Data Specialist

AltaMed•Commerce, CA

2d•$25 - $29

About The Position

If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don’t just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it’s a calling that drives us forward every day. Job Overview Data Specialist will collect, analyze, and report data to evaluate PACE participants’ demographic, eligibility verification, claim management, encounter processing, and data integrity. Interact directly with the Center of Medicare and Medicaid Services (CMS) and California Department of Health Care Services (DHCS) to submit required data and mitigate complex data issues to ensure proper revenue flow impacting AltaMed’s financial performance. This position must be able to make determinations and present business conclusions based on data analysis, identify and monitor key service metrics that may affect service quality, member retention, and patient utilization. Understand standard operating procedures of AltaMed’s internal processes, audit practices, and keep up to date with various State and Federal regulations impacting PACE organizations. Collaborate with various supporting organizations, National PACE Association, outside vendors, and contract managers to implement and enhance patient satisfaction, ensuring multiple software that are in sync with AltaMed PACE systems. Work with other data analysts within AltaMed to consolidate reports and analyze data to guide management and Senior Leadership in making operational, tactical, and strategic decisions.

Requirements

High School diploma or equivalent work experience, Bachelor’s degree preferred.
Minimum of 2 years of experience working with CMS, DHCS, or other professional office environments in the health care industry.
Minimum of 2 years of working experience using Microsoft Access and Excel.

Nice To Haves

Bilingual Spanish/Chinese, preferred.

Responsibilities

collect, analyze, and report data to evaluate PACE participants’ demographic, eligibility verification, claim management, encounter processing, and data integrity
Interact directly with the Center of Medicare and Medicaid Services (CMS) and California Department of Health Care Services (DHCS) to submit required data and mitigate complex data issues to ensure proper revenue flow impacting AltaMed’s financial performance
make determinations and present business conclusions based on data analysis
identify and monitor key service metrics that may affect service quality, member retention, and patient utilization
Understand standard operating procedures of AltaMed’s internal processes, audit practices, and keep up to date with various State and Federal regulations impacting PACE organizations
Collaborate with various supporting organizations, National PACE Association, outside vendors, and contract managers to implement and enhance patient satisfaction, ensuring multiple software that are in sync with AltaMed PACE systems
Work with other data analysts within AltaMed to consolidate reports and analyze data to guide management and Senior Leadership in making operational, tactical, and strategic decisions