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Jobs at Capital Rx (Now Hiring) — 11 open

Capital Rx logoCapital Rx

Government Programs Analysis & Efficiencies Analyst

Denver, Colorado, United States · On-site

$63k–$95k/yr

Mid level$736M raised

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-se…

Skills: SQL, Healthcare Data Analysis, Government Programs Knowledge, Relational Datasets, Business Intelligence Tools

Capital Rx logoCapital Rx

Customer Care Representative (Full-Time)

Remote Solely

Mid level$736M raised

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-se…

Skills: Triage, Phone Etiquette, Customer Service, Conflict Resolution, HIPAA Compliance

Capital Rx logoCapital Rx

Customer Care Pharmacy Technician (Full-Time)

Remote Solely

Mid level$736M raised

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-se…

Skills: Pharmacy Technician Certification, Prior Authorization, Customer Service, CRM Systems, Microsoft Office Suite

Capital Rx logoCapital Rx

Underwriting Analyst

Denver, Colorado, United States · On-site

$63k–$95k/yr

Mid level$736M raised

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-se…

Skills: Financial Analysis, Underwriting, Pricing Strategies, Financial Modeling, Data Visualization

Capital Rx logoCapital Rx

Talent Sourcer (Contract)

Denver, Colorado, United States · Hybrid

$30/hr–$50/hr

Mid level$736M raised

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-se…

Skills: Passive Candidate Sourcing, Technical Recruiting, LinkedIn Recruiter, Candidate Pipeline Management, Candidate Screening

Capital Rx logoCapital Rx

Senior UX/UI Designer

Denver, Colorado, United States · On-site

$104k–$157k/yr

Senior$736M raised

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-se…

Skills: UX/UI Design, Product Design, Figma, User Research, Prototyping

Capital Rx logoCapital Rx

Manager, Analytics - Business Insights

Denver, Colorado, United States · On-site

$101k–$151k/yr

Senior$736M raised

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-se…

Skills: SQL, Python, R, Data Modeling, Stakeholder Management

Capital Rx logoCapital Rx

Account Coordinator, PBA

Denver, Colorado, United States · Remote OK

$60k–$75k/yr

Entry level$736M raised

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-se…

Skills: Client Relationship Management, PBM Knowledge, Health Plan Administration, Quality Assurance Testing, Claims Review

Capital Rx logoCapital Rx

Regulatory Change Management Analyst

Denver, Colorado, United States · Remote OK

$73k–$109k/yr

Mid level$736M raised

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-se…

Skills: Regulatory Monitoring, Impact Analysis, Medicare Part D, Medicaid, Compliance

Capital Rx logoCapital Rx

Analyst, Data Exchange - Eligibility

Denver, Colorado, United States · Remote OK

$77k–$121k/yr

Entry level$736M raised

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-se…

Skills: SQL, Excel, JSON, EDI Protocols, Data Analysis

Capital Rx logoCapital Rx

Utilization Management Appeals Technician (temp-to-hire)

Remote Solely

$60k–$65k/yr

Entry level$736M raised

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-se…

Skills: Utilization Management, Pharmacy Technician Certification, Appeals Processing, HIPAA Compliance, Customer Service

Capital Rx logo

Government Programs Analysis & Efficiencies Analyst

Capital Rx

Denver, Colorado, United States • On-site

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Mid level

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  • $63k–$95k/yr
  • Full-time
  • Posted 1d ago
  • ~40 hrs/week

Responsibilities

The analyst will utilize relational datasets to identify actionable insights and drive operational efficiencies for Medicare, Medicaid, and Exchange programs. Responsibilities include creating automated reports, documenting work products, and collaborating with cross-functional teams to align tools with regulatory requirements.

Requirements

Candidates must have 2+ years of experience in healthcare data, government programs, and SQL. Proficiency in analyzing large relational datasets and the ability to communicate findings clearly are essential.

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 Government Programs Analysis & Efficiencies Analyst will play a role in supporting the operational success of Medicare, Medicaid, and Exchange programs. Under the guidance of their manager, this analyst will utilize relational datasets to identify actionable insights that inform decisions and drive solutions that enhance efficiencies. The analyst’s responsibilities include delivering recurring and ad-hoc reports, creating standardized code templates to automate deliverables, and detailed documentation of work products. 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 relational datasets to identify trends, outliers, and opportunities for operational improvement across Medicare, Medicaid, and Exchange programs 
  • Support development and maintenance of recurring and ad-hoc reports and analytical tools to support data-driven decision-making
  • Contribute to the creation and maintenance of standardized code template repository to help streamline report generation and automation of 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, accuracy, and responsiveness across government program operations
  • Support in designing and implementing automated solutions to reduce manual effort and improve process scalability, accuracy, and efficiency
  • Uses analytical software to support the department in achieving goals as defined by executive leadership
  • Participate in requirements gathering sessions to understand business needs and translate them into actionable analytical deliverables
  • Presents and communicates analytical findings in a clear and concise manner
  • Supports root-cause-analysis and reporting of data issues/errors by partnering with key stakeholders
  • Participates in user acceptance, and quality assurance testing of new application features and team deliverables
  • Prepares high-level user documentation (Including SOPs, Job Aids, and BRDs)
  • Work with internal clients to research, develop, and document new standards to enhance reporting capabilities
  • Collaborate with cross-functional teams—including compliance, product, sales, marketing, underwriting, implementation, client services, and clinical operations—to refine and enhance operational capabilities 

 Required Qualifications:

  • 2+ years of healthcare data experience 
  • 2+ years of proven experience in government programs
  • 2+ years of experience working with SQL
  • Experience performing analyses on large sets of relational datasets
  • Experience working with cross-functional teams
  • Ability to balance multiple projects simultaneously
  • Extremely flexible, highly organized, and able to shift priorities easily
  • Self-motivated with the ability to problem solve with limited direction
  • Attention to detail & commitment to delivering high-quality work product
  • Excellent written and verbal communication skills 

 

Preferred Qualifications:

  • 2+ years of experience working with business intelligence tools 
  • 1+ year working with Python
  • 1+ year of experience working with pharmacy data
  • 1+ year of experience with Medicare (Part D), Medicaid, and/or Exchange Pharmacy Data/Processes
  • Experience with Confluence, Jira, and other Atlassian product 
New York, NY Salary Range
$76,000—$95,000 USD
Denver, CO Salary Range
$69,600—$87,000 USD
Charlotte, NC Salary Range
$63,200—$79,000 USD

All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals.

We provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. 

By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at https://www.judi.health/legal/privacy-policy.

Related keywords

SQLPythonMedicare Part DMedicaidExchange Pharmacy DataCMS GuidanceBusiness IntelligenceConfluenceJiraAtlassianSOPBRDRelational DatabasesPharmacy Benefit ManagementPBMHealthcare Technology

About Capital Rx

LinkedInVisit site
Industry
Hospitals and Health Care
Company size
501-1,000 employees
Headquarters
New York, NY
LinkedIn followers
117,570
Total funding
$736M

Capital Rx is now Judi Health! Navigate to our new page here: https://www.linkedin.com/company/judi-health

Offices: 285 Fulton St, New York, NY 10007, US

pharmacy benefit managementhealthcare analyticsbenefit strategyclaim adjudicationclinical servicesplan implementationhealth technologygroup purchasingpharmacy benefit administrationretail network management
View all jobs at Capital Rx

About Capital Rx

LinkedInVisit site
Industry
Hospitals and Health Care
Company size
501-1,000 employees
Headquarters
New York, NY
LinkedIn followers
117,570
Total funding
$736M

Capital Rx is now Judi Health! Navigate to our new page here: https://www.linkedin.com/company/judi-health

Offices: 285 Fulton St, New York, NY 10007, US

pharmacy benefit managementhealthcare analyticsbenefit strategyclaim adjudicationclinical servicesplan implementationhealth technologygroup purchasingpharmacy benefit administrationretail network management
View all jobs at Capital Rx

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