Population Health Database Administrator

CAMC Health System•Charleston, WV

5d•Onsite

About The Position

The Population Health Database Administrator serves as a data analyst for the Network, providing operational support for key financial, data management, and communication functions. The role ensures financial and payer data are accurately received, validated, reconciled, maintained, and reported to support month-end close, Network payouts, routine reporting, and other organizational needs. It also supports the Network’s data infrastructure and communication processes by maintaining established workflows, coordinating data exchanges with external partners, supporting new data feed implementations, administering designated platforms, and managing key Network communication channels.

Requirements

Bachelor's degree.
Demonstrate competency through initial orientation and ongoing competency validation to independently perform tasks and additional duties specified in the job description and the unit/department-specific competency checklist.
Maintain and document all applicable required education.
Comply with organizational and departmental policies and procedures, attendance policies, pay practices, and scheduling policies.

Responsibilities

Review, validate, and reconcile financial and performance data from payers and other external partners, including membership files, payer incentive results, reconciliations, bank deposits, and supporting financial information.
Develop and maintain standardized financial workflows, validation rules, and controls to ensure data accuracy before month-end close, provider or practice payouts, financial reporting, and integration into analytic or population health platforms.
Manage established financial data sources and controls, including membership files, checks-and-balances files, bank accounts, lockbox portals, and other financial support documentation.
Perform month-end close activities and prepare related financial and performance reporting.
Manage Network payouts, including monthly care coordination payments, quarterly and annual incentive payments, and approved ad hoc payments.
Provide analysis as required.
Monitor expected payer and partner data deliveries and follow up proactively when required files or information are late, missing, or incomplete.
Maintain standardized processes for data formats, definitions, file structures, storage, and documentation across internal and external data sources.
Perform routine and daily reporting, including FUM, FMC, FUI, inpatient admissions, emergency department admissions, and other assigned reporting.
Securely transmit data to external partners in accordance with organizational security and data protection requirements, including files provided to Milliman or future vendors, WVHIN, and monthly CCLF file processing.
Support testing, validation, and implementation of new payer, vendor, and partner data feeds.
Administer designated platforms used to maintain Network membership, data access, or user access, including platforms such as Availity and WVHIN.
Capture, document, and appropriately store relevant payer and partner information received through meetings, email communications, portals, and other sources.
Maintain and document applicable required education.
Demonstrate positive customer service and coworker relations.
Comply with the company's attendance policy.
Participate in departmental and institutional continuous quality improvement activities.
Perform work in a cost-effective manner and in accordance with departmental pay practices and scheduling policies, including overtime, various shift work, and on-call situations.
Perform work in alignment with the organization's mission and strategic plan and follow applicable organizational and departmental policies and procedures.
Perform related duties as assigned.