Workflow Specialist
29 days ago
Chula Vista
Job DescriptionJob Snapshot Location: Remote, San Diego, CA Employment Type: Full-Time Compensation: $72,000 – $82,000 annually Schedule: Full-Time Work Environment: Remote About Pacific Health Group At Pacific Health Group, we care deeply about the people and communities we serve. We meet individuals with kindness, respect, and understanding - listening first, honoring each person’s journey, and offering support without judgment. Through compassionate, person-centered healthcare, behavioral health services, and social supports, we walk alongside people as they work toward healing, stability, and a healthier, more hopeful life. Our Core Values • Speak with integrity—clear, respectful, and honest in every interaction., • Embrace innovation, trying new ideas, learning fast, and improving care., • Own our roles, staying accountable for outcomes and documenting accurately., • Build genuine connections with members, families, and teammates through empathy and cultural sensitivity., • Lead with trust by being consistent, transparent, and following through., • Celebrate wins together, recognizing individual and team achievements., • Collaborate with purpose, partnering across departments and with community providers to solve problems. This role directly impacts clinical operations, revenue cycle, marketing, sales, and administrative teams by reducing manual work, increasing automation reliability, improving data integrity, and enabling scalable growth. Key ResponsibilitiesWorkflow Design and Optimization • Map, analyze, and redesign end-to-end business processes across clinical operations, revenue cycle, marketing, sales, and administrative workflows., • Identify inefficiencies, bottlenecks, and automation opportunities to increase throughput, accuracy, and speed., • Develop workflow standards, documentation, and governance frameworks.Automation Development, • Build, manage, and maintain automations and workflows using platforms such as Zapier or similar tools, RingCentral, Monday.com, SalesMate, EMR/EHR layers, and custom-built logic solutions., • Ensure automations align with compliance, reliability, and performance requirements., • Implement alerts, monitoring, notifications, and error-handling protocols to ensure automation stability.Integration Engineering, • Develop and maintain API-based integrations between internal systems such as EMR/EHR platforms, CRM tools, billing systems, VOIP, AI agents, and data warehouses., • Translate operational needs into technical integration requirements., • Collaborate with engineering, vendors, and partners to test, deploy, and maintain integrations.Documentation, Reporting, and Compliance, • Ensure workflows support data accuracy, accessibility, and reporting requirements., • Work with analytics teams to surface actionable insights and ensure workflows feed clean, structured data into reporting environments., • Manage configuration of workflow-related system features., • Produce usage and functionality reporting by user and across entire systems.Collaboration and Cross-Functional Work, • Partner with leadership and team leads to understand operational challenges and translate them into scalable workflow solutions., • Provide training and documentation to teams on new processes, tools, and automations., • Lead change management for workflow rollouts and enhancements.Custom Development and Technical Buildouts, • Design, build, and maintain custom workflow functions and system logic using code-based solutions where no native automation exists., • Develop and extend workflow functionality using languages and technologies such as Ruby, PHP, C++, CSS, HTML, JavaScript, and other relevant development frameworks., • Create custom middleware, scripts, and functions to support automation, integrations, data transformation, and system interoperability., • Build reusable, scalable, and maintainable custom components to support evolving operational requirements., • Collaborate with engineering, product, and operations teams to translate business logic into technical implementations., • Troubleshoot, refactor, and optimize existing custom code used in workflow automations and system integrations., • Ensure custom-built solutions meet performance, security, compliance, and reliability standards.Compliance and Data Security (PHI, HIPAA, and Regulatory Standards), • Handle, transmit, and store Protected Health Information (PHI) in full compliance with HIPAA and company privacy standards., • Ensure all workflows, automations, and integrations adhere to HIPAA Security Rule requirements, including access controls, audit trails, encryption, and secure data transmission., • Conduct compliance checks when designing or modifying workflows to prevent unauthorized access, data leakage, or systemic vulnerabilities., • Collaborate with Compliance and IT Security teams to implement best practices for data governance, risk mitigation, and incident response., • Maintain documentation that supports regulatory audits and internal security reviews., • Train stakeholders on workflow-related compliance considerations to ensure safe and compliant operations.Success Measures, • Reduction in manual administrative hours., • Increase in workflow reliability and automation uptime., • Faster cycle times for operational processes., • Fewer process errors and system-related escalations., • 3+ years of experience in workflow automation, business process engineering, systems integration, or operations optimization., • Demonstrated expertise with automation platforms (Zapier, Make, n8n, or similar)., • Familiarity with APIs, JSON, Webhooks, and basic scripting logic., • Experience with native integrations, automation functions, and workflow buildouts., • Strong analytical and systems-thinking abilities., • Excellent documentation, communication, and project management skills.Technical Development Capabilities, • Hands-on experience building custom functions, scripts, or application logic using Ruby, PHP, C++, CSS, JavaScript, or similar programming languages., • Ability to extend no-code/low-code platforms with custom code to meet complex or non-standard business requirements., • Experience developing and maintaining custom integrations, middleware, or internal tooling., • Strong understanding of core software development concepts, including version control, debugging, performance optimization, and secure coding practices., • Comfortable working across both structured platforms and fully custom-built solutions.Preferred Qualifications, • Experience in healthcare operations, revenue cycle management, or clinical workflows., • Experience integrating EMR/EHR systems., • SQL or lightweight scripting proficiency (Python or JavaScript). Time Off & Leave • Paid Time Off, • Holidays, • Volunteer time, • Medical coverage, • FSAs or other wellness benefits, • 401(k), • Stipends, • Employee discounts, • Team events, • Growth opportunities Equal Opportunity Employer Pacific Health Group is an Equal Opportunity Employer. We are committed to creating an inclusive and equitable workplace where all individuals are treated with dignity and respect. All qualified applicants will receive consideration for employment without regard to race, color, religion or creed, sex (including pregnancy, childbirth, breastfeeding, and related medical conditions), gender, gender identity or gender expression, sexual orientation, national origin or ancestry, citizenship status, physical or mental disability, medical condition, age, marital status, military or veteran status, genetic information, or status as a victim of domestic violence, assault, or stalking. We value diversity in all forms and encourage individuals from historically underrepresented communities to apply. Job Application & Offer Disclaimer Pacific Health Group is committed to maintaining a transparent, lawful, and secure hiring process in compliance with California labor laws and employment standards. Employment offers are contingent upon meeting role qualifications and successfully completing all required recruitment steps, which may include: • Submission of an internal application, • Recruiter pre-screen, • Skills assessment if applicable, • Final interview with hiring leadership