Judi Health
Healthcare
SeniorAnalyst,GovernmentProgramsOperations-Analysis&Efficiencies
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optimal for Senior candidates.
“Senior Analyst, Government Programs Operations - Analysis & Efficiencies at Judi Health. Skills: Data analysis, Business intelligence, SQL, R, Python, Power BI, Government Programs Operations. Analyze complex datasets to identify trends, outliers, and opportunities for operational improvement across Medicare, Medicaid, and Exchange programs. Develop and maintain recurring and ad-hoc reports, dashboards, and analytical tools to support data-driven decision-making”
What You'll Achieve.
enhance efficiency and reduce manual efforts; inform strategic decisions and drive ongoing improvement; streamline workflows and minimize manual intervention; enhance efficiency, accuracy, and responsiveness across government program operations; reduce manual effort and improve process scalability and accuracy; achieving goals as defined by executive leadership; ensure that encounter, recovery, and cost savings regulations are met; refine and enhance operational capabilities
Industry & Context.
Analyze complex datasets to identify trends, outliers, and opportunities for operational improvement; Support root-cause-analysis and reporting of encounter data issues/errors
What They're Looking For.
Must Have
4+ years of healthcare data experience, 4+ years of experience working with SQL, R, or Python, 4+ years of experience working with business intelligence tools, Experience performing analyses on large sets of data, Knowledge of data management, statistics, modeling concepts, Experience working with cross-functional teams, Experience with Power BI or other data visualization tools, Ability to balance multiple complex projects simultaneously, Extremely flexible, highly organized, and able to shift priorities easily, Attention to detail & commitment to delivering high-quality work product, Bachelor's degree in Business Administration, Data Analytics or 4+ years of relevant experience
Nice to Have
4+ years of proven experience in government programs, 3+ years of experience working with pharmacy data, Experience with Medicare(Part D), Medicaid, and/or Marketplace Pharmacy Data/Processes
What You'll Do.
Analyze complex datasets to identify trends
and opportunities for operational improvement across Medicare
and Exchange programs
Develop and maintain recurring and ad-hoc reports
and analytical tools to support data-driven decision-making
Create and maintain a repository of standardized code templates to streamline report generation and automate 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
and responsiveness across government program operations
Design and implement automated solutions to reduce manual effort and improve process scalability and accuracy
Implements and uses analytical software to support the department in achieving goals as defined by executive leadership
Facilitate requirements gathering sessions to understand business needs and translate them into actionable analytical deliverables
Analyzes business workflow and system needs for conversions and migrations to ensure that encounter
and cost savings regulations are met
Presents and communicates complex analytical findings in a clear and concise manner
Participates in user acceptance
and quality assurance testing of new application features and team deliverables
Supports root-cause-analysis and reporting of encounter data issues/errors by partnering with key stakeholders
Provides operationally support
Prepares high-level user documentation and training materials as needed
Work with internal and external clients to research
and document new standards to enhance reporting capabilities
Collaborate with cross-functional teams—including compliance
and clinical operations—to refine and enhance operational capabilities
Responsible for adherence to the Capital Rx Code of Conduct
including reporting of noncompliance.
How You'll Work.
Team & Collaboration
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.; Collaborate with cross-functional teams—including compliance, product, sales, marketing, underwriting, implementation, client services, and clinical operations—to refine and enhance operational capabilities.
Communication Scope
Presents and communicates complex analytical findings in a clear and concise manner
Process & Methodology
Ability to balance multiple complex projects simultaneously
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. Position Summary: The Senior Analyst, Government Programs Operations - Analysis & Efficiencies will play a pivotal role in supporting the operational success of Medicare, Medicaid, and the Exchange programs. This analyst develops data-driven solutions that enhance efficiency and reduce manual efforts. Under the guidance of the Operations Manager, this analyst utilizes complex datasets to identify actionable insights that inform strategic decisions and drive ongoing improvement. The analyst’s responsibilities encompass delivering recurring and ad-hoc reports, designing and leading the implementation of BI dashboards, and creating standardized code templates to automate deliverables. 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. Position Responsibilities: Analyze complex datasets to identify trends, out
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