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.
Health Plan Compliance Submissions
• Manage 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 to ensure accuracy of member demographics, service dates, and case notes
• Ensure all submissions meet health plan-specific formatting and regulatory requirements and troubleshoot errors promptly
Member Eligibility Re-qualification
• Conduct recurring eligibility checks to confirm members remain qualified for ECM, Medi-Cal, and other service programs
• Collaborate with case managers to reassess member needs and adjust service enrollments accordingly
• Document all re-qualification activities in compliance with audit standards
System Data Integrity
• Maintain a consolidated and reliable view of member data by duplicating Lead Care Manager (LCM) notes from TheraPlatform into SalesMate
• Standardize note formatting, apply tags for efficient retrieval, and perform regular audits to identify missing or incomplete entries
• Resolve discrepancies and ensure all data supports continuity of care and compliance
Leadership and Operational Reporting
• Compile weekly updates on member statuses, including active, pending, and closed cases
• Track outreach completion rates, reassessment activity, and engagement levels
• Translate raw data into actionable insights and deliver reports to leadership and department teams
Member Profile Oversight
• Review and update member profiles to ensure accurate active and inactive statuses
• Confirm discharge reasons, service end dates, and transitions are documented correctly for compliance
• Flag and resolve discrepancies with care teams
Research and Expansion Support
• Aggregate demographic and healthcare data to identify new regions for community-based program expansion
• Maintain databases of potential partners, community events, and outreach opportunities to support growth initiatives
Cross-Department Support
• Collaborate with operations, IT, and leadership teams to improve data workflows and reporting processes
• Assist with audits, data migrations, and onboarding of new staff in system use and reporting protocols
• Bachelor’s degree in Data Management, Healthcare Administration, Information Systems, or related field, or equivalent experience
• Two or more years of experience in healthcare data administration, reporting, or compliance
• Proficiency with CRM systems and reporting tools such as TheraPlatform or SalesMate
• Strong analytical, organizational, and problem-solving skills
• Excellent communication and attention to detail
• Preferred: Familiarity with Medi-Cal, ECM, CalAIM, and health plan compliance processes