Jobs at Judi Health

Leads the EGWP actuarial function, overseeing Medicare Part D pricing, bids, forecasting, reserving, monthly close, underwriting, risk assessment, CMS compliance, and financial modeling. Builds and manages the actuarial organization, budget, processes, and analytical capabilities while advising executive leadership and external stakeholders. Requires deep Medicare Part D expertise, actuarial leadership, executive influence, and accountability for the financial performance of the EGWP business.

Conduct full-cycle recruiting for technical, clinical, and non-clinical roles, including sourcing, screening, interviewing, feedback coordination, offer management, and candidate communication. Partner with hiring managers on role requirements, job descriptions, interview processes, and hiring recommendations. Build passive talent pipelines, track recruiting metrics, and improve talent acquisition processes while delivering a strong candidate experience.

Lead Judi Health’s enterprise-wide total rewards strategy across compensation, benefits, wellness, recognition, and retirement. Advise executives on workforce investments, pay equity, job architecture, benefits, compliance, and organizational growth. Oversee budgets, analytics, vendors, annual enrollment, and transformation initiatives while partnering with Finance, Legal, HR, and product leadership. Build a high-performing Total Rewards function and support benefits-related product and go-to-market strategy.

Analyzes pharmacy claims, audit risks, datasets, and financial impacts to validate contractual compliance and improve reporting. Develops SQL and Python queries, dashboards, reconciliations, and automation workflows while documenting methodologies and collaborating with technical and business teams to enhance data quality, controls, and operational efficiency.

Manages commercial RFP proposal development and submissions for new and renewal healthcare business. Coordinates with sales, underwriting, marketing, account management, and subject matter experts; reviews requirements, allocates resources, manages project plans, develops value propositions, and ensures timely, compliant responses. Contributes to proposal-related SOPs and maintains high-quality written deliverables while balancing multiple stakeholders and deadlines.

Leads pharmacy and healthcare analytics projects, develops reporting frameworks, analyzes claims and utilization data, and delivers actionable insights for clients and leadership. The role translates complex findings into recommendations, ensures data quality and compliance, collaborates cross-functionally, presents results, mentors analysts, and improves analytical standards and processes.

Leads end-to-end implementation of new pharmacy and medical benefits clients. Responsibilities include project planning, requirements gathering, client communications, benefit and communications testing, milestone tracking, risk mitigation, stakeholder coordination, and relationship management. The role manages multiple complex projects, supports implementation best practices, and requires occasional travel and flexibility outside standard business hours.

Coordinates interviews across time zones, maintains ATS records, supports job postings and candidate communications, gathers feedback, assists with offers and onboarding, tracks recruiting data, and maintains Talent Acquisition documentation. Partners with recruiters and hiring managers to streamline hiring processes and provide an excellent candidate experience.

Leads the Legal Department’s operational strategy, scalability, and continuous improvement. Oversees legal technology, matter and contract management, budgeting, vendors, outside counsel, reporting, litigation support, knowledge management, and workflow automation. Drives responsible AI adoption, process redesign, standardized intake and approval workflows, operational controls, and data-driven performance measurement. Partners with legal leadership and stakeholders to improve efficiency, manage resources, implement technology, and support organizational growth.

Owns billing operations and invoicing for non-core healthcare programs, especially EGWP. Interprets contracts, analyzes financial and operational data, leads reconciliations, resolves billing variances, supports audits, and develops billing controls and processes. Uses Excel and SQL to improve automation, accuracy, scalability, and financial governance while coordinating with Finance, Operations, Client Services, and technology teams.

Owns governance, administration, monitoring, performance, security, reliability, and automation for a self-hosted Tableau Server environment on AWS. Partners with infrastructure, security, data engineering, product, and client services teams on authentication, networking, embedded analytics, Snowflake connectivity, disaster recovery, upgrades, access management, incident response, and content promotion. Develops automation, runbooks, documentation, and compliance processes while mentoring analysts and developers on Tableau best practices.

Develop workflow automation solutions for internal stakeholders using Atlassian and related workflow tools. The role partners with business teams to document and implement workflows, shape platform roadmaps, build maintainable software components, reduce technical debt, participate in code reviews and quality assurance, improve call center customer journeys, and resolve production issues affecting service, revenue, and fulfillment teams.

Administer and engineer Salesforce Cloud across Sales, Service, and Community Cloud. Own platform lifecycle, permissions, integrations, technical debt, deployment processes, compliance documentation, and production issue remediation. Partner with Sales Operations, Development, and support teams to shape roadmaps, modernize processes, optimize platform usage, and develop integrations. The role requires strong Salesforce administration or architecture expertise, cross-functional collaboration, and experience managing user access and enterprise systems.

Analyzes large-scale pharmacy claims data using SQL to validate adjudication, pricing, benefits, reimbursements, and contractual compliance. Investigates discrepancies, performs root-cause analysis, quantifies financial and operational risk, supports audits and reconciliations, and develops monitoring, dashboards, reports, and analytical tools. Partners with Finance, Legal, Product, Operations, Network, and Compliance teams to improve claims accuracy, automate controls, and communicate actionable findings.

Leads analytics projects, develops recurring executive and firm-wide reports, analyzes healthcare and pharmacy claims data, and translates complex findings into actionable business insights. The role ensures data integrity, documentation, compliance, and quality controls while partnering cross-functionally with stakeholders. Responsibilities include building reports and visualizations, improving reporting methodologies, supporting process automation, presenting to leadership, and mentoring team members.

Leads enterprise compliance projects from planning through closure, managing timelines, milestones, risks, dependencies, governance, stakeholder communication, vendors, and reporting. Supports compliance program initiatives, risk assessments, regulatory requirements, technology implementations, business continuity planning, process improvement, and executive committee updates across a highly regulated healthcare environment.

Lead the Underwriting Data Analyst team supporting pharmaceutical underwriting, pricing, sales, and client retention. Manage analysts, oversee data collection and quality, develop SQL, Python, and R infrastructure, create analyses and reporting, support pricing models, review analytical outputs, and coordinate cross-functional initiatives. Train team members, manage work queues, document processes, and provide subject-matter expertise on underwriting data and systems.

Leads payroll operations and a team of Payroll Analysts, overseeing end-to-end processing, reconciliations, audits, tax administration, controls, compliance, issue resolution, and year-end activities. Partners with HR, HRIS, Benefits, Finance, and Accounting to ensure accurate payroll services. Manages payroll systems, process improvements, reporting, funding, employee concerns, and payroll-related projects while maintaining data security and operational accuracy.

Develop, maintain, test, and execute CMS-required pharmacy benefit regulatory reports. Translate CMS and business requirements into governed technical solutions using SQL and complex healthcare claims data. Manage recurring reporting deliverables, implement approved changes, automate processes, maintain documentation and reusable code, and collaborate with Government Programs and subject matter experts on requirements, risks, dependencies, and validation.

Analyzes and maintains healthcare data exchanges between the company and external partners. Responsibilities include designing EDI mappings and transformations, validating claims and eligibility data, resolving errors, monitoring data feeds, supporting integrations, documenting processes, generating performance reports, and identifying automation opportunities. The role requires healthcare EDI expertise, knowledge of claims transactions and HIPAA compliance, technical troubleshooting, and collaboration with internal teams and trading partners.