Remote Health Data Administrator

Pacific Health Group; Vermont; À distance; USD 33 000 - 37 000; Plein temps

Avantages offerts par ce poste

PTO 160 hours

Holidays

Volunteer hours

Bereavement leave

Health benefits

401(k) with match

Résumé du poste

Pacific Health Group is seeking a Data Administrator for a remote, full-time role with hourly pay between $24 and $27. You will maintain data integrity across systems, ensure compliance with health plans, and generate leadership-facing reports.

The position emphasizes collaboration with care teams and cross-functional stakeholders to enable data-driven decisions. The role involves eligibility checks, authorizations, and system audits, with a focus on accurate demographics, service dates, and

Qualifications

• Bachelor’s degree or equivalent experience in a related field.
• Experience in healthcare data administration, reporting, or compliance preferred.
• Proficiency with CRM platforms and dashboards; data entry tools such as TheraPlatform and SalesMate are plus.
• Strong analytical, organizational, and problem-solving skills.
• Ability to communicate clearly with executives, managers, and cross-functional teams.
• Familiarity with Medi-Cal, ECM, CalAIM and health plan compliance processes preferred.

Responsabilités

• Health Plan Compliance Submissions: manage monthly/quarterly ECM report templates and related files to contracted plans.
• Gather and validate data from multiple systems for accurate demographics, dates, and notes.
• Ensure submissions meet format and regulatory requirements to stay compliant.
• Monitor timelines, confirm receipt, and troubleshoot errors to avoid penalties.
• Member Eligibility and Authorization: conduct eligibility checks for ECM, Medi-Cal, and programs.
• Partner with case managers to reassess needs and adjust enrollments.
• Document re-qualifications per audit standards; update statuses for resource allocation.
• Obtain initial authorizations and reauthorizations across provider portals; track statuses.
• System Data Integrity: duplicate LCM notes from TheraPlatform into SalesMate and standardize formatting.
• Audit data regularly; resolve discrepancies with care teams to support care continuity.
• Leadership Reporting: compile weekly updates on member statuses and trends for leadership.
• Translate data into insights for timely decision-making; deliver reports to stakeholders.
• Member Profile Oversight: update profiles to reflect real-time statuses and transitions.
• Ensure discharge reasons and end dates are documented; flag discrepancies.
• Operational Reporting: produce weekly/monthly reports; monitor counts and utilization.
• Research & Expansion: aggregate data to identify new regions and compliance insights.
• Event Planning & Outreach: curate events aligned with goals and track ROI.
• Other Duties: assist with data system implementations and staff onboarding.

Connaissances

Analytical thinking

Organizational skills

Communication skills

Problem solving

Cross-functional teamwork

Formation

Bachelor’s degree in data management, healthcare administration, information systems, or related field

Outils

TheraPlatform

SalesMate

Description du poste

Pacific Health Group is seeking a Data Administrator for a remote, full-time role with hourly pay between $24 and $27. You will maintain data integrity across systems, ensure compliance with health plans, and generate leadership-facing reports.

The position emphasizes collaboration with care teams and cross-functional stakeholders to enable data-driven decisions. The role involves eligibility checks, authorizations, and system audits, with a focus on accurate demographics, service dates, and