Data Administrator

Pacific Health Group; Crystal Bay (NV); Remote; USD 33,000 - 37,000; Full time

Benefits offered by this job

Paid holidays

Bereavement leave

Medical benefits (employer-paid)

FSA

Disability insurance

EAP

Job summary

Pacific Health Group is seeking a Data Administrator for a fully remote role in the United States. You will manage data quality, ensure timely ECM/RTF submissions to health plans, and consolidate data from multiple systems to support reporting and compliance.

This position emphasizes meticulous data governance and cross-team collaboration to drive informed leadership decisions. You will translate raw data into insights, monitor timelines, and document activities for audits.

Qualifications

• Bachelor’s degree in data management, healthcare administration, information systems, or related field (or equivalent experience).
• Experience in healthcare data administration, reporting, or compliance strongly preferred.
• Proficiency with CRM platforms, reporting dashboards, and data entry tools (TheraPlatform, SalesMate a plus).
• Familiarity with Medi-Cal, ECM, CalAIM, and health plan compliance processes.

Responsibilities

• Oversee monthly and quarterly submission of ECM Report Template Files (RTF) and Outreach Transmission Files (OTF) to contracted health plans.
• Gather, validate, and consolidate data from multiple internal systems for accurate member demographics, service dates, and case notes.
• Ensure submissions meet health plan formatting and regulatory requirements to maintain compliance.
• Monitor submission timelines, confirm receipt with health plans, and troubleshoot errors to avoid penalties.
• Document re-qualification activities in line with audit standards and payer expectations.
• Perform regular audits to identify missing data and resolve discrepancies with care teams.
• Translate raw data into actionable insights for leadership decisions.
• Produce recurring weekly and monthly reports to monitor performance and compliance.

Skills

CRM platforms

Reporting dashboards

Data entry tools

Compliance knowledge

Education

Bachelor's degree or equivalent experience

Tools

TheraPlatform

SalesMate

Job description

Location: Remote

Employment Type: Full-Time

Hourly Pay Range: $24 - $27 per hour

About Pacific Health Group

At Pacific Health Group, we are at the forefront of revolutionizing healthcare. We are dedicated to improving health outcomes by addressing social determinants of health and coordinating comprehensive community-based services, particularly through our programs. The Data Administrator is a key individual-contributor role responsible for maintaining the integrity, accuracy, and compliance of organizational data. This position ensures timely reporting, seamless system integration, and strategic insights that support both day-to-day operations and long-term organizational growth. The role requires high attention to detail, strong organizational skills, and the ability to collaborate across teams to ensure reliable data-driven decision-making.

Health Plan Compliance Submissions

• Oversee the monthly and quarterly submission of Enhanced Care Management (ECM) Report Template Files (RTF) and Outreach Transmission Files (OTF) to all contracted health plans.
• Gather, validate, and consolidate data from multiple internal systems, ensuring accuracy of member demographics, service dates, and case notes.
• Ensure all submissions meet health plan-specific formatting and regulatory requirements to maintain compliance.
• Monitor submission timelines, confirm receipt with health plans, and troubleshoot errors or rejections quickly to avoid penalties.
• Document all re-qualification activities in compliance with audit standards and payer expectations.

System Data Integrity

• Perform regular audits to identify missing or incomplete data entries and resolve discrepancies with care teams.
• Ensure that data captured across platforms supports continuity of care and enhances leadership visibility.
• Track and highlight trends such as outreach completion rates, reassessment activity, and engagement levels.
• Translate raw data into actionable insights that enable leadership to make timely, data-driven decisions.
• Confirm discharge reasons, service end dates, and member transitions are fully documented for compliance.
• Maintain health plan compliance standards by ensuring member record integrity and audit readiness.
• Produce recurring weekly and monthly reports to monitor organizational performance and compliance.
• Support internal audits and quality improvement initiatives by providing clear, accurate, and timely data.
• Aggregate demographic, economic, and healthcare utilization data to identify new regions for community-based program expansion.
• Conduct in-depth research on local regulations, health plan coverage, and community needs to ensure successful placement.
• Build and maintain structured databases of potential partners, community events, and opportunities for organizational outreach.
• Validate data sources for accuracy and reliability to support leadership in making informed, evidence-based decisions.

Event Planning & Outreach Support

• Research and curate a calendar of community events, conferences, and networking opportunities aligned with organizational goals.
• Assess the strategic value of events based on target populations, potential partnerships, and visibility opportunities.
• Partner with internal teams to coordinate event participation, including logistics, staffing, and materials.
• Support evolving priorities by assisting with data system implementations, migrations, and workflow redesigns.
• Participate in special projects such as large-scale data audits or compliance-focused reviews.
• Help onboard and train new staff in data procedures, system use, and reporting protocols.
• Work cross-functionally with IT to troubleshoot system issues and optimize workflows.

Qualifications

• Bachelor's degree in data management, healthcare administration, information systems, or related field (or equivalent experience).
• Experience in healthcare data administration, reporting, or compliance strongly preferred.
• Proficiency with CRM platforms, reporting dashboards, and data entry tools (TheraPlatform, SalesMate a plus).
• Preferred: Familiarity with Medi-Cal, ECM, CalAIM, and health plan compliance processes.

Benefits

• 12 Paid Holidays per year, including your birthday and one floating holiday after 1 year of employment
• Bereavement Leave, including Fur Baby Bereavement
• 90% Employer-paid Employee-Only Medical Benefits
• Flexible Spending Account (FSA)
• Short-Term & Long-Term Disability | AD&D
• Employee Assistance Program (EAP)

Diversity & Inclusion

All qualified applicants will receive consideration for employment without regard to race, color, religion or creed, sex (including pregnancy, childbirth, breastfeeding, and related medical conditions), gender, gender identity or gender expression, sexual orientation, national origin or ancestry, citizenship status, physical or mental disability, medical condition (including cancer and genetic characteristics), age (40 and over), marital status, military or veteran status, genetic information, or status as a victim of domestic violence, assault, or stalking. We value diversity in all forms and encourage individuals from historically underrepresented communities to apply.

Pacific Health Group is committed to fairness, equity, and transparency in our hiring practices. We use AI (Artificial Intelligence) tools to help match candidate resumes against our job descriptions, focusing on qualifications, skillsets, and location.