Data Administrator

Pacific Health Group

Data Administrator maintaining data integrity and compliance for Pacific Health Group. Overseeing health plan submissions and ensuring accurate reporting and insights for decision-making.

Posted 7/21/2026full-timeSan Diego • California • 🇺🇸 United StatesMid-LevelSenior💰 $24 - $27 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in healthcare data administration and compliance, with a strong focus on accurate reporting and member eligibility management. Proficient in utilizing CRM platforms and data entry tools to ensure regulatory adherence and effective communication across teams.

Highest-signal resume keywords

Healthcare Data AdministrationReporting ComplianceData Entry ToolsAnalytical SkillsMedi-Cal Familiarity

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data ManagementReportingData ValidationEligibility ChecksService Enrollment Adjustments

Soft Skills

Analytical SkillsOrganizational SkillsProblem-Solving SkillsClear Communication

Tools & Technologies

TheraPlatformSalesMateCRM PlatformsReporting Dashboards

Industry Keywords

Enhanced Care ManagementHealth Plan ComplianceMedi-CalCalAIMAudit Standards

About the role

Key responsibilities & impact

Oversee the 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, ensuring accuracy of member demographics, service dates, and case notes.
Ensure all submissions meet health plan-specific formatting and regulatory requirements to maintain compliance.
Conduct recurring eligibility checks to confirm members remain qualified for ECM, Medi-Cal, and other service programs.
Partner with case managers to reassess member needs and adjust service enrollments accordingly.
Document all re-qualification activities in compliance with audit standards and payer expectations.
Maintain a consolidated and reliable view of all member touchpoints by duplicating Lead Care Manager (LCM) notes from TheraPlatform into SalesMate.
Produce recurring weekly and monthly reports to monitor organizational performance and compliance.

Requirements

What you’ll need

Bachelor’s degree in data management, healthcare administration, information systems, or related field (or equivalent experience).
Experience in healthcare data administration, reporting, or compliance strongly preferred.
Proficiency with CRM platforms, reporting dashboards, and data entry tools (TheraPlatform, SalesMate a plus).
Strong analytical, organizational, and problem-solving skills.
Ability to communicate clearly with executives, managers, and cross-functional teams.
Preferred: Familiarity with Medi-Cal, ECM, CalAIM, and health plan compliance processes.

Benefits

Comp & perks

160 Hours of Paid Time Off (PTO)
12 Paid Holidays per year, including your birthday and one floating holiday after 1 year of employment
4 Paid Volunteer Hours per Month to support causes you care about
Bereavement Leave, including Fur Baby Bereavement
90% Employer-paid Employee-Only Medical Benefits
Flexible Spending Account (FSA)
Short-Term & Long-Term Disability | AD&D
Employee Assistance Program (EAP)
401(k) with Company Match
Monthly Stipend
Opportunities for professional development and internal growth
Employee Discounts via Great Work Perks and Perks at Work
Quarterly In-Person Events