Principal Information Systems Analyst - Lead EDI Developer (N387)

The Los Angeles County Department of Homeless Services and Housing (HSH) consolidates our countywide response to homelessness. The driving force behind HSH is increasing accountability and transparency, improving care for people experiencing or at risk of homelessness, and streamlining collaboration with partners including services providers, the County’s 88 cities, and unincorporated areas to deliver high-quality, life-saving care.

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.
• Integrate eligibility and enrollment data, including bulk eligibility checks, into the charge capture and claim construction process
• Submit claims through healthcare clearinghouses and monitor end-to-end transaction flow
• Ingest, track, and manage EDI acknowledgements and remittances, including ANSI X12 999, 277, and 835 transactions, maintaining clear lineage from service records through payment outcomes
• 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
• Lead technical discussions with program partners to refine service definitions, documentation standards, and claims workflows as program requirements evolve
• Provide technical direction and day-to-day oversight to a direct report responsible for remittance analysis and billing-related data quality efforts
• Collaborate with finance, analytics, and data engineering teams to support reconciliation, reporting, and continuous improvement of claims performance
• Maintain clear technical and process documentation for claims workflows, controls, and system dependencies.
• Support testing, validation, and onboarding of new service types or program configurations.
• Contribute to process automation, monitoring, and quality assurance improvements across the claims pipeline.
• Participate in cross-departmental initiatives related to Medicaid data, reporting, or system modernization.

Benefits

• Health Insurance
• Paid Vacation
• Paid Sick Leave
• Retirement Plan