Complex Care ECM (Enhanced Care Management) Data Coordinator
Report To: Associate Director of Complex Care
About Us
San Francisco Community Health Center is a federally qualified health center that provides culturally competent medical care, mental health services, education, and outreach. We are a safety-net for the LGBTQ community, the unsheltered community, people who use substances, and those with mental health needs. We are an anchor-organization for San Francisco’s Tenderloin neighborhood, and we also lead regional, statewide, and national programming. We believe that everyone deserves access to the highest quality of care served with dignity and respect!
About You
-
Detail-oriented and highly organized professional with experience managing data, maintaining accurate records, and ensuring quality assurance across complex workflows in fast-paced environments.
-
Proficient in Microsoft Excel, Google Sheets, databases, and data management systems, with strong analytical skills and the ability to identify, reconcile, and resolve data discrepancies efficiently.
-
Collaborative communicator with a commitment to confidentiality and compliance, skilled at working cross-functionally to support healthcare operations, reporting, member services, and process improvement initiatives.
Role Summary
The Enhanced Care Management (ECM) Data Coordinator supports day-to-day data operations for SFCHC’s Complex Care ECM programming by managing and monitoring member data throughout the full-service lifecycle. The Data Coordinator is responsible for end-to-end data management including referrals, member information files, return transmission files, authorization and billing support, data systems maintenance, reporting, and compliance tracking. The ideal candidate is detail-oriented, organized, comfortable working with spreadsheets and databases, and interested in healthcare operations, managed care, and population health programs.
Essential Duties:
-
Receive, review, track, and process incoming ECM referrals within SFCHC, health plans, and community partners.
-
Validate referral completeness, eligibility, and required documentation.
-
Enter and maintain accurate referral and member records in internal databases and care management systems.
-
Monitor referral status workflows and ensure timely assignments and follow-up.
-
Communicate with internal teams (such as ECM Program Managers, Lead Care Managers, and Eligibility Specialists) regarding missing or incomplete referral information.
-
Import, update, reconcile, and maintain member eligibility and demographic files internally within SFCHC’s OCHIN Epic.
-
Review member rosters for accuracy, duplicates, eligibility discrepancies, and enrollment changes.
-
Maintain accurate records of member participation, service dates, and program status.
-
Manage monthly member information reconciliation with Managed Care Plans (MCPs), as well as ad hoc member file processing and quality assurance activities.
-
Validate file formatting, completeness, and transmission timelines.
-
Research and resolve rejected records, file errors, and data discrepancies.
-
Maintain logs and documentation of all outbound and inbound file transmissions.
-
Manage SFCHC ECM Billing Workque, as well as assist with tracking service authorizations, billing documentation, and claims-related data.
-
Verify service records against authorization requirements and payer guidelines.
-
Support reconciliation of billed services and internal service logs.
-
Collaborate with finance and operations teams to resolve billing discrepancies.
-
Maintain data integrity across multiple systems, spreadsheets, and reporting tools.
-
Assist with user audits, system updates, and data cleanup activities.
-
Generate routine operational reports and dashboards for leadership and program teams.
-
Identify opportunities for workflow improvement and process standardization.
-
Support implementation and maintenance of ECM-related databases and tracking systems.
-
Conduct regular quality assurance reviews to ensure accuracy and completeness of records.
-
Support internal audits, compliance reviews, and reporting requests.
-
Follow established policies and procedures for confidential health information.
Minimum Qualifications
-
Bachelor’s degree in Healthcare Administration, Public Health, Business Administration, Information Systems, or related field preferred (or equivalent experience).
-
Minimum 2 years of administrative, healthcare operations, data entry, or coordination experience.
-
Experience working with healthcare data, managed care, Medi-Cal, or CalAIM Enhanced Care Management programs preferred but not required.
-
Experience using EHRs (particularly OCHIN Epic), care management platforms, CRM systems, or billing systems.
-
Strong attention to detail and organizational skills.
-
Proficiency in Microsoft Excel, Google Sheets, and data entry systems.
-
Ability to manage multiple tasks and meet deadlines in a fast-paced environment.
-
Strong written and verbal communication skills.
-
Ability to maintain confidentiality and handle sensitive information appropriately.
-
Analytical problem-solving and data reconciliation skills.
-
Ability to work independently and collaboratively across departments.
-
Knowledge of HIPAA and healthcare compliance standards.
-
Bilingual or multilingual skills ideal but not required.
Work Environment
-
Regular on-site work within clinic settings.
-
Combination of field-based patient engagement and administrative/reporting responsibilities.
-
Requires up-to-date vaccinations, especially COVID-19 and flu shot vaccinations; as well as proof of TB clearance (issued within the past 12 months).
EEO Statement:
San Francisco Community Health Center is an equal opportunity employer committed to identifying and developing the skills and leadership of people from diverse backgrounds. San Francisco Community Health Center does not discriminate on the basis of age, ancestry, citizenship status, color, creed, disability status, gender identity, HIV status, marital status, medical condition, genetic information, national origin, pregnancy, race, religion, sex, sexual orientation, veteran status, or any other legally protected class. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
Location:
San Francisco, CA
