Data Administrator

Pacific Health Group

23h•$24 - $27•Remote

About The Position

The Data Administrator is an individual-contributor role responsible for maintaining the integrity, accuracy, and compliance of organizational data. The position supports timely reporting, system integration, and data-driven decisions for day-to-day operations and organizational growth. It works collaboratively across teams and requires strong attention to detail and organization. The role oversees health plan compliance submissions, member eligibility and authorizations, data integrity across systems, leadership and operational reporting, and member profile accuracy. It also supports research into potential program expansion regions, community event planning and outreach, data system implementations, audits, workflow redesign, and staff onboarding and training.

Requirements

Bachelor’s degree in data management, healthcare administration, information systems, or a related field, or equivalent experience.
Strong analytical, organizational, and problem-solving skills.
Ability to communicate clearly with executives, managers, and cross-functional teams.

Nice To Haves

Experience in healthcare data administration, reporting, or compliance is strongly preferred.
Proficiency with CRM platforms, reporting dashboards, and data entry tools; experience with TheraPlatform and SalesMate is a plus.
Familiarity with Medi-Cal, ECM, CalAIM, and health plan compliance processes.

Responsibilities

Oversee monthly and quarterly submission of Enhanced Care Management (ECM) Report Template Files (RTF) and Outreach Transmission Files (OTF) to contracted health plans.
Gather, validate, and consolidate data from internal systems, ensuring member demographics, service dates, and case notes are accurate.
Ensure submissions meet health plan formatting and regulatory requirements; monitor deadlines, confirm receipt, and troubleshoot errors or rejections.
Conduct recurring eligibility checks for ECM, Medi-Cal, and other service programs; partner with case managers on reassessments and enrollment adjustments.
Document re-qualification activities and promptly update member statuses to support compliance, resource allocation, and continuity of care.
Manage initial authorizations and reauthorizations through provider portals, tracking approvals, denials, and pending renewals.
Maintain a consolidated view of member touchpoints by transferring Lead Care Manager notes from TheraPlatform into SalesMate; standardize formats and tags.
Audit data for missing or incomplete entries, resolve discrepancies with care teams, and ensure records support continuity of care and leadership visibility.
Compile and distribute weekly member-status updates to executive and leadership teams; highlight trends and translate data into actionable insights.
Review and update member profiles, statuses, discharge reasons, service end dates, and transitions; proactively flag and resolve discrepancies.
Produce recurring weekly and monthly performance and compliance reports, tracking member counts, service utilization, eligibility changes, and program engagement.
Provide progress reports to leadership and external partners, and support audits and quality-improvement initiatives with accurate, timely data.
Aggregate demographic, economic, and healthcare-utilization data to identify potential regions for program expansion; research local regulations, health plan coverage, and community needs.
Build and maintain structured databases of potential partners, community events, and outreach opportunities; validate data sources.
Research and curate relevant community events, conferences, and networking opportunities; assess their strategic value and coordinate participation logistics with internal teams.
Track post-event outcomes and engagement metrics to evaluate return on investment and inform future planning.
Assist with data system implementations, migrations, workflow redesigns, large-scale data audits, and compliance reviews.
Help onboard and train new staff in data procedures, systems, and reporting protocols; work with IT to troubleshoot issues and optimize workflows.
Perform other duties as assigned.

Benefits

160 hours of paid time off (PTO).
12 paid holidays per year, including the employee’s birthday and one floating holiday after one year of employment.
4 paid volunteer hours per month.
Bereavement leave, including Fur Baby Bereavement.
90% employer-paid employee-only medical benefits.
Flexible Spending Account (FSA).
Short-term and long-term disability and AD&D.
Employee Assistance Program (EAP).
401(k) with company match.
Monthly stipend.
Professional development and internal growth opportunities.
Employee discounts via Great Work Perks and Perks at Work.
Quarterly in-person events.