Judi Health
Healthcare
Analyst,Data
Neural analysis suggests this role is
optimal for Entry candidates.
“Analyst, Data at Judi Health. Skills: Data analysis, Data management, SQL, Customer service, Project management. Configuration, load, and maintenance of data from previous adjudication systems into Judi. Provide customers with subject matter expertise in Judi’s capabilities”
What You'll Achieve.
Ensuring successful migration to the adjudication platform, with parity of all logic and initiatives; Meeting or exceeded service level metrics; Swift resolution and communication within service level agreements
Industry & Context.
Devise a repeatable process; Proactively identify execution risks; Surface mitigation strategies; Take charge of critical issues or problems
Certain times of year may require meeting participation, travel, service support or other requirements outside of standard business hours, including weekends, Ability to travel 5-10%
What They're Looking For.
Must Have
1+ years of experience in an Analyst role, Software Engineering role or related work experience, 1+ year of PBM or Health Plan operations experience handling adjudication configurations, Experience performing complex analyses on large sets of data, Knowledge of data management, statistics, modeling, Experience working with structured and unstructured data, Proficient in SQL, JSON, Java, R, Excel, and other data visualization tools, Track record of leading cross-functional initiatives, driving high performance, meeting deadlines, and executing on deliverables, Exceptional project / time management, prioritization, and organizational skills to ensure customer satisfaction, Ability to shift between competing priorities and meet organizational goals, Excellent verbal, written, interpersonal and presentation skills, Ability to work effectively with virtual teams
Nice to Have
Bachelor's Degree preferred, or equivalent combination of education, training, and experience, Experience working with AWS Redshift
What You'll Do.
and maintenance of data from previous adjudication systems into Judi
Provide customers with subject matter expertise in Judi’s capabilities
Devise a repeatable process for implementing data in Judi
Establishing key milestones
Maintaining up to date project plan
Build and maintain trusting relationships with customers
Perform QA and claims testing
Partner with Analytics colleagues to author automated/manual test cases and monitoring processes
Proactively identify execution risks around build status and defects
Contribute to playbooks/templates that scale configurations for future client onboardings
Take charge of critical issues or problems to key stakeholders
Ensuring swift resolution and communication within service level agreements
How You'll Work.
Team & Collaboration
Partner with Analytics colleagues; Partnering with internal Product teams and clients; Ability to work effectively with virtual teams
Communication Scope
Excellent verbal, written, interpersonal and presentation skills
Process & Methodology
Leading cross-functional initiatives, Driving high performance, Meeting deadlines, Executing on deliverables, Exceptional project / time management, Prioritization, Organizational skills, Ability to shift between competing priorities
Full Job Description
About Judi Health Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Capital 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. Together with our clients, we’re rebuilding trust in healthcare in the U. S. and deploying the infrastructure we need for the care we deserve. To learn more, visit www.judi.health. Location: Remote (For Non-Local) or Hybrid (Local to NYC area or Denver, CO) Position Summary: As a member of the Enterprise Solutions team, you will play a critical role in contributing to the success of Judi Health’s customers leveraging Judi, our Enterprise Health Platform, to service their own pharmacy administrative needs. The Enterprise Solutions team seeks individuals who are passionate to change the landscape of claims processing while providing superior service. This individual will hold responsibility for the setup and ongoing maintenance of accumulator, claims and override data in Judi. Position Responsibilities: Accountable for configuration, load, and maintenance of data from previous adjudication systems into Judi. Provide customers with subject matter expertise in Judi’s capabilities, ensuring successful migration to the adjudication platform, with parity of all logic and initiatives. Devise a repeatable process for implementing data in Judi, establishing key milestones, and maintaining up to date project plan. Build and maintain trusting relationships with customers through superior customer service, meeting or exceeded service level metrics. Perform QA and claims testing to validate that data loa
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