Data Administrator

Location: Remote - California
Employment Type: Full-Time
Hourly Pay Rate: $24 – $27

About Pacific Health Group

At 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 join our team.

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. 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 Responsibilities 

The Data Administrator's responsibilities fall into four core areas critical for organizational compliance, service continuity, and strategic growth:

1. 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.

2. 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.

3. 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.

4. 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 target 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 procedures.

Requirements

• 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 healthca