Operations Analyst, Government Programs; EGWP) Charlotte, North Carolina Denver, Colorado, United

Operations Analyst, Government Programs (EGWP)

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 Judi Health replaces fragmented, outdated systems with the industry's first Unified Claims Processing™ architecture, seamlessly consolidating pharmacy and medical benefit administration on a single,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 Government Programs Operations Analyst (EGWP) provides operational and administrative support to ensure day to day Health Plan activities are performed timely and compliantly. The role will be responsible for supporting EGWP implementation and the ongoing oversight of member touchpoint activities with the Medicare part D Prescription Drug Plan (PDP) Employer Group Waiver Plan (EGWP). This role will perform the day to day functional activities to ensure compliance with the Centers of Medicare and Medicaid (CMS) regulations while meeting employer, member and Health Plan financial objectives.

• Support EGWP program setup, implementation and go-live readiness across assigned internal functions and delegate oversight, which includes enrollment, claims processing, member services, member communications, CAHPS activities and associated member service STARs activities.
• Monitor daily, weekly and monthly performance, operational KPIs and CMS compliance metrics for enrollment, member services, and member communications.
• Support with issue resolution and corrective