Government Programs Analysis & Efficiencies Analyst

About Judi Health

Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including:

Capital Rx , a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers,

Judi Health™ , which offers full-service health benefit management solutions to employers, TPAs, and health plans, and

Judi® , the industry’s leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform.

Together with our clients, we’re rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit www.judi.health .

Position Summary:  

The Government Programs Analysis & Efficiencies Analyst will play a role in supporting the operational success of Medicare, Medicaid, and Exchange programs. Under the guidance of their manager, this analyst will  utilize relational datasets to identify actionable insights that inform decisions and drive solutions that enhance efficiencies. The analyst’s responsibilities include delivering recurring and ad-hoc reports, creating standardized code templates to automate deliverables, and detailed documentation of work products. Additionally, the analyst contributes to process optimization by designing scalable, automated solutions that streamline workflows and minimize manual intervention. Collaboration with cross-functional teams, including compliance, product, sales, marketing, underwriting, implementation, client services, and clinical operations, is crucial to ensure that analytical tools and operational capabilities align with both regulatory requirements and business objectives.  

Position Responsibilities:

Analyze relational datasets to identify trends, outliers, and opportunities for operational improvement across Medicare, Medicaid, and Exchange programs  

Support development and maintenance of recurring and ad-hoc reports and analytical tools to support data-driven decision-making

Contribute to the creation and maintenance of standardized code template repository to help streamline report generation and automation of routine tasks

Ensure analytical outputs align with regulatory requirements and business objectives by interpreting CMS and state guidance in partnership with internal subject matter experts.

Support the development of scalable processes that enhance efficiency, accuracy, and responsiveness across government program operations

Support in designing and implementing automated solutions to reduce manual effort and improve process scalability, accuracy, and efficiency

Uses analytical software to support the department in achieving goals as defined by executive leadership

Participate in requirements gathering sessions to understand business needs and translate them into actionable analytical deliverables

Presents and communicates analytical findings in a clear and concise manner

Supports root-cause-analysis and reporting of data issues/errors by partnering with key stakeholders

Participates in user acceptance, and quality assurance testing of new application features and team deliverables

Prepares high-level user documentation (Including SOPs, Job Aids, and BRDs)

Work with internal clients to research, develop, and document new standards to enhance reporting capabilities

Collaborate with cross-functional teams—including compliance, product, sales, marketing, underwriting, implementation, client services, and clinical operations—to refine and enhance operational capabilities  

  R equired Qualifications:

2+ years of healthcare data experience  

2+ years of proven experience in government programs

2+ years of experience working with SQL

Experience performing analyses on large sets of relational datasets

Experience working with cross-functional teams

Ability to balance multiple projects simultaneously

Extremely flexible, highly organized, and able to shift priorities easily

Self-motivated with the ability to problem solve with limited direction

Attention to detail & commitment to delivering high-quality work product

Excellent written and verbal communication skills  

Preferred Qualifications:

2+ years of experience working with business intelligence tools  

1+ year working with Python

1+ year of experience working with pharmacy data

1+ year of experience with Medicare (Part D), Medicaid, and/or Exchange Pharmacy Data/Processes

Experience with Confluence, Jira, and other Atlassian product  

New York, NY Salary Range $76,000 — $95,000 USD

Denver, CO Salary Range $69,600 — $87,000 USD

Charlotte, NC Salary Range $63,200 — $79,000 USD

All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals.

We provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.  

By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at   https://www.judi.health/legal/privacy-policy .