
Data Administrator
Posted 23 hours ago

Posted 23 hours ago
This is a fully remote position, open to applicants in Kansas, +3 more states.
• Supervise the submissions of the monthly and quarterly ECM Report Template File and Outreach Transmission File to contracted health plans.
• Collect, verify, and integrate member data from various internal systems.
• Ensure that submissions adhere to health plan formatting and regulatory standards.
• Monitor submission deadlines and address any errors or rejections promptly.
• Conduct regular member eligibility verifications and reassess service enrollments in collaboration with case managers.
• Record re-qualification activities and update member statuses accordingly.
• Manage initial authorizations and reauthorizations via provider portals.
• Keep track of authorization approvals, denials, and pending renewals.
• Duplicate Lead Care Manager notes from TheraPlatform into SalesMate.
• Standardize note formatting and conduct data integrity audits.
• Compile weekly updates on member status and prepare reports for leadership.
• Monitor trends in outreach, reassessment, engagement, service utilization, and eligibility.
• Review and revise member profiles, discharge reasons, service end dates, and transitions.
• Assist with compliance, internal audits, and quality improvement initiatives.
• Research demographic, economic, healthcare utilization, regulatory, and community data to support program expansion.
• Build databases of potential partners, community events, and outreach opportunities.
• Research and organize community events, conferences, and networking opportunities.
• Monitor outcomes and engagement metrics following events.
• Assist with data implementations, migrations, workflow redesigns, audits, and compliance reviews.
• Aid in onboarding and training staff on data procedures, system usage, and reporting protocols.
• Collaborate with IT to troubleshoot systems and enhance workflows.
• Bachelor’s degree in data management, healthcare administration, information systems, or a related field (or equivalent experience).
• Strongly preferred experience in healthcare data administration, reporting, or compliance.
• Proficiency in CRM platforms, reporting dashboards, and data entry tools.
• Familiarity with TheraPlatform and SalesMate is a plus.
• Excellent analytical, organizational, and problem-solving abilities.
• Capability to communicate effectively with executives, managers, and cross-functional teams.
• Preferred familiarity with Medi-Cal, ECM, CalAIM, and health plan compliance processes.
• 160 Hours of Paid Time Off (PTO).
• 12 Paid Holidays annually, including your birthday and one floating holiday after one year of employment.
• 4 Paid Volunteer Hours each month.
• Bereavement Leave, including for pets.
• 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 advancement.
• Employee Discounts through Great Work Perks and Perks at Work.
• Quarterly In-Person Events.
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