Apply Now

Location

San Diego, United States

Salary

$24 - $27 /hour

Job Type

Full-time

Date Posted

October 6th, 2025

View All Jobs

Data Administrator at Pacific Health Group

Location

San Diego, United States

Salary

$24 - $27 /hour

Job Type

Full-time

Date Posted

October 6th, 2025

Apply Now

View All Jobs

Download File

Overview

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
• 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

 

Qualifications

• 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

 

What Success Looks Like

  • 100% on-time health plan submissions with zero compliance penalties
  • Accurate and consistent duplication of data across platforms
  • Timely, clear reports delivered to leadership
  • Reduction in member profile discrepancies
  • Reliable insights that inform strategic decisions

 

 

Benefits

  • $24-$27 base pay per hour
  • Comprehensive health, dental, and vision coverage.
  • 401(k) match.
  • Paid time off and holidays
  • Job Type: Full-time
  • Schedule: Monday–Friday, occasional evenings/weekends for events.
  • Work Location: Hybrid: Must be based in San Diego for occasional in-office collaboration

Apply Now

Jobs at Pacific Health Group

Powered by