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Capital Rx — Charlotte North Carolina
About Judi Health Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Judi 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. S. and deploying the infrastructure we need for the care we deserve.
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.
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.
: 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.
and business objectives by interpreting CMS and state guidance in partnership with internal subject matter experts.
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 pr