Jobs at Judi Health

Conduct full-cycle recruiting for technical, clinical, and operations roles. Responsibilities include sourcing passive candidates, screening applicants, partnering with hiring managers, coordinating interviews and feedback, extending offers, maintaining talent pipelines, tracking recruiting metrics, and improving talent acquisition processes while delivering an exceptional candidate experience.

Provides healthcare regulatory legal advice to leadership and business teams, focusing on Medicare, Medicaid, health plan regulations, compliance investigations, regulatory change management, audits, policy development, and operational risk. Advises on products, business initiatives, and regulatory enforcement while supporting responsible company growth in a highly regulated healthcare technology environment.

Coordinates interviews across time zones, maintains ATS records, supports job postings and candidate communications, collects feedback, assists with offers and onboarding, tracks recruiting data, and improves Talent Acquisition processes while providing an excellent candidate experience.

Analyze medical and pharmacy claims, eligibility, provider, utilization, cost, and financial data to identify healthcare trends, cost drivers, risks, and savings opportunities. Partner with actuarial, finance, underwriting, clinical, product, and client-facing teams on forecasting, pricing, benchmarking, ROI evaluations, risk assessment, and strategic healthcare initiatives. Translate complex findings into executive-ready recommendations while developing scalable analytical frameworks, models, dashboards, and quality controls.

Leads risk-based operational initiatives, audits, performance guarantees, and client-impacting issues from intake through resolution. Manages Analysts, establishes governance and workflows, coordinates cross-functional workstreams, and develops dashboards, KPIs, and reporting. Partners with Risk Management, Legal, Compliance, Finance, Client Services, Analytics, and Technology to identify risks, optimize processes, improve automation, and provide leadership with actionable operational insights.

Lead full-stack software development from design through delivery for Judi Health’s healthcare benefits platform. Partner with product, design, and QA teams to define requirements, build scalable features, provide technical leadership and support, and expand the platform using Python, AWS, React, TypeScript, and PostgreSQL in an Agile/Scrum environment.

Build and maintain Snowflake data models using dbt, improve data quality and observability, define data contracts, and support a modular healthcare data platform. Collaborate with analysts, data scientists, and software engineers to deliver trusted datasets. Responsibilities include pipeline monitoring, incident troubleshooting, performance and cost optimization, design reviews, documentation, and knowledge sharing. The role requires strong SQL and Python, data modeling, orchestration, CI/CD, cloud data warehouse, security, governance, and healthcare data knowledge.

Manage and support analytics initiatives, mentor analysts, prioritize business-critical projects, and develop scalable data processes. Conduct data modeling and analysis, maintain data quality, automate workflows, and translate complex findings into actionable recommendations. Partner with product managers, business leaders, clients, and executives to advance data-driven decision-making while supporting compliance, reporting standards, and stakeholder needs.

Administer and enhance Okta identity platforms, RBAC frameworks, access governance, and automated provisioning workflows. Lead IT projects involving identity, endpoints, SaaS platforms, and security controls; resolve complex escalations; improve onboarding and offboarding; support audits and compliance; create documentation and automation; partner cross-functionally; mentor junior engineers; and participate in on-call rotations.

Lead and scale quality assurance across engineering teams by managing QA engineers, defining automation and testing strategy, integrating frameworks with CI/CD, establishing quality metrics, and improving test coverage, data management, performance testing, and environment stability. Collaborate with product and engineering leadership, promote shift-left and exploratory testing, ensure regulatory compliance, and foster continuous improvement across distributed Scrum teams.

Leads a high-profile PBM client portfolio and supervises account executives, ensuring client satisfaction, retention, issue resolution, and relationship development. Manages escalations, onboarding support, strategic reviews, renewals, and client presentations while collaborating cross-functionally to improve processes and create account-management procedures. Mentors team members, monitors industry trends and regulations, and supports strategic planning and service delivery improvements.

The Legal Operations Specialist manages legal department workflows, technology tools, contracting processes, intake, metrics, reporting, and stakeholder coordination. Responsibilities include administering CLM and document-management systems, maintaining contract playbooks, training users, tracking KPIs and deadlines, supporting contract drafting and negotiation, assisting with budgets, and leading process-improvement initiatives across legal and business teams.

Supports Medicare Part D formulary development, maintenance, utilization management, CMS submissions, regulatory compliance, claims adjudication, testing, quality assurance, and client implementations. Evaluates drug strategies, formulary changes, rebates, and clinical criteria while collaborating with analytics, operations, clients, and regulatory stakeholders. Provides audit support, troubleshoots claims, develops member materials, and contributes to quality improvement and automation initiatives.

Manages non-standard healthcare billing operations, including invoice preparation, data validation, contract review, and reconciliation between ERP and adjudication systems. Analyzes multi-source billing data, investigates discrepancies, prepares journal entries and adjustments using SQL, and improves processes through automation. Partners with internal and external stakeholders across commercial, private, public, and government health plans while ensuring billing accuracy and procedural compliance.

Supports pharmacy benefit data exchange by developing, validating, monitoring, and troubleshooting eligibility, claims, formulary, and network feeds. Performs reconciliations, manual claims support, historical data loads, connectivity setup, and issue resolution. Collaborates with operations, implementation, product, development, clients, and integration partners. Documents procedures, improves workflows, and ensures compliance with PBM, Medicare, Medicaid, HIPAA, security, and data governance requirements.

Lead development of scalable backend systems, enterprise API integrations, data migrations, and cloud-native applications for a health technology platform. Build Python services using Flask and AWS serverless technologies, design PostgreSQL-backed systems, ensure security and observability, conduct code reviews, and provide technical leadership. Collaborate with product teams, clients, and stakeholders to gather requirements, make architectural decisions, and deliver complex integrations and software projects.

Supports clinical account management for health plan and pharmacy benefit clients. Responsibilities include implementing plans and formularies, analyzing pharmacy claims data, explaining clinical programs and regulatory requirements, advising clients on formulary and plan strategies, resolving clinical inquiries, supporting renewals and sales initiatives, and leading process improvements. The role requires collaboration across teams, client presentations, quality control, and occasional work outside standard business hours.

Leads analytics projects involving pharmacy and medical claims data, reporting frameworks, compliance, utilization, and financial insights. Partners with clients and cross-functional stakeholders to translate business questions into analyses and recommendations. Presents findings to technical and executive audiences, improves reporting methodologies, ensures data quality, mentors analysts, and contributes to scalable analytics standards and reusable assets.

Supports Medicare Part D EGWP implementation, enrollment, member services, communications, CMS compliance, audits, reporting, KPI monitoring, issue resolution, and corrective actions. The role oversees delegated entities and collaborates with internal teams and employer groups to ensure timely, accurate, and compliant health plan operations. It also develops policies, procedures, workflows, and work instructions.

Support and evolve cloud infrastructure, Snowflake administration, CI/CD pipelines, security initiatives, containerized workloads, and infrastructure-as-code practices. The role develops automation with Python and Terraform, supports AWS and Docker environments, assists with compliance and vulnerability remediation, reviews platform pull requests, and participates in a 24/7 production on-call rotation.