Analyst, Data Exchange (SaaS)

About Judi Health

Judi Health is a health technology company offering a wide range of benefits administration solutions for employers and health plans. This includes Capital Rx, a public benefit corporation that provides full-service pharmacy benefit management (PBM) solutions to self-insured employers; Judi Health™, which offers comprehensive health benefit management solutions for employers, TPAs, and health plans; and Judi®, the industry’s leading proprietary Enterprise Health Platform. To learn more, visit www.judi.health.

Job Summary

As a member of the Enterprise Solutions team, you will play a critical role in contributing to the success of Capital Rx’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.

Key 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 loads yield appropriate adjudication results.
• Partner with Analytics colleagues to author automated/manual test cases and monitoring processes for configurations and data loads.
• Proactively identify execution risks around build status and defects, partnering with internal Product teams and clients to surface mitigation strategies.
• 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.
• Certain times of year may require meeting participation, travel, service support or other requirements outside of standard business hours, including weekends.
• Responsible for adherence to the Capital Rx Code of Conduct, including reporting of noncompliance.

Requirements

• 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.