Data Administrator

Pacific Health Group

22h•$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 decision-making for daily operations and long-term organizational growth. It collaborates across teams and requires strong attention to detail and organizational skills. The role oversees health plan compliance submissions, member eligibility and authorizations, data integrity across systems, leadership and operational reporting, member profile accuracy, research into potential expansion opportunities, and event planning and outreach support. It also assists with data system implementations, migrations, workflow redesigns, audits, special projects, and training new staff.

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.
Proficiency with CRM platforms, reporting dashboards, and data entry tools; TheraPlatform and SalesMate are 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 accurate member demographics, service dates, and case notes.
Ensure submissions meet health plan formatting and regulatory requirements; monitor timelines, confirm receipt, and promptly troubleshoot errors or rejections.
Conduct recurring eligibility checks for ECM, Medi-Cal, and other service programs, and partner with case managers to reassess member needs and adjust enrollments.
Document requalification activities according to audit standards and payer expectations, and update member statuses to support resource allocation and continuity of care.
Manage initial authorization and reauthorization processes through provider portals, tracking approvals, denials, and pending renewals.
Maintain a consolidated record of member touchpoints by duplicating Lead Care Manager notes from TheraPlatform into SalesMate, standardizing formatting, and applying tags or categories.
Audit data entries, resolve discrepancies with care teams, and ensure data across platforms supports continuity of care and leadership visibility.
Compile and distribute weekly member-status updates to executive and leadership teams; identify trends and translate data into actionable insights.
Deliver clear reports to department heads, sales teams, executive leadership, and other stakeholders.
Review and update member profiles and statuses, document discharge reasons, service end dates, and transitions, and resolve discrepancies with care teams.
Produce weekly and monthly operational reports tracking member counts, service utilization, eligibility changes, and program engagement.
Provide progress reports to leadership and external partners, and support internal audits and quality-improvement initiatives.
Aggregate demographic, economic, and healthcare-utilization data to identify potential regions for program expansion.
Research local regulations, health plan coverage, and community needs; maintain structured databases of potential partners, events, and outreach opportunities; and 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 guide future planning.
Assist with data-system implementations, migrations, workflow redesigns, large-scale audits, compliance reviews, and onboarding and training new staff.
Work cross-functionally with IT to troubleshoot system issues and optimize workflows.

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.
Four 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.
Opportunities for professional development and internal growth.
Employee discounts via Great Work Perks and Perks at Work.
Quarterly in-person events.