Senior Analyst, Government Programs Operations - Analysis & Efficiencies

About Judi Health

Judi Health is a health technology company providing benefit administration solutions to employers, unions, health plans, and government entities. Judi Health replaces fragmented, outdated systems with the industry's first Unified Claims Processing™ architecture, seamlessly consolidating pharmacy and medical benefit administration on a single, secure platform. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels.

At Judi Health, we're deploying the infrastructure our country needs to deliver the healthcare we all deserve. We are the intelligence platform powering benefits plans for millions of Americans and proudly leading the next generation of care. To learn more, visit (Use the "Apply for this Job" box below)..

Location:

Hybrid (Local to NYC, Denver, CO or Charlotte, NC)

The Senior Analyst, Government Programs Operations - Analysis & Efficiencies supports the operational success of Medicare, Medicaid, Exchange, and Commercial plans by developing data-driven solutions that improve efficiency, strengthen accuracy, and reduce manual effort. Under the guidance of the Operations Manager, the analyst evaluates complex datasets to identify actionable insights, inform strategic decisions, and drive continuous improvement. Key responsibilities include producing recurring and ad hoc reports, designing and implementing business intelligence dashboards, and creating standardized code templates to automate deliverables.

The analyst also supports reversal and reprocessing (R&R) activities by conducting impact analyses, preparing supporting data, and validating post-fix and reprocessed results to confirm that expected outcomes are achieved. In partnership with Client Analytics, the analyst reviews and validates analytical outputs for accuracy, completeness, and alignment with business requirements before client delivery. The role also develops scalable, automated solutions that streamline workflows and collaborates with cross-functional teams—including Compliance, Product, Sales, Marketing, Underwriting, Implementation, Client Services, and Clinical Operations—to ensure analytical tools and operational capabilities align with regulatory requirements and business objectives

• Analyze complex datasets to identify trends, outliers, and opportunities for operational improvement across Medicare, Medicaid, Exchange, and Commercial plans.
• Develop and maintain recurring and ad-hoc reports, dashboards, and analytical tools to support data-driven decision-making.
• Create and maintain a repository of standardized code templates to streamline report generation and automate routine tasks.
• Ensure analytical outputs align with applicable regulatory requirements and business objectives by interpreting CMS, state, Exchange, and Commercial requirements in partnership with internal subject matter experts.
• Support the development of scalable processes that enhance efficiency, accuracy, and responsiveness across Medicare, Medicaid, Exchange, and Commercial operations.
• Design and implement automated solutions to reduce manual effort and improve process scalability and accuracy.
• Implement and use analytical software to support the department in achieving goals as defined by executive leadership.
• Facilitate requirements-gathering sessions to understand business needs and translate them into actionable analytical deliverables.
• Analyze business workflows and system needs for conversions and migrations to ensure that encounter, recovery, cost-savings, and other applicable requirements are met.
• Support R&R activities by performing impact…