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Judi Health
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14 of 14 jobs
Open Positions
Leads Government Programs support for Exchange business functions. Partners with SMEs to analyze regulatory changes and determine implications. Provides key insights on Exchange functions using data analysis.
Regulatory Requirements
Project Management
Communication
Data Analysis
PBM
Facilitate Scrum events and coach teams to self-organize and continuously improve. Foster collaboration between Scrum Teams and stakeholders. Identify and remove impediments to team progress.
Agile
Scrum
Jira
CI/CD
Stakeholder Engagement
Serve as the Medicare coverage determinations and redeterminations subject matter expert. Create and uphold robust policies and procedures for coverage determinations and redeterminations in accordance with CMS guidelines. Recruit, onboard, train, and manage Medicare PA and Appeals pharmacists and technicians.
Medicare
Microsoft Office Suite
Written Communication
Lead design and implementation of user-facing features and backend services. Build accessible, performant UIs with TypeScript, React (React Router / Next.js, HTML, and CSS. Implement robust REST APIs in Python (FastAPI/Flask); design schemas and write efficient SQL.
React
TypeScript
Python
SQL
REST APIs
Assist with demand generation activities, including campaign setup, email execution and performance tracking. Support the content marketing team by maintaining the content calendar and conducting research. Provide light graphic design support and collaborate with product marketing to maintain collateral.
Marketing
Communications
Excel
Google Analytics
Graphic Design
Attend new client implementation meetings with external partners to discuss eligibility requirements and protocols Recommend eligibility file formats to external partners and coordinate receipt and processing of eligibility data Acting as a healthcare data subject matter expert on Eligibility guidelines and Electronic Data Interchange (EDI) protocols
SQL
Excel
JSON
PBM
EDI
Work with Data Exchange partners and internal teams to maintain Data Exchange data feeds. Serve as a point of coordination for Data Exchange identification and issue resolution. Proactively monitor system status to quickly identify potential abnormalities.
SQL
Excel
JSON
Data Analysis
PBM
Manage full-cycle AP process, ensuring timely and accurate payments and invoicing Reconcile multiple cash accounts across various entities and ensure timely and accurate posting of related journal entries Assist with general ledger entries and month-end close activities
GAAP
Excel
Accounting
Finance
Monitors for changes in existing business processes and updates documentation accordingly Finds new opportunities for process developments and improvements Drives root-cause-analysis and resolution of data and processes issues/errors by partnering with key stakeholders
SQL
Excel
Data Analysis
Project Management
Communication
Champion the use of DBT, GitHub, and modern data stack tools to improve code quality, reproducibility, and collaboration. Design and maintain modular, scalable data models in DBT to support reporting and analysis. Conduct data modeling and analysis to generate insights that inform business strategy and process improvements.
SQL
Python
DBT
GitHub
Data Analysis
Build and maintain trusting relationships with clients through service. Accountable for accurate and timely transition of new clients into the platform. Provide ongoing client support to troubleshooting inquiries.
Project Management
Prioritization
Organizational Skills
Microsoft Office Suite
Communication
Direct and execute day-to-day pricing and underwriting. Collaborate with various team to refine financial models. Present final underwriting to leadership, articulating potential risk.
Financial Analysis
Data Visualization
Risk Management
Excel
SQL
Support RFP/RFI opportunities for new and renewal PBM opportunities with low to moderate complexity. Support the creation and maintenance of consultant templates for assigned channel partners. Create and refine SOPs to support RFP response development and submission working in collaboration with proposal managers and directors.
Microsoft Office
Adobe
Project Management
Draft and negotiate legal documents for day-to-day operations and company transactions. Conduct legal due diligence to identify potential legal risks and liabilities. Ensure all transactions comply with relevant laws and regulations.
M&A
Legal Research
Negotiation
Communication