Data Specialist

AltaMed•Commerce, CA

2d•Onsite

About The Position

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
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

Bachelor’s degree preferred.
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.