Remote Data Administrator - Healthcare Compliance

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

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.