What are the responsibilities and job description for the Analyst, Client Audit and Performance position at Capital Rx?
Judi Health is a health technology company providing benefit administration solutions to employers, unions, health plans, and government entities. Judi Health replaces fragmented, outdated systems with the industry's first Unified Claims Processing architecture, seamlessly consolidating pharmacy and medical benefit administration on a single, secure platform. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels.
At Judi Health, we're deploying the infrastructure our country needs to deliver the healthcare we all deserve. We are the intelligence platform powering benefits plans for millions of Americans and proudly leading the next generation of care. To learn more, visit www.judi.health.
Position Summary
We are seeking a highly analytical and detailoriented Analyst to join our team. This role plays a key part in validating and coding audit deliverables, developing performance monitoring reporting, quantifying financial impact, and driving efficiency through automation and advanced analytics. The ideal candidate brings experience with internal controls, audit testing, and risk assessment, along with a proven ability to deliver highquality results in a fastpaced, collaborative environment.
Position Responsibilities:
- Research and analyze pharmacy claims to ensure accuracy and contractual compliance across benefit setup, pricing, and guarantees
- Perform audit risk assessments, annual logic reviews and ongoing monitoring activities
- Analyze, reconcile and validate large datasets across multiple internal systems; develop and maintain SQL/Python queries for audit reporting and performance monitoring
- Create audit deliverable reporting, quantify financial impact of potential and confirmed audit findings, and build dashboards to identify trends and risks
- Identify and implement automation and process improvements across audit, reporting, and reconciliation workflows
- Maintain and enhance code, reporting tools, and dashboards to improve reliability, efficiency, and scalability
- Define and document technical requirements, data specifications, and methodologies to support transparency and repeatability
- Collaborate with internal and technology teams to improve data quality, workflows, and controls
- Provide ad-hoc analysis to support evolving business and audit needs
Required Qualifications:
- Bachelor's degree in a quantitative or business-related field (e.g., Actuarial Science, Statistics, Economics, Finance, Data Analytics, or Business Administration)
- 2 years of of experience in data analytics, audit, or a related role
- Experience in healthcare, PBM, or pharmacy claims; knowledge of pharmacy benefits, pricing, guarantees, and pharmacy claims analysis preferred
- Proficiency with SQL (Snowflake preferred), Excel, Tableau
- Familiarity with Python and project management/version control tools (e.g., Jira, Confluence, GitHub)
- Strong attention to detail with an intellectual and professional curiosity along with a passion for continuous improvement
- Track record of leading cross-functional initiatives, driving high performance, meeting deadlines, and executing on deliverables
- Effective communicator with both technical and non-technical stakeholders
- Extremely flexible, highly organized, and able to shift priorities easily
All employees are responsible for adherence to the Judi Health 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 athttps://www.judi.health/legal/privacy-policy.
Salary : $80,800 - $121,000