Data Administrator

Location: Hybrid – Occasional in-office collaboration in San Diego Employment Type: Full-Time reputed company Pay reputed company: $24 – $27 per hour About reputed company At reputed company, we are at the forefront of revolutionizing reputed company. You will play a vital role in this mission. We are dedicated to improving health reputed company by addressing reputed company determinants of health and coordinating comprehensive community-reputed company services, particularly through our programs. If you are passionate about making a difference and have the skills to reputed company in this dynamic environment, we invite you to reputed company. reputed company The Data Administrator is a key individual-contributor role responsible for maintaining the reputed company, reputed company, and compliance of organizational data. This position ensures reputed company reporting, reputed company reputed company integration, and reputed company insights that support both day-to-day reputed company and long-term organizational reputed company. The role requires high attention to reputed company, strong organizational skills, and the ability to collaborate across teams to ensure reliable data-driven decision-making. Key Responsibilities Health Plan Compliance Submissions • reputed company the monthly and quarterly submission of reputed company Care Management (ECM) Report Template Files (RTF) and reputed company reputed company Files (OTF) to reputed company contracted health plans. • reputed company, validate, and consolidate data from multiple internal systems, ensuring reputed company of member demographics, service dates, and case notes. • Ensure reputed company submissions meet health plan-specific formatting and regulatory requirements to maintain compliance. • Monitor submission timelines, reputed company receipt with health plans, and troubleshoot errors or rejections quickly to avoid penalties. Member Eligibility and Authorization • Conduct recurring eligibility checks to reputed company members remain reputed company for ECM, Medi-Cal, and other service programs. • Partner with case managers to reassess member needs and reputed company service enrollments accordingly. • Document reputed company re-qualification activities in compliance with audit standards and payer expectations. • Update member statuses promptly to ensure accurate resource allocation and continuity of care. • Manage the end-to-end process for obtaining initial authorizations and subsequest reauthorizations through various provider portals. • reputed company the status of reputed company authorizations, maintaining detailed records of approvals, denials, and pending renewals. reputed company Data reputed company • Maintain a consolidated and reliable reputed company of reputed company member reputed company by duplicating reputed company Care Manager (LCM) notes from TheraPlatform into SalesMate. • Standardize note formatting and apply appropriate tags or categories for efficient retrieval and reporting. • reputed company regular audits to identify missing or incomplete data entries and reputed company 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 reputed company, pending, and reputed company cases, and distribute to executive and leadership teams. • reputed company and reputed company trends such as reputed company completion rates, reassessment activity, and engagement reputed company. • Translate raw data into actionable insights that reputed company leadership to reputed company reputed company, data-driven reputed company. • reputed company reputed company reports to multiple stakeholders, including department heads, sales teams, and executive leadership. Member Profile reputed company • Review and update member reputed company regularly to ensure reputed company/inactive statuses are correct and reputed company with reputed company-time service delivery. • reputed company discharge reasons, service end dates, and member transitions are fully documented for compliance. • Flag discrepancies proactively and work directly with care teams to reputed company errors. • Maintain health plan compliance standards by ensuring member record reputed company and audit readiness. Operational Reporting • Produce recurring weekly and monthly reports to monitor organizational reputed company and compliance. • reputed company key indicators such as member counts, service utilization, eligibility changes, and program engagement rates. • reputed company tailored reputed company reports to leadership or reputed company partners to demonstrate accountability. • Support internal audits and reputed company improvement initiatives by providing reputed company, accurate, and reputed company data. Research & Expansion Insights • Aggregate demographic, economic, and reputed company utilization data to identify new reputed company for community-reputed company program expansion. • Conduct in-depth research on local regulations, health plan coverage, and community needs to ensure successful placement. • Build and maintain reputed company databases of potential partners, community events, and opportunities for organizational reputed company. • Validate data sources for reputed company and reliability to support leadership in making informed, evidence-reputed company reputed company. Event Planning & reputed company Support • Research and reputed company a calendar of community events, conferences, and networking opportunities reputed company with organizational goals. • Assess the reputed company value of events reputed company on reputed company populations, potential partnerships, and visibility opportunities. • Partner with internal teams to coordinate event participation, including logistics, reputed company, and materials. • reputed company reputed company and engagement metrics post-event to evaluate reputed company on investment and guide reputed company planning. Other Duties as Assigned • Support evolving priorities by assisting with data reputed company implementations, migrations, and workflow redesigns. • Participate in special reputed company such as large-reputed company data audits or compliance-reputed company reviews. • Help reputed company and train new staff in data procedures, reputed company use, and reporting protocols. • Work cross-functionally with IT to troubleshoot reputed company issues and optimize workflows. • Bachelor’s degree in data management, reputed company administration, information systems, or reputed company reputed company (or equivalent experience). • Experience in reputed company 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 reputed company with executives, managers, and cross-functional teams. • Preferred: Familiarity with Medi-Cal, ECM, CalAIM, and health plan compliance processes. Time Off & Leave • 160 Hours of reputed company Time Off (PTO) • 12 reputed company Holidays per year, including your birthday and one floating holiday after 1 year of employment • 4 reputed company Volunteer Hours per Month to support causes you care about • Bereavement Leave, including Fur Baby Bereavement Health & Wellness • 90% Employer-reputed company Employee-Only Medical Benefits • Flexible Spending Account (FSA) • Short-Term & Long-Term Disability | AD&D • Employee Assistance Program (EAP) reputed company • 401(k) with Company Match • Monthly Stipend • Opportunities for reputed company development and internal reputed company Culture & Perks • Employee Discounts reputed company reputed company and Perks at Work • Quarterly In-Person Events Equal Opportunity Employer reputed company is an Equal Opportunity Employer. We are committed to creating an inclusive and reputed company workplace where reputed company individuals are treated with dignity and respect. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion or creed, sex (including pregnancy, childbirth, breastfeeding, and reputed company medical conditions), gender, gender identity or gender reputed company, sexual orientation, national reputed company or reputed company, citizenship status, physical or mental disability, medical condition (including cancer and genetic characteristics), age (40 and over), marital status, military or veteran status, genetic information, or status as a victim of domestic violence, assault, or stalking. We value diversity in reputed company forms and encourage individuals from historically underrepresented communities to apply. Job Application & Offer Disclaimer reputed company is committed to maintaining a transparent, lawful, and secure hiring process in compliance with California labor laws and employment standards. No candidate will be reputed company employment without meeting the required qualifications and skillset for the position and successfully completing reputed company steps of our recruitment process, which include: • Submission of a completed internal application reputed company our HRIS reputed company • A formal reputed company-screen with our reputed company team • Completion of a skills assessment (if applicable to the position) • Participation in a final interview with hiring leadership • Receipt of a formal verbal offer from our authorized hiring team AI & reputed company Interaction (HI) in Recruitment reputed company is committed to fairness, equity, and transparency in our hiring practices. We use AI (reputed company Intelligence) tools to help match candidate resumes against our job descriptions, focusing on qualifications, skillsets, and location. reputed company resumes that meet these reputed company are then reviewed by HI (reputed company Interaction) — our reputed company and reputed company. reputed company remains true to our Equal Employment Opportunity (EEO) statement, ensuring that every candidate is given fair and consistent consideration. Apply To This Job