Healthcare Data Management Specialist

Job title: Healthcare Data Management Specialist in Redlands, CA at CommonSpirit Health

Company: CommonSpirit Health

Job description: The posted compensation range of $23.00 - $31.38 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.Requisition ID 2025-411069 Employment Type Full Time Department Clinical Integration Hours/Pay Period 80 Shift Day Weekly Schedule Monday - Friday (8:00am - 5:00pm PST) Remote Yes Category Clinical InformaticsResponsibilities***This position is remote, but will be expected to work PST business hours.Position Summary:The Clinical Integration Network (CIN) and Accountable Care Organization (ACO) programs are clinically integrated physician networks sponsored by Dignity Health (DH). Similar to the CIN/ACO Networks, the Greater Sacramento Service Area (GSSA) Network, is a partnership between Mercy Medical Group, Woodland Clinic and Hill Physicians Medical Group. In addition, in order to fill service gaps in a CIN/ACO Network, a complementary network of ancillary providers is maintained in each region. This role focuses on data management to support population health analytics and the effective operation of physician networks under Dignity Health MSO.The Data Management Specialist is an employee of Dignity Health Management Service Organization (MSO). Under the direction of the CIN/ACO Manager, this individual:- provides data management support services to Dignity Health's CIN/ACO Networks, Performance Insight, Employer Relations, and Valued Based Operations
- gathers, maintains, and reconciles accurate healthcare data within the Salesforce platform, utilizing multiple data sources including 3rd party payors
- generates reports on physician networks to support performance monitoring and improvement
- conducts review of network adequacy and capabilities
- maintains and transmits fee schedules as necessary to third-party administrators (TPAs) and other stakeholders
- provides customer support services to Dignity Health CIN/ACO Networks
- supports population health analytics by ensuring data quality and accessibility
QualificationsMinimum Qualifications:- Minimum 3 years' experience in provider relations, provider credentialing, provider database maintenance and reporting, provider contracting and/or network development in a health care or managed care setting required
- High school diploma or equivalent required
- Demonstrated skills in the areas of written and verbal communication, judgment, and problem-solving
- Strong proficiency in Microsoft Office products required
- This position requires a highly motivated person with exceptional customer service, relationship management and interpersonal skills
- Attention to detail
- Capable of independent thinking
- Ability to perform in a team environmentPreferred Qualifications:- Bachelor's Degree in Business, Finance, Health Care Management, Economics or equivalent preferred.- Experience with Protected Health Information (PHI) preferred.- Strong understanding of HIPAA regulations, medical terminology, and data integrity principles preferred.- Strong proficiency in Google Workspace preferred. OverviewThe purpose of Dignity Health Management Services Organization (Dignity Health MSO) is to build a system-wide integrated physician-centric, full-service management service organization structure. We offer a menu of management and business services that will leverage economies of scale across provider types and geographies and will lead the effort in developing Dignity Health's Medicaid population health care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals, health plans and employers with a business objective to excel in coordinating patient care in a manner that supports containing costs while continually improving quality of care and levels of service. Dignity Health MSO accomplishes this by capitalizing on industry-leading technology and integrated administrative systems powered by local human resources that put patient care first.Dignity Health MSO offers an outstanding Total Rewards package that integrates competitive pay with a state-of-the-art, flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives employees the ability to choose the benefits they want from a variety of options, including medical, dental and vision plans, for the employee and their dependents, Health Spending Account (HSA), Life Insurance and Long Term Disability. We also offer a 401k retirement plan with a generous employer-match. Other benefits include Paid Time Off and Sick Leave.Unless directed by a Collective Bargaining Agreement, applications for this position will be considered on a rolling basis. CommonSpirit Health cannot anticipate the date by which a successful candidate may be identified.Depending on the position offered, CommonSpirit Health offers a generous benefit package, including but not limited to medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible employees may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, as may be amended from time to time. For more information, please visit .Map this locationLook for gyms, restaurants, doctors and schools in the area.No featured jobsNo recently viewed jobsYou have no saved jobsLoad moreFollow us on social mediaEqual OpportunityCommonSpirit Health™ is an Equal Opportunity/Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law.Read MoreCommonSpirit Health™ will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c). External hires must pass a post-offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances. If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA). CommonSpirit Health™ participates in E-Verify.

Expected salary: $23 - 31.38 per hour

Location: Redlands, CA

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