United States onlyAbout 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
We are seeking a highly analytical and detail‑oriented Analyst to join our team. This role plays a key part in validating and coding audit deliverables, developing performance monitoring reporting, quantifying financial impact, and driving efficiency through automation and advanced analytics. The ideal candidate brings experience with internal controls, audit testing, and risk assessment, along with a proven ability to deliver high‑quality results in a fast‑paced, collaborative environment.
Position Responsibilities:
- Research and analyze pharmacy claims to ensure accuracy and contractual compliance across benefit setup, pricing, and guarantees
- Perform audit risk assessments, annual logic reviews and ongoing monitoring activities
- Analyze, reconcile and validate large datasets across multiple internal systems; develop and maintain SQL/Python queries for audit reporting and performance monitoring
- Create audit deliverable reporting, quantify financial impact of potential and confirmed audit findings, and build dashboards to identify trends and risks
- Identify and implement automation and process improvements across audit, reporting, and reconciliation workflows
- Maintain and enhance code, reporting tools, and dashboards to improve reliability, efficiency, and scalability
- Define and document technical requirements, data specifications, and methodologies to support transparency and repeatability
- Collaborate with internal and technology teams to improve data quality, workflows, and controls
- Provide ad-hoc analysis to support evolving business and audit needs
- Responsible for the adherence to the Capital Rx Code of Conduct including reporting of noncompliance
Required Qualifications:
- Bachelor’s degree in a quantitative or business-related field (e.g., Actuarial Science, Statistics, Economics, Finance, Data Analytics, or Business Administration)
- 2+ years of of experience in data analytics, audit, or a related role
- Experience in healthcare, PBM, or pharmacy claims; knowledge of pharmacy benefits, pricing, guarantees, and pharmacy claims analysis preferred
- Proficiency with SQL (Snowflake preferred), Excel, Tableau
- Familiarity with Python and project management/version control tools (e.g., Jira, Confluence, GitHub)
- Strong attention to detail with an intellectual and professional curiosity along with a passion for continuous improvement
- Track record of leading cross-functional initiatives, driving high performance, meeting deadlines, and executing on deliverables
- Effective communicator with both technical and non-technical stakeholders
- Extremely flexible, highly organized, and able to shift priorities easily
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.
Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to 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 athttps://www.judi.health/legal/privacy-policy.
AU, CA + 3 more