Data Administrator

Remote Full-time
Location:Remote - CaliforniaEmployment Type: Full-TimeHourly Pay Rate: $24 - $27About Pacific Health GroupAt Pacific Health Group, we are at the forefront of revolutionizing healthcare. You will play a vital role in this mission. We are dedicated to improving health outcomes by addressing social determinants of health and coordinating comprehensive community-based services, particularly through our programs. If you are passionate about making a difference and have the skills to lead in this dynamic environment, we invite you to.OverviewThe Data Administrator is a key individual-contributor role responsible for maintaining the integrity, accuracy, and compliance of organizational data. This position ensures timely reporting, seamless system integration, and strategic insights that support both day-to-day operations and long-term organizational growth. The role requires high attention to detail, strong organizational skills, and the ability to collaborate across teams to ensure reliable data-driven decision-making. This is a fully remote position, with a strong preference for candidates located in San Diego, CA.The ideal candidate is meticulous, proactive, and deeply committed to data quality and security. Key ResponsibilitiesThe Data Administrator's responsibilities fall into four core areas critical for organizational compliance, service continuity, and strategic growth:• Data Governance & System Integrity• Maintain data quality across all platforms (e.g., TheraPlatform to SalesMate) by duplicating, standardizing, and tagging Lead Care Manager (LCM) notes for efficient retrieval• Perform regular data audits to identify missing or incomplete entries and resolve discrepancies directly with care teams• Oversee member profile integrity, ensuring active/inactive statuses, discharge reasons, service end dates, and transitions are correctly documented for audit readiness• Troubleshoot and resolve system data errors, integrity issues, and user access problems promptly• Compliance Reporting & Eligibility Management• Manage all health plan compliance submissions, executing monthly and quarterly transmission of required files (ECM RTF, OTF) to all contracted health plans• Gather, validate, and consolidate data from multiple internal systems, ensuring accuracy of member demographics, service dates, and adherence to specific health plan formatting requirements• Conduct recurring eligibility checks to confirm members remain qualified for ECM, Medi-Cal, and other service programs, updating member statuses promptly to ensure accurate resource allocation• Document all requalification activities in compliance with audit standards and payer expectations• Strategic Analysis & Leadership Reporting• Compile and distribute weekly leadership reports on key member statuses (active, pending, closed cases) and track trends such as outreach completion and engagement levels• Translate raw data into actionable insights that enable executive leadership and multiple stakeholders (department heads, sales teams) to make timely, data-driven decisions• Produce recurring weekly and monthly operational reports to monitor organizational performance, service utilization, and program engagement rates• Outreach Strategy & Research• Support Program Expansion by aggregating demographic, economic, and healthcare utilization data to identify new regions for community-based program placement• Research and curate a calendar of community events, conferences, and networking opportunities, assessing their strategic value based on bolthires populations and potential partnerships• Track outcomes and engagement metrics post-event to evaluate return on investment and guide future outreach planning• Support evolving priorities by assisting with data system implementations, migrations, workflow redesigns, and supporting new staff training in data proceduresRequirements• Bachelor's degree in Data Management, Information Systems, or a related field preferred or equivalent 3-5 years of demonstrated experience• Minimum of 3 years of professional experience in data administration, reporting, or compliance• Minimum of 3 years of experience within the healthcare or business services industry, preferredTechnical Proficiency• Expert proficiency with SQL and complex database query tools• Experience in Monday.com, SalesMate, bolthires Workplace (i.e., sheets, docs, presentation is a plus• Direct experience with TheraPlatform and SalesMate is strongly preferred• Proficiency in the bolthires Workspace platform (Docs, Sheets, Drive)Knowledge, Skills, And Abilities• Strong analytical, organizational, and problem-solving skills, with keen attention to detail• Ability to communicate technical concepts clearly and effectively with all levels of leadership• Compliance Knowledge: Familiarity with Medi-Cal, ECM, CalAIM, and health plan compliance processes is required• Additional Skills Required: Administration and data administration tasks, Excel spreadsheets, Excel formulas, bolthires Suite.Also, must be tech-savvy and have the ability to work on multiple tasks at once, meet reporting deadlines. BenefitsTime Off & Leave• 160 Hours of Paid Time Off (PTO)• 12 Paid Holidays per year, including your birthday and one floating holiday after 1 year of employment• 4 Paid Volunteer Hours per Month to support causes you care about• Bereavement Leave, including Fur Baby BereavementHealth & Wellness• 90% Employer-paid Employee-Only Medical Benefits• Flexible Spending Account (FSA)• Short-Term & Long-Term Disability | AD&D• Employee Assistance Program (EAP)Financial & Professional• 401(k) with Company Match• Monthly Stipend• Opportunities for professional development and internal growthCulture & Perks• Employee Discounts via Great Work Perks and Perks at Work• Quarterly In-Person EventsEqual Opportunity EmployerPacific Health Group is an Equal Opportunity Employer.We are committed to creating an inclusive and equitable workplace where all individuals are treated with dignity and respect. All qualified applicants will receive consideration for employment without regard to race, color, religion or creed, sex (including pregnancy, childbirth, breastfeeding, and related medical conditions), gender, gender identity or gender expression, sexual orientation, national origin or ancestry, citizenship status, physical or mental disability, medical condition (including cancer and genetic characteristics), age (40 and over), marital status, military or veteran status, genetic information, or status as a victim of domestic violence, assault, or stalking.We value diversity in all forms and encourage individuals from historically underrepresented communities to apply. Job Application & Offer DisclaimerPacific Health Group is committed to maintaining a transparent, lawful, and secure hiring process in compliance with California labor laws and employment standards. No candidate will be offered employment without meeting the required qualifications and skillset for the position and successfully completing all steps of our recruitment process, which include:• Submission of a completed internal application via our HRIS system• A formal pre-screen with our recruiting team• Completion of a skills assessment (if applicable to the position)• Participation in a final interview with hiring leadership• Receipt of a formal verbal offer from our authorized hiring teamAI & Human Interaction (HI) in RecruitmentPacific Health Group is committed to fairness, equity, and transparency in our hiring practices.We use AI (Artificial Intelligence) tools to help match candidate resumes against our job descriptions, focusing on qualifications, skillsets, and location. All resumes that meet these criteria are then reviewed by HI (Human Interaction) — our recruiting and HR team. Pacific Health Group remains true to our Equal Employment Opportunity (EEO) statement, ensuring that every candidate is given fair and consistent consideration. Apply tot his job
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