Healthcare Data Management Specialist

CommonSpirit Health; Redlands (CA); Remote; USD 80,000 - 100,000; Full time

Job summary

A leading health organization is seeking a Healthcare Data Management Specialist to support data management for physician networks. This remote position requires strong communication skills and a minimum of 3 years of experience in healthcare data management. The role offers a competitive hourly wage and comprehensive benefits.

Benefits

Comprehensive health plans

401k

Paid time off

Qualifications

• Minimum 3 years’ experience in provider relations, credentialing, or network development.
• Strong communication and problem-solving skills required.
• Ability to work independently and as part of a team.

Responsibilities

• Provides data management support services to healthcare networks.
• Gathers and reconciles healthcare data within Salesforce.
• Generates reports for performance monitoring and improvement.

Skills

Communication

Judgment

Problem-Solving

Attention to Detail

Customer Service

Relationship Management

Education

High school diploma or equivalent

Bachelor’s Degree in Business, Finance, Healthcare Management, Economics, or related field

Tools

Microsoft Office

Google Workspace

Job description

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Position Summary

The Clinical Integration Network (CIN) and Accountable Care Organization (ACO) programs are clinically integrated physician networks sponsored by Dignity Health (DH). Similar to the CIN/ACO Networks, the Greater Sacramento Service Area (GSSA) Network is a partnership between Mercy Medical Group, Woodland Clinic, and Hill Physicians Medical Group. This role focuses on data management to support population health analytics and the effective operation of physician networks under Dignity Health MSO.

The Data Management Specialist is an employee of Dignity Health Management Service Organization (MSO). Under the direction of the CIN/ACO Manager, this individual:

• Provides data management support services to Dignity Health’s CIN/ACO Networks, Performance Insight, Employer Relations, and Valued Based Operations.
• Gathers, maintains, and reconciles accurate healthcare data within the Salesforce platform, utilizing multiple data sources including third-party payors.
• Generates reports on physician networks to support performance monitoring and improvement.
• Conducts review of network adequacy and capabilities.
• Maintains and transmits fee schedules as necessary to third-party administrators (TPAs) and other stakeholders.
• Provides customer support services to Dignity Health CIN/ACO Networks.
• Supports population health analytics by ensuring data quality and accessibility.

Qualifications

Minimum Qualifications

• Minimum 3 years’ experience in provider relations, provider credentialing, provider database maintenance and reporting, provider contracting, and/or network development in a healthcare or managed care setting.
• High school diploma or equivalent.
• Strong skills in written and verbal communication, judgment, and problem-solving.
• Proficiency in Microsoft Office products.
• Highly motivated with excellent customer service, relationship management, and interpersonal skills.
• Attention to detail.
• Ability to work independently and as part of a team.

Preferred Qualifications

• Bachelor’s Degree in Business, Finance, Healthcare Management, Economics, or related field.
• Experience with Protected Health Information (PHI).
• Understanding of HIPAA regulations, medical terminology, and data integrity principles.
• Proficiency in Google Workspace.

Additional Information

This position is remote but requires working PST business hours. The role offers a pay range of $23.00 - $31.38/hour and includes comprehensive benefits such as health plans, 401k, paid time off, and more.