Data Administrator

Pacific Health Group • Full-time • El Cajon, CA, US • 2m ago

The 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.

Key Responsibilities

Health Plan Compliance Submissions

Oversee the monthly and quarterly submission of Enhanced Care Management (ECM) Report Template Files (RTF) and Outreach Transmission Files (OTF) to all contracted health plans
Gather, validate, and consolidate data from multiple internal systems, ensuring accuracy of member demographics, service dates, and case notes
Ensure all submissions meet health plan-specific formatting and regulatory requirements to maintain compliance
Monitor submission timelines, confirm receipt with health plans, and troubleshoot errors or rejections quickly to avoid penalties

Member Eligibility Re-qualification

Conduct recurring eligibility checks to confirm members remain qualified for ECM, Medi-Cal, and other service programs
Partner with case managers to reassess member needs and adjust service enrollments accordingly
Document all re-qualification activities in compliance with audit standards and payer expectations
Update member statuses promptly to ensure accurate resource allocation and continuity of care

System Data Integrity

Maintain a consolidated and reliable view of all member touchpoints by duplicating Lead Care Manager (LCM) notes from TheraPlatform into SalesMate
Standardize note formatting and apply appropriate tags or categories for efficient retrieval and reporting
Perform regular audits to identify missing or incomplete data entries and resolve discrepancies with care teams
Ensure that data captured across platforms supports continuity of care and enhances leadership visibility

Leadership Reporting

Compile weekly updates on member statuses, including active, pending, and closed cases, and distribute to executive and leadership teams
Track and highlight trends such as outreach completion rates, reassessment activity, and engagement levels
Translate raw data into actionable insights that enable leadership to make timely, data-driven decisions
Deliver clear reports to multiple stakeholders, including department heads, sales teams, and executive leadership

Member Profile Oversight

Review and update member profiles regularly to ensure active/inactive statuses are correct and align with real-time service delivery
Confirm discharge reasons, service end dates, and member transitions are fully documented for compliance
Flag discrepancies proactively and work directly with care teams to resolve errors
Maintain health plan compliance standards by ensuring member record integrity and audit readiness

Operational Reporting

Produce recurring weekly and monthly reports to monitor organizational performance and compliance
Track key indicators such as member counts, service utilization, eligibility changes, and program engagement rates
Provide tailored progress reports to leadership or external partners to demonstrate accountability
Support internal audits and quality improvement initiatives by providing clear, accurate, and timely data

Research & Expansion Insights

Aggregate demographic, economic, and healthcare utilization data to identify new regions for community-based program expansion
Conduct in-depth research on local regulations, health plan coverage, and community needs to ensure successful placement
Build and maintain structured databases of potential partners, community events, and opportunities for organizational outreach
Validate data sources for accuracy and reliability to support leadership in making informed, evidence-based decisions

Event Planning & Outreach Support

Research and curate a calendar of community events, conferences, and networking opportunities aligned with organizational goals
Assess the strategic value of events based on target populations, potential partnerships, and visibility opportunities
Partner with internal teams to coordinate event participation, including logistics, staffing, and materials
Track outcomes and engagement metrics post-event to evaluate return on investment and guide future planning

Other Duties as Assigned

Support evolving priorities by assisting with data system implementations, migrations, and workflow redesigns
Participate in special projects such as large-scale data audits or compliance-focused reviews
Help onboard and train new staff in data procedures, system use, and reporting protocols
Work cross-functionally with IT to troubleshoot system issues and optimize workflows

Requirements

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

Success Measures

100% on-time health plan submissions with no compliance penalties
Accurate duplication of data across platforms
Clear, consistent weekly-monthly reports delivered to leadership
Reduction in member profile discrepancies
Reliable insights that inform strategic expansion and outreach

Benefits

$24-$27 base pay per hour
Comprehensive health, dental, and vision coverage
401(k) match
Paid time off and holidays

AI & Human Interaction (HI) in Recruitment

Pacific 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.

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