EDI Analyst

Grow Healthy

If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don’t just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it’s a calling that drives us forward every day.

Job Overview

The EDI Analyst position generates EDI 837P/I/D encounter files (containing adjudicated claims data) in the format specified by our Health Plan partners, DHCS, or designated third parties. The EDI Analyst is also responsible for the delivery of files and management of the response files received to ensure that encounter files are processed in compliance with Health Plan guidelines and state and federal standards. The EDI Analyst may be asked to participate in Health Plan meetings as an Encounter SME.

Minimum Requirements

• Bachelor’s degree or equivalent experience required.

• Minimum of 4 years of managed health care experience is required; preferably working for a Health Plan or Managed Services Organization.

• Minimum of 2 years working with ASC X12 837 files, specifically 837P, 837I, 837D, 277CA, 999, TA1.

• Minimum of 2 years generating and submitting healthcare EDI files and a working knowledge of SQL databases and queries.

• Prior knowledge of ICD-10, CPT, HCPCS, NDC coding, and experience working with an EDI Clearinghouse(s).

• Familiarity with healthcare lines of business - Medicare, Medicaid, and Commercial - is a plus.

Compensation

Compensation Disclaimer

Actual salary offers are considered by various factors, including budget, experience, skills, education, licensure and certifications, and other business considerations. The range is subject to change. AltaMed is committed to ensuring a fair and competitive compensation package that reflects the candidate's value and the role's strategic importance within the organization. This role may also qualify for discretionary bonuses or incentives.

Benefits & Career Development

• Medical, Dental and Vision insurance
• 403(b) Retirement savings plans with employer matching contributions
• Flexible Spending Accounts
• Commuter Flexible Spending
• Career Advancement & Development opportunities
• Paid Time Off & Holidays
• Paid CME Days 
• Malpractice insurance and tail coverage
• Tuition Reimbursement Program
• Corporate Employee Discounts
• Employee Referral Bonus Program
• Pet Care Insurance

Job Advertisement & Application Compliance Statement

AltaMed Health Services Corp. will consider qualified applicants with criminal history pursuant to the California Fair Chance Act and City of Los Angeles Fair Chance Ordinance for Employers. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you. After making a conditional offer and running a background check, if AltaMed Health Service Corp. is concerned about a conviction directly related to the job, you will be given a chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.