Lead end-to-end encounter data management for CMS/state Medicaid submissions. Validate and optimize ETL converting source data into HIPAA X12 837P, support regulatory audits, analyze trends and root causes, liaise across business/technical/operations teams, and recommend process improvements to ensure compliance and data integrity.
About the Role
SafeRide Health is seeking a Sr. EDI Business Analyst to ensure the accuracy and completeness of healthcare encounter data submissions to CMS (Centers for Medicare & Medicaid Services). This role serves as the key liaison between business, technical, operations, and compliance teams, ensuring our encounter data management processes meet regulatory and client standards.
You’ll play a pivotal role in analyzing, validating, and optimizing data pipelines that support our mission of removing barriers to care for underserved populations. This is an opportunity to contribute to healthcare innovation while driving operational excellence and data integrity at scale.
Key Responsibilities
- Own end-to-end encounter data management processes to ensure compliance with CMS and state Medicaid guidelines.
- Compile, analyze, and validate encounter submissions to ensure accuracy, completeness, and alignment with Service Level Agreements (SLAs).
- Support audit and regulatory reporting initiatives by developing and maintaining documentation and validation frameworks.
- Develop and maintain processes to extract and transform data from source systems into HIPAA X12 837P format for encounter submissions.
- Collaborate cross-functionally with account management, data, and operations teams to gather requirements, document workflows, and oversee vendor or client deliverables.
- Analyze data to identify trends, anomalies, and root causes, providing actionable insights to optimize workflows and improve ETL efficiency.
- Recommend and implement process improvements that enhance scalability, accuracy, and compliance across encounter data workflows.
Required Qualifications
- Bachelor’s degree or equivalent experience, with 4+ years in healthcare technology, managed care, consulting, or a related field focused on regulatory data exchange.
- Hands-on experience with HIPAA X12 837P Medicaid submissions, including loop and segment structures, and regulatory reporting to CMS or state agencies.
- Understanding of payer operations, claims processing, and encounter lifecycle management.
- Proven ability to manage multiple projects independently, prioritize effectively, and meet tight deadlines.
- Strong analytical, problem-solving, and communication skills.
- Highly self-sufficient and detail-oriented, comfortable in a fast-paced, dynamic environment.
Preferred Qualifications
- Strong SQL and Excel skills, with familiarity in data visualization tools such as Tableau, Looker, or QuickSight.
- Client-facing experience working with healthcare payers, providers, or clearinghouses.
- Experience with Edifecs or similar EDI tools.
Benefits
- Competitive salary and annual bonus opportunities
- Remote with flexible hours
- Comprehensive health, dental, and vision insurance
- 401(k) with company match
- Generous PTO, 10 paid company holidays, and paid parental leave
- Career growth opportunities in a mission-driven organization
About SafeRide Health
SafeRide Health is a technology and services company committed to eliminating transportation barriers to healthcare. By combining our proprietary tech platform with a nationwide network of vetted transportation providers, we empower payers and health systems to deliver smarter, more reliable non-emergency medical transportation.
Our platform supports the nation’s largest Medicare Advantage, Medicaid, and provider programs—improving health outcomes and patient experiences at scale.
Learn more at www.saferidehealth.com.
SafeRide Health San Antonio, California, USA Office
San Antonio, CA, United States
Similar Jobs
.jpg){kind=logo}
Healthtech • Social Impact • Software • Telehealth
Leads strategic growth for a key healthcare partnership, managing executive relationships with health systems or payers. Drives revenue and business expansion, applies sales and stakeholder-management principles, represents partner needs internally, and coordinates cross-functional execution. Requires expertise in healthcare member journeys, clinical and operational workflows, regulatory requirements, and complex B2B2C marketplaces.
Artificial Intelligence • Fintech • Insurance • Marketing Tech • Software • Analytics
Provide actuarial and analytical support for pet insurance products, including rate indications, filings, profitability analysis, trend research, and rate strategy recommendations. The role involves manipulating data, building simple models, communicating findings to stakeholders, supporting cross-line initiatives, and improving actuarial processes. Participants rotate through actuarial disciplines while progressing toward ACAS or FCAS and completing required Casualty Actuarial Society exams.
Top Skills:
ExcelSAS
Cloud • Software
Support technical sales for Cisco ThousandEyes across Texas by prospecting, demonstrating solutions, guiding trials, architecting deployments, presenting to decision-makers, and building trusted customer relationships. Collaborate with sales, marketing, product, engineering, and customer success teams; contribute to events, technical content, solution feedback, beta programs, and post-sales enablement.
Top Skills:
Apple Operating SystemsApplication And Network Performance AnalysisBgpCisco ThousandeyesDnsHTTPJavaScriptLinuxMicrosoft Operating SystemsPacket AnalysisPerlPythonTcp/IpUnified Communications
What you need to know about the Los Angeles Tech Scene
Los Angeles is a global leader in entertainment, so it’s no surprise that many of the biggest players in streaming, digital media and game development call the city home. But the city boasts plenty of non-entertainment innovation as well, with tech companies spanning verticals like AI, fintech, e-commerce and biotech. With major universities like Caltech, UCLA, USC and the nearby UC Irvine, the city has a steady supply of top-flight tech and engineering talent — not counting the graduates flocking to Los Angeles from across the world to enjoy its beaches, culture and year-round temperate climate.
Key Facts About Los Angeles Tech
- Number of Tech Workers: 375,800; 5.5% of overall workforce (2024 CompTIA survey)
- Major Tech Employers: Snap, Netflix, SpaceX, Disney, Google
- Key Industries: Artificial intelligence, adtech, media, software, game development
- Funding Landscape: $11.6 billion in venture capital funding in 2024 (Pitchbook)
- Notable Investors: Strong Ventures, Fifth Wall, Upfront Ventures, Mucker Capital, Kittyhawk Ventures
- Research Centers and Universities: California Institute of Technology, UCLA, University of Southern California, UC Irvine, Pepperdine, California Institute for Immunology and Immunotherapy, Center for Quantum Science and Engineering
