Population Health Database Administrator

The position serves as a data analyst for the Network providing operational support for key financial, data management and communication functions of the Network. This position is responsible for ensuring financial and payor data is accurately received, validated, reconciled, maintained, and reported to support month‑end close, Network payouts, routine reporting, and other organizational needs.

The position also supports the Network’s data infrastructure and communication processes by maintaining established workflows, coordinating data exchanges with external partners, supporting new data feed implementations, administering designated platforms, and managing key Network communication channels.

• Financial Operations & Reconciliation
  • Review, validate, and reconcile financial and performance data received from payers and other external partners, including membership files, payer incentive results, reconciliations, bank deposits, and other supporting financial information.
  • Develop and maintain standardized financial workflows, validation rules, and controls to ensure data accuracy prior to month‑end close, provider or practice payouts, financial reporting, and integration into analytic or population health platforms.
  • Manage established financial data sources and controls, including membership files, checks‑and‑balances files, bank accounts, lockbox portals, and other financial support documentation.
  • Perform month‑end close activities and prepare associated financial and performance reporting.
  • Manage Network payouts, including monthly care coordination payments, quarterly and annual incentive payments, and other approved ad hoc Network payments.
  • Provide analysis as required.
  • Monitor expected payer and partner data deliveries and proactively follow up when required files or information are late, missing, or incomplete.
  • Maintain standardized processes for data formats, definitions, file structures, storage, and documentation across multiple internal and external data sources.
  • Perform routine and daily reporting activities, including FUM, FMC, FUI, inpatient admissions, emergency department admissions, and other reporting needs as assigned.
  • Securely transmit data to external partners in accordance with organizational security and data protection requirements, including files provided to Milliman or future vendors, WVHIN, and monthly CCLF file processing.
  • Support testing, validation, and implementation of new payer, vendor, and partner data feeds.
  • Serve as administrator for designated platforms used to maintain Network membership, data access, or user access, including platforms such as Availity and WVHIN.
  • Capture, document, and appropriately store relevant payer and partner information received through meetings, email communications, portals, and other sources.
  • Provide analysis as required.
• Data Management & Integrity
  • Monitor expected payer and partner data deliveries and proactively follow up when required files or information are late, missing, or incomplete.
  • Maintain standardized processes for data formats, definitions, file structures, storage, and documentation across multiple internal and external data sources.
  • Perform routine and daily reporting activities, including FUM, FMC, FUI, inpatient admissions, emergency department admissions, and other reporting needs as assigned.
  • Securely transmit data to external partners in accordance with organizational security and data protection requirements, including files provided to Milliman or future vendors, WVHIN, and monthly CCLF file processing.
  • Support testing, validation, and implementation of new payer, vendor, and partner data feeds.
  • Serve as…