Principal Information Systems Analyst - Lead EDI Developer (N387)

Salary Range: $47.94-$69.18 per hour

SUMMARY

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.  Staff schedules are based on business need and may include the option of a hybrid work schedule where employees work remotely and from the office.

The Principal Information Systems Analyst (Lead Electronic Data Interchange – (EDI) Developer) serves as the HSH technical lead for transforming data on homelessness services into Medicaid claims and managing the end-to-end Electronic Data Interchange – (EDI) workflow for claims billing.

This role owns the production claims pipeline, ensuring accurate, compliant submission of claims, timely ingestion of acknowledgements and remittances, and rapid diagnosis of data quality and denial issues as services move through the claiming lifecycle.

The position combines hands-on technical oversight with operational leadership, working closely with program partners, clearing houses, finance, and internal data engineering staff to maintain a reliable, auditable, and evolving claims process for non-traditional Medicaid services.

ESSENTIAL FUNCTIONS


* Operate and maintain the (existing) 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 ...