Remote Healthcare Data Administrator

Pacific Health Group; Carson City (NV); À distance; USD 33 000 - 37 000; Plein temps

Avantages offerts par ce poste

12 Paid Holidays per year

Bereavement Leave

90% Employer-paid Employee-Only Med.

Flexible Spending Account (FSA)

Short-Term & Long-Term Disability | AD

Employee Assistance Program (EAP)

Résumé du poste

Pacific Health Group is seeking a Data Administrator to maintain data integrity, ensure timely reporting, and support system integration across teams. The role emphasizes accuracy, audit readiness, and data-driven insights to guide organizational growth.

Remote position with a focus on health plan compliance, data quality, and cross-functional collaboration to improve care delivery and leadership visibility.

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.

Responsabilités

• Oversee the monthly and quarterly submission of ECM RTf and OTF to all contracted health plans.
• Gather, validate, and consolidate data from multiple internal systems for 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 or rejections to avoid penalties.
• Document all re-qualification activities in compliance with audit standards and payer expectations.
• Produce recurring weekly and monthly reports to monitor organizational performance and compliance.
• Aggregate demographic, economic, and healthcare utilization data to identify new regions for community expansion.
• Translate raw data into actionable insights for leadership decision-making.

Connaissances

CRM platforms

Reporting dashboards

Data entry tools

Formation

Bachelor's degree in data management or related field

Outils

TheraPlatform

SalesMate

Description du poste

Pacific Health Group is seeking a Data Administrator to maintain data integrity, ensure timely reporting, and support system integration across teams. The role emphasizes accuracy, audit readiness, and data-driven insights to guide organizational growth.

Remote position with a focus on health plan compliance, data quality, and cross-functional collaboration to improve care delivery and leadership visibility.