, service dates, and case notes
- Ensure all submissions meet health plan-specific formatting and regulatory requirements and troubleshoot errors promptly
- Conduct recurring eligibility checks to confirm members remain qualified for ECM, Medi-Cal, and other service programs
- Collaborate with case managers to reassess member needs and adjust service enrollments accordingly
- Document all re-qualification activities in compliance with audit standards
- Maintain a consolidated and reliable view of member data by duplicating Lead Care Manager (LCM) notes from TheraPlatform into SalesMate
- Standardize note formatting, apply tags for efficient retrieval, and perform regular audits to identify missing or incomplete entries
- Resolve discrepancies and ensure all data supports continuity of care and compliance
- Compile weekly updates on member statuses, including active, pending, and closed cases
- Track outreach completion rates, reassessment activity, and engagement levels
- Translate raw data into actionable insights and deliver reports to leadership and department teams
- Review and update member profiles to ensure accurate active and inactive statuses
- Confirm discharge reasons, service end dates, and transitions are documented correctly for compliance
- Flag and resolve discrepancies with care teams
- Aggregate demographic and healthcare data to identify new regions for community-based program expansion
- Maintain databases of potential partners, community events, and outreach opportunities to support growth initiatives
- Collaborate with operations, IT, and leadership teams to improve data workflows and reporting processes
- Assist with audits, data migrations, and onboarding of new staff in system use and reporting protocols
Requirements
- Bachelor’s degree in Data Management, Healthcare Administration, Information Systems, or related field, or equivalent experience
- Two or more years of experience in healthcare data administration, reporting, or compliance
- Proficiency with CRM systems and reporting tools such as TheraPlatform or SalesMate
- Strong analytical, organizational, and problem-solving skills
- Excellent communication and attention to detail
- Preferred: Familiarity with Medi-Cal, ECM, CalAIM, and health plan compliance processes
Benefits
- Comprehensive health, dental, and vision coverage.
- 401(k) match.
- Paid time off and holidays
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
data administrationreportingdata validationdata consolidationdata analysisdata migrationauditingnote formattingcompliance documentationhealthcare data management
Soft skills
analytical skillsorganizational skillsproblem-solving skillscommunication skillsattention to detailcollaborationtroubleshootingadaptabilitytime managementleadership