Principal Information Systems Analyst - Lead EDI Developer (N387)
Heluna HealthLos Angeles, California, United States
Posted February 27, 2026
95880 - 138360 USD
Full Time
About the Company
Heluna Health has been a pioneer in population health for over five decades, partnering with nonprofits, public health agencies, healthcare systems, and policymakers to reduce health disparities and address social determinants. The organization delivers innovative, evidence‑based programs that strengthen community health across housing, nutrition, and emergency preparedness, among other critical areas. By integrating data‑driven interventions with cross‑sector collaboration, Heluna Health fosters systemic change that enhances resilience and well‑being in the communities it serves. Its long‑standing expertise and commitment to equity position it as a leader in shaping healthier futures for all.
Job Description
The Principal Information Systems Analyst - Lead EDI Developer role is responsible for transforming data on homelessness services into Medicaid claims and managing the end-to-end Electronic Data Interchange workflow for claims billing.
Requirements
- Operate and maintain the production pipeline that transforms homelessness service data into ANSI X12 837P transactions using Python-based workflows and clearinghouse translation tools.
- Work with Data Engineering team to enhance or extend existing Python-based workflows as claiming requirements or program needs change.
- Submit claims through healthcare clearinghouses and monitor end-to-end transaction flow.
- Identify, flag, and diagnose data quality issues, claim drop-off points, and denial patterns; coordinate and generate claim corrections and resubmissions.
- Ensure compliance with HIPAA transaction standards and applicable Medicaid claiming rules throughout the claims lifecycle.
- Provide technical direction and day-to-day oversight to a direct report responsible for remittance analysis and billing-related data quality efforts.
