Specialist, Data (PACE)

AltaMed; Commerce (CA); On-site; USD 52,000 - 61,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401(k) with employer match

Flexible Spending Accounts

Paid Time Off

CME days

Tuition reimbursement

Commuter benefits

Employee discounts

Job summary

AltaMed is seeking a Data Specialist who will collect, analyze, and report data related to PACE participants and reimbursement processes. You will interact with CMS and DHCS to submit required data and resolve complex data issues to protect AltaMed's financial performance.

This role requires data-driven decision making, collaboration with multiple teams, and adherence to evolving state and federal regulations affecting PACE operations.

Qualifications

• High School diploma or equivalent; Bachelor’s preferred.
• Minimum 2 years' experience with CMS, DHCS or similar in healthcare.
• Experience using Microsoft Access and Excel.
• Bilingual Spanish/Chinese is preferred.

Responsibilities

• Collect, analyze, and report data on CMS/DHCS-related processes.
• Present data-driven conclusions to inform operations and leadership.
• Collaborate with internal teams and external vendors to ensure data integrity.
• Maintain awareness of state and federal regulations impacting PACE.
• Support revenue flow through accurate data submission and problem solving.

Skills

CMS

DHCS

Bilingual Spanish/Chinese

Healthcare industry experience

Education

High School diploma or equivalent

Bachelor’s degree

Tools

Microsoft Access

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.