Role Description As Clinical Intelligence Lead, you'll be the go-to expert on coding and medical policy at Hike. This role is for someone who deeply understands what diagnoses support what claims, which L-codes apply, where payers differ from Medicare, and what documentation is needed to prevent or resolve denials. Just as important, you'll turn that knowledge into clear, structured logic our systems can actually use. We're looking for someone who combines subject-matter depth with the ability to build repeatable, scalable processes. - Own the coding intelligence layer: for each HCPCS code block, define what diagnosis codes qualify, what documentation is required, and how to identify gaps. - Translate clinical knowledge into structured agent guides — precise, field-level workflow specifications, not spreadsheets. - Identify coding opportunities and documentation deficiencies across intake queues, and define the rules that fix them. - Build and maintain the medical policy library: LCD/NCD coverage, CMS Required PA List changes, payer-specific deviations (UHC, Aetna, Cigna), and evidence-based updates as policies evolve. - Partner with the Protocol Specialist and Compliance Specialist to ensure agent guides reference up-to-date coverage criteria. - Review HITL team outputs for coding accuracy, and train new specialists on coding logic. - Stay current with CMS policy changes — new codes, revised LCDs, PA list additions — and propagate them into agent guides within defined SLAs. Qualifications - 5+ years in DMEPOS coding, with deep expertise in O&P (L-codes: AFOs, KAFOs, prosthetics) and diabetic footwear (A5500 series). - Direct experience at a large DMEPOS company, O&P practice, or RCM firm. - Working knowledge of CMS LCDs (L33686, L29702), Policy Articles, and the CMS Required Prior Authorization List. - Ability to write precise, structured documentation that engineers can implement. - Experience communicating with physicians about documentation insufficiencies, and with billers about claim adjudication. - Comfortable in a fast-moving, early-stage environment where you build systems, not just use them. Benefits - 1.2× your current market rate. - Competitive equity. - Full benefits. Location United States (remote OK; in-person preferred for first 90 days) Reports To Amit Bhanti, Head, Center of Excellence

• Manage internal business applications used to manage operational workflows. • Oversee the scheduling and coordination of tasks, jobs, and tactics within internal business applications. • Coordinate and maintain client and user accounts in business applications, ensuring all information is current and accurate. • Monitor and manage jobs and workflows within business applications to ensure efficient operation and timely completion of tasks. • Monitor and maintain scheduled reports in Looker, Power BI. • Develop and implement tactics within business applications to streamline processes and improve efficiency. • Manage the SFTP Portal. Create, update, and maintain accounts for internal logins and clients. • Import and export data through business applications, performing data cleansing as required. • Learn and become proficient with business applications (jobs, tasks, scripts, development). • Supply IT with requirements/procedures for data pulls and data preparation. • QA automated reports created by IT. • Analyze disparate types of data to identify trends within data. • Identify process improvement opportunities and implement creative solutions to improve efficiency. • Ensure continuous communication with clients on the status of reporting requests. • Verification of client requested data and dissemination coordination with other team members. • Achieve individual productivity and quality goals. • Communicate to Management any issue(s) that would impede the accuracy.

• Own and evolve Twilio's suite of business intelligence tools, driving governance, performance, and long-term roadmap decisions • Design and build scalable, reusable dashboards and reports that surface actionable insights for stakeholders across legal, billing operations, and other mission critical business functions • Architect and deploy agentic AI solutions that enable natural language querying, automated insight generation, and self-service analytics for non-technical business partners • Collaborate with data engineers, business partners, and AI/ML engineers to translate complex analytical requirements into reliable, well-documented data products • Establish and champion BI best practices, including semantic layer design, metric definitions, data access governance, and documentation standards • Partner with business leaders to identify opportunities where better data visibility can drive meaningful outcomes, and prioritize accordingly

Title: Senior Information Systems Analyst - Business Intelligence Specialization Location: Alhambra, California, 91803, United States Department: Program Positions Job Description: Salary Range: $10,214.44 - $10,678.10 Monthly SUMMARY The Data & Analytics Unit is responsible for managing, analyzing, and interpreting healthcare data to support decision-making across the Los Angeles County Department of Health Services (DHS). The unit manages patient care and operational data, using analytics to identify patterns, predict outcomes, and improve service delivery. The unit also ensures data integrity, security, and regulatory compliance. ESSENTIAL FUNCTIONS - Builds complex data models for business intelligence solutions consumption and creates dashboards and reports using data visualization tools such as Tableau and Business Objects using those models. - Applies transformations, data cleansing, normalization best practices, as well as abstraction and inheritance programming concepts to ensure quality data solutions - Responsible for eliciting and documenting user requirements for large, highly complex new systems or system enhancements; ensures functional and technical requirements are fully documented. Translates technical tasks to a non-technical audience. - Strong proficiency in ETL (Extract, Transform, Load) processes and tools, data modeling, and data architecture best practices. - Proven experience with big data technologies and frameworks (e.g., Hadoop, Spark, Kafka). - Deep understanding of cloud-based data platforms such as AWS, Azure, Google BigQuery, Oracle Cloud Infrastructure, etc. - Enhance project management processes for enterprise reporting, deep dive analyses, and ad hoc requests leveraging agile framework. - Analyze quantitative and qualitative data to uncover trends and insights, and create dashboards, visualizations, and reports for stakeholders. - Conduct statistical analyses to support program evaluation and strategic planning. JOB QUALIFICATIONS The ideal candidate for the Senior Information Systems Analyst – Business Intelligence Specialization should possess at least 4+ years of experience in analytics, data management, and data intelligence. The Senior Information Systems Analyst is part of the DHS Data & Analytics Unit, who oversees conducting advanced data analyses, responding to complex data requests, and creating data models, dashboards and reports. Strong communication and problem-solving skills are essential to drive collaboration across departments, influence decision-making, and ensure alignment with organizational priorities. Additionally, the ideal candidate should have a proven track record of translating complex data into clear, strategic recommendations and fostering a culture of data-driven decision-making. Education/Experience - Bachelor's degree or higher from an accredited institution in Computer Science, Analytics, Data Science, Information Technology/Systems or a closely related quantitative field. - 4+ years of experience creating complex data models from transactional clinical and operational data for use in interactive business intelligence solutions. - Experience using project management tools and templates, and experience using agile methodology and its application to software and data product development. - Experience developing a variety of stakeholder materials, including but not limited to dashboard reports, concise stakeholder presentations, and staff training materials/guides. Certificates/Licenses/Clearances - Successful clearing through the Live Scan process with the County of Los Angeles. Other Skills, Knowledge, and Abilities - Knowledge of JIRA and Smartsheet is a plus - 4+ years experience at writing and optimizing Transact-SQL code - 4+ years experience with data visualization tools like Tableau and PowerBI, and use of cloud data platforms PHYSICAL DEMANDS Stand: Not applicable Walk: Not applicable Sit: Frequently Handling / Fingering: Constantly Reach Outward: Constantly Reach Above Shoulder: Not applicable Climb, Crawl, Kneel, Bend: Not applicable Lift / Carry: Occasionally - Not applicable Push/Pull: Occasionally - Not applicable See: Constantly Taste/ Smell: Not Applicable Not Applicable = Not required for essential functions Occasionally = (0 - 2 hrs/day) Frequently = (2 - 5 hrs/day) Constantly = (5+ hrs/day) WORK ENVIRONMENT Hybrid EEOC STATEMENT It is the policy of Heluna Health to provide equal employment opportunities to all employees and applicants, without regard to age (40 and over), national origin or ancestry, race, color, religion, sex, gender, sexual orientation, pregnancy or perceived pregnancy, reproductive health decision making, physical or mental disability, medical condition (including cancer or a record or history of cancer), AIDS or HIV, genetic information or characteristics, veteran status or military service.