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Pacific Health Group

Data Administrator

Pacific Health Group

. Oversee monthly and quarterly ECM Report Template File and Outreach Transmission File submissions to contracted health plans .

Posted 10/17/2026full-timeRemote • United StatesMid-LevelSenior💰 $49,920 - $56,160 per yearWebsite

Core Competencies

Role fit
Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in healthcare data administration, compliance, and reporting, with a strong focus on member data management and regulatory adherence. Proficient in utilizing CRM platforms and data entry tools to optimize workflows and support organizational goals.

Highest-signal resume keywords
Healthcare Data AdministrationRegulatory ComplianceData ManagementCRM Platform ProficiencyAnalytical Skills

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
Data ValidationData ConsolidationMember Eligibility ChecksAuthorization ManagementData Integrity AuditsReportingData ImplementationsWorkflow RedesignCompliance ReviewsData Entry
Soft Skills
Organizational SkillsProblem-Solving SkillsClear Communication
Tools & Technologies
TheraPlatformSalesMateReporting DashboardsCRM Platforms
Industry Keywords
Medi-CalECMCalAIMHealth Plan ComplianceHealthcare Utilization

About the role

Key responsibilities & impact
  • Oversee monthly and quarterly ECM Report Template File and Outreach Transmission File submissions to contracted health plans
  • Gather, validate, and consolidate member data from multiple internal systems
  • Ensure submissions meet health plan formatting and regulatory requirements
  • Monitor submission timelines and troubleshoot errors or rejections
  • Conduct recurring member eligibility checks and reassess service enrollments with case managers
  • Document re-qualification activities and update member statuses
  • Manage initial authorizations and reauthorizations through provider portals
  • Track authorization approvals, denials, and pending renewals
  • Duplicate Lead Care Manager notes from TheraPlatform into SalesMate
  • Standardize note formatting and perform data integrity audits
  • Compile weekly member-status updates and leadership reports
  • Track trends in outreach, reassessment, engagement, service utilization, and eligibility
  • Review and update member profiles, discharge reasons, service end dates, and transitions
  • Support compliance, internal audits, and quality improvement initiatives
  • Research demographic, economic, healthcare utilization, regulatory, and community data for program expansion
  • Build databases of potential partners, community events, and outreach opportunities
  • Research and coordinate community events, conferences, and networking opportunities
  • Track post-event outcomes and engagement metrics
  • Assist with data implementations, migrations, workflow redesigns, audits, and compliance reviews
  • Help onboard and train staff on data procedures, system use, and reporting protocols
  • Work cross-functionally with IT to troubleshoot systems and optimize workflows

Requirements

What you’ll need
  • 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 and SalesMate familiarity is a plus
  • Strong analytical, organizational, and problem-solving skills
  • Ability to communicate clearly with executives, managers, and cross-functional teams
  • Familiarity with Medi-Cal, ECM, CalAIM, and health plan compliance processes preferred

Benefits

Comp & perks
  • 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
  • Bereavement Leave, including Fur Baby Bereavement
  • 90% Employer-paid Employee-Only Medical Benefits
  • Flexible Spending Account (FSA)
  • Short-Term & Long-Term Disability | AD&D
  • Employee Assistance Program (EAP)
  • 401(k) with Company Match
  • Monthly Stipend
  • Opportunities for professional development and internal growth
  • Employee Discounts via Great Work Perks and Perks at Work
  • Quarterly In-Person Events