Government Program Operations Specialist

Judi Health; Charlotte (NC); Hybrid; USD 73,000 - 91,000; Full time

Job summary

Judi Health in Charlotte, NC is seeking a Government Programs Operations Specialist to coordinate Medicare Prescription Payment Plan activities, maintain documentation, and support cross-functional teams to meet regulatory and client requirements.

You will track tickets, support testing of system updates, assist with QA reviews of member communications and invoices, and monitor deliverables and SLAs to ensure timely client reporting and program outputs.

Qualifications

• 1-3 years of experience in operations, program coordination, healthcare administration, or a related role (Medicare, PBM, or managed care experience preferred).
• Associate’s or Bachelor’s degree preferred; High school diploma or equivalent required.
• Strong organizational skills with attention to detail in documentation, tracking, and quality review.
• Experience managing multiple workstreams, meeting coordination, task tracking, and deliverable management.
• Familiarity with ticketing systems, project tracking tools, or workflow platforms.
• Experience supporting testing, QA, or validation for operational processes or communications.
• Exposure to healthcare regulatory environments (CMS/Medicare) is a plus.
• Strong written and verbal communication; ability to summarize issues for cross-functional teams.

Responsibilities

• Create, maintain and organize program documentation, including SOPs, job aides, FAQs, and control documentation.
• Submit and track development tickets; monitor progress and follow up to ensure timely completion of enhancements and fixes.
• Support testing of systems or process updates to validate functionality and align with business requirements.
• Support QA reviews of member notices, invoices and other communications for accuracy and compliance.
• Track deliverables, timelines, and SLAs to ensure timely client reporting and program outputs.
• Monitor program activities and escalate issues, risks, or discrepancies; assist in remediation.
• Coordinate internal and external (client) meetings; prepare agendas, notes, and action-item tracking.

Skills

Operations

Coordination

Healthcare administration

Medicare

PBM

Managed care

Documentation

Ticketing systems

Project tracking

QA/testing

Cross-functional

Education

Bachelor's degree preferred

High school diploma required

Tools

Ticketing systems

Project tracking tools

Workflow management platforms

Job description

About Judi Health

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.

Hybrid (Local to New York, NY, Denver, CO or Charlotte, NC)

Position Summary

The Government Programs Operations Specialist (MPPP) provides operational and administrative support to ensure the successful coordination, implementation, and ongoing management of the Medicare Prescription Payment Plan (MPPP) program. This role focuses on organizing program activities, creates and maintains program level documentation, and supporting cross-functional teams to meet regulatory, client, and internal requirements. The Specialist also assists with tracking and testing technical development work, and supports quality assurance reviews for member communications, invoices, and program materials to promote compliance and accuracy. This position is critical to maintaining efficient program operations and mitigating risks associated with growth, compliance, and client expectations.

Position Responsibilities

• Create, maintain and organize program documentation, including SOPs, job aides, FAQs, and control documentation.
• Submit and track development tickets; monitor progress and follow up to ensure timely completion of enhancements and fixes.
• Support testing of system(s) or process updates to validate functionality and ensure outcomes meet business requirements.
• Support quality assurance reviews of member notices, invoices and other communications to ensure accuracy, completeness, and compliance.
• Track deliverables, timelines, and service level agreements (SLAs) to ensure timely completion of client reporting and program outputs.
• Monitor program activities and escape issues, risks, or discrepancies; assist in issue tracking and remediation efforts
• Coordinate internal and external (client) meetings; prepare and maintain meeting agendas, notes, and action item tracking.

Required Qualifications

• 1-3 years of experience in operations, program coordination, healthcare administration, or a related role (Medicare, PBM, or managed care experience preferred).
• Associate’s or Bachelor’s degree preferred; High school diploma or equivalent required.
• Strong organizational skills with demonstrated attention to detail and accuracy, particularly in documentation, tracking, and quality review activities.
• Experience managing multiple workstreams, including meeting coordination, task tracking, and deliverable management in a deadline-driven environment.
• Familiarity with ticketing systems, project tracking tools, or workflow management platforms
• Experience supporting testing, quality assurance, or validation activities for operational processes, systems, or communications preferred.
• Exposure to healthcare regulatory or compliance environments (e.g., CMS, Medicare, notices, audits) is a plus.
• Strong written and verbal communication skills, including the ability to document meeting outcomes, summarize issues, and communicate with cross-functional teams and clients.
• Proven ability to work both independently and collaboratively across teams while managing competing priorities.

New York, NY Salary Range: $87,000 USD - $109,000 USD

Denver, CO Salary Range: $80,000 USD - $100,000 USD

Charlotte, NC Salary Range: $72,800 USD - $91,000 USD

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 at https://www.judi.health/legal/privacy-policy.