Judi Health
Healthcare
GovernmentProgramOperationsSpecialist
Neural analysis suggests this role is
optimal for Entry candidates.
“Government Program Operations Specialist at Judi Health. Skills: Government Programs Operations, Medicare Part D, Medicaid, Exchange business, CMS disputes, PDE reconciliation. coordinating the day-to-day operations and activities of the Government Programs Operations team. Manage the Government Programs Operations team shared Outlook mailbox”
What You'll Achieve.
timely, accurate and complete responses; ensuring timeframes for deliverables; ensuring compliance with regulatory requirements and internal Government Operations procedures; improve system performance and data integrity; operational consistency and scalability; driving process standardization; ensure data accuracy and compliance; advance operational objectives; support broader organizational goals
Industry & Context.
issue resolution; identifying discrepancies; providing recommendations to improve system performance and data integrity; identifying efficiency opportunities; identifying variances; proactively addressing discrepancies; critical thinking; root cause analysis
What They're Looking For.
Must Have
3+ years of experience in an equivalent role, High school diploma required, Organizational skills and a very keen eye for detail and accuracy., A positive and upbeat attitude, and excellent interpersonal communication skills., A commitment to delivering a high level of customer service, both internally and externally., Flexibility to respond to a range of different work situations., An ability to work under pressure and juggle multiple priorities at any given time., An ability to work well independently and be an effective collaborator within and across teams.
Nice to Have
Experience with Medicare Part D and/or Pharmacy Technician experience preferred, Experience working in high-growth, startup environments - an advantage.
What You'll Do.
coordinating the day-to-day operations and activities of the Government Programs Operations team
Manage the Government Programs Operations team shared Outlook mailbox
Lead and execute pharmacy outreach initiatives related to CMS disputes
Serve as a key contributor in the validation of system enhancements
and continuously improve structured documentation frameworks
Develop and optimize internal workflows and job aids
Oversee daily PDE reconciliation activities
Manage and resolve escalations arising from claims monitoring activities
Support strategic Government Programs Operations initiatives
How You'll Work.
Team & Collaboration
cross-functional collaboration; Collaborate closely with Government Programs Operations team members and business partners; effective collaborator within and across teams
Communication Scope
excellent interpersonal communication skills
Process & Methodology
Plan, coordinate, and facilitate cross-functional meetings to drive alignment, resolve issues, and advance operational objectives.
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 Denver or NYC area) Position Summary: The Government Programs Operations Specialist is a hands-on position responsible for coordinating the day-to-day operations and activities of the Government Programs Operations team. This position provides the candidate a career growth opportunity while learning about Medicare Part D, Medicaid and Exchange business. Position Responsibilities: Manage the Government Programs Operations team shared Outlook mailbox, including but not limited to timely, accurate and complete responses, and ensuring timeframes for deliverables. Lead and execute pharmacy outreach initiatives related to CMS disputes, ensuring compliance with regulatory requirements and internal Government Operations procedures while applying judgment in communication strategy and issue resolution Serve as a key contributor in the validation of system enhancements, including evaluating output data, identifying discrepancies, and providing recommendations to improve system performance and data integrity. Design, maintain, and continuously improve structured documentation frameworks, including job aids, policies and procedures (P&Ps), standard operating procedures (SO
Applying for this Government Program Operations Specialist role?
Most applicants get filtered before a human reads their resume. See if yours makes the cut.
How to Apply on Greenhouse
- Create a Greenhouse profile before applying — it saves time across multiple applications.
- Upload your resume as a PDF; the parser handles it better than Word.
- Answer all knockout questions carefully — wrong answers auto-reject before a human sees you.
- Enable email notifications to track application status in real time.
ANONYMOUS · UNFILTERED
What do employees actually say about Judi Health?
Real rants from real employees. Read before you apply.