Specialist, Data (PACE)

AltaMed Health Services Corp; Commerce (CA); On-site; USD 71,635,000 - 84,014,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

403(b) Retirement plan

Paid Time Off

Paid CME Days

Tuition Reimbursement

Employee Discounts

Commuter benefits

Job summary

AltaMed Health Services Corp is seeking a Data Specialist in California to collect, analyze, and report data on PACE participants, eligibility, claims, and data integrity. You will interact with CMS and DHCS to submit data and resolve complex data issues affecting AltaMed's revenue flow.

The role requires interpreting data to identify service metrics, presenting insights to Senior Leadership, and ensuring compliance with state/federal regulations.

Qualifications

• Data collection, analysis, and reporting for PACE participants.
• Collaboration with CMS and DHCS for data submission and issue mitigation.
• Ability to interpret data to guide management decisions.

Responsibilities

• Collect, analyze, and report data related to CMS, DHCS, and AltaMed PACE operations.
• Present business conclusions based on data analysis to senior leadership.
• Ensure compliance with internal SOPs and regulatory requirements.

Skills

Data analysis

CMS experience

Bilingual Spanish/Chinese

Education

High School diploma

Bachelor's degree

Tools

Microsoft Access

Microsoft Excel

Job description

Grow Healthy If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don’t just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it’s a calling that drives us forward every day.

Job Overview

Data Specialist will collect, analyze, and report data to evaluate PACE participants’ demographic, eligibility verification, claim management, encounter processing, and data integrity. Interact directly with the Center of Medicare and Medicaid Services (CMS) and California Department of Health Care Services (DHCS) to submit required data and mitigate complex data issues to ensure proper revenue flow impacting AltaMed’s financial performance. This position must be able to make determinations and present business conclusions based on data analysis, identify and monitor key service metrics that may affect service quality, member retention, and patient utilization. Understand standard operating procedures of AltaMed’s internal processes, audit practices, and keep up to date with various State and Federal regulations impacting PACE organizations. Collaborate with various supporting organizations, National PACE Association, outside vendors, and contract managers to implement and enhance patient satisfaction, ensuring multiple software that are in sync with AltaMed PACE systems. Work with other data analysts within AltaMed to consolidate reports and analyze data to guide management and Senior Leadership in making operational, tactical, and strategic decisions.

Minimum Requirements

• High School diploma or equivalent work experience, Bachelor’s degree preferred.
• Minimum of 2 years of experience working with CMS, DHCS, or other professional office environments in the health care industry.
• Minimum of 2 years of working experience using Microsoft Access and Excel.
• Bilingual Spanish/Chinese, preferred.

Compensation

$25.00 - $29.32 hourly

Compensation Disclaimer

Actual salary offers are considered by various factors, including budget, experience, skills, education, licensure and certifications, and other business considerations. The range is subject to change. AltaMed is committed to ensuring a fair and competitive compensation package that reflects the candidate's value and the role's strategic importance within the organization. This role may also qualify for discretionary bonuses or incentives.

Benefits & Career Development

• Medical, Dental and Vision insurance
• 403(b) Retirement savings plans with employer matching contributions
• Flexible Spending Accounts
• Commuter Flexible Spending
• Career Advancement & Development opportunities
• Paid Time Off & Holidays
• Paid CME Days
• Malpractice insurance and tail coverage
• Tuition Reimbursement Program
• Corporate Employee Discounts
• Employee Referral Bonus Program
• Pet Care Insurance

Job Advertisement & Application Compliance Statement

AltaMed Health Services Corp. will consider qualified applicants with criminal history pursuant to the California Fair Chance Act and City of Los Angeles Fair Chance Ordinance for Employers. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you. After making a conditional offer and running a background check, if AltaMed Health Service Corp. is concerned about a conviction directly related to the job, you will be given a chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.

AltaMed Health Services Corporation is committed to providing equal employment opportunities for all qualified individuals.

We strictly prohibit discrimination in employment based on race, color, creed, religion, marital status, sexual orientation, registered domestic partner status, sex, gender, gender identity or expression, ancestry, national origin, age, medical condition, physical or mental disability, military or protected veteran status, pregnancy or perceived pregnancy, childbirth, breastfeeding or related medical conditions, genetic information, or any other characteristic protected by local, state, or federal law, ordinance, or regulation.

We are committed to promoting equality and inclusivity beyond our recruitment and hiring processes. We aim to create a respectful, valued, and inclusive workplace through training, advancement opportunities, and access to resources and support.

We focus on fostering a diverse workforce because it enriches our organization and improves our ability to effectively serve our clients and community.

We encourage individuals from all backgrounds to apply and join us in our mission to create a positive impact.