Remote Health Data & Compliance Administrator

Pacific Health Group; Kansas; Remoto; USD 33.000 - 37.000; Tempo pieno

Vantaggi offerti da questo lavoro

PTO 160 hours

Paid holidays

Volunteer hours

Bereavement leave

Medical benefits

FSA

Disability & AD&D

EAP

401(k) match

Monthly stipend

Professional development

Employee discounts

Quarterly events

Descrizione del lavoro

Pacific Health Group is seeking a Data Administrator to maintain data integrity, enable timely reporting, and support data-driven decisions across care coordination and compliance efforts.

The role requires attention to detail, collaboration with cross-functional teams, and experience with health plan submissions, eligibility processes, and leadership reporting. This position is remote with full-time hours and an hourly pay range of $24-$27.

Competenze

• 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).
• Strong analytical, organizational, and problem-solving skills.
• Ability to communicate clearly with executives, managers, and cross-functional teams.
• Preferred: Familiarity with Medi-Cal, ECM, CalAIM, and health plan compliance processes.

Mansioni

• Health Plan Compliance Submissions: oversee the monthly and quarterly submission of ECM Report Template Files (RTF) and Outreach Transmission Files (OTF) to contracted health plans.
• Member Eligibility and Authorization: conduct recurring eligibility checks for ECM, Medi-Cal, and other service programs.
• System Data Integrity: maintain consolidated view of all member touchpoints and audit data.
• Leadership Reporting: compile weekly updates on member statuses and trends for leadership.
• Member Profile Oversight: review and update member profiles for accuracy and compliance.
• Operational Reporting: produce recurring weekly/monthly reports on performance and compliance.
• Research & Expansion Insights: analyze data to identify new regions for program expansion.
• Event Planning & Outreach Support: curate calendar of community events and partnerships.

Conoscenze

Analytical skills

Organizational skills

Communication skills

Formazione

Bachelor’s degree in data management, healthcare administration, information systems, or related field (or equivalent experience).

Strumenti

TheraPlatform

SalesMate

Descrizione del lavoro

Pacific Health Group is seeking a Data Administrator to maintain data integrity, enable timely reporting, and support data-driven decisions across care coordination and compliance efforts.

The role requires attention to detail, collaboration with cross-functional teams, and experience with health plan submissions, eligibility processes, and leadership reporting. This position is remote with full-time hours and an hourly pay range of $24-$27.