Director, EDI
: Job Details :

Director, EDI

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 Director, EDI is responsible for the strategic vision, management, and execution of all Electronic Data Interchange (EDI) processes. This includes overseeing the efficient, accurate, and compliant exchange of healthcare data with payers, clearinghouses, providers, and other trading partners. The role involves managing inbound and outbound managed care transactions within the EZ-Cap database, maintaining robust processes, and measuring team effectiveness. Key responsibilities include oversight of critical EDI transactions such as claims submission (837), remittance advice (835), acknowledgments (999/TA1), and claim responses (277CA), ensuring strict adherence to organizational goals and HIPAA regulatory requirements.

Minimum Requirements

• Bachelor's degree in information technology, Computer Science, Healthcare Administration, Business Administration, or a related field.
• Minimum of 6 years of progressive experience in EDI management and operations.
• Minimum of 5 years of experience specifically within the US healthcare industry (i.e., provider, payer, MSO, or clearinghouse).
• Minimum of 3 years in a leadership or supervisory role overseeing EDI functions or teams.
• Minimum of 3 years of experience receiving and sending Medicare, Medi-Cal, and Commercial claims and encounters.

Compensation

$162,855.68 - $203,569.60 annually

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

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.