Government Programs Analysis & Efficiencies Analyst

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 Judi Health replaces fragmented, outdated systems with the industry's first Unified Claims Processing architecture, seamlessly consolidating pharmacy and medical benefit administration on a single,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.

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 Judi Health replaces fragmented, outdated systems with the industry's first Unified Claims Processing architecture, seamlessly consolidating pharmacy and medical benefit administration on a single,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 3 days (offices in NYC, Denver, CO and Charlotte, NC area)

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.

• 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…