Government Programs Analysis & Efficiencies Analyst

Capital Rx; New York (NY); Hybrid; USD 76,000 - 95,000; Full time

Job summary

Capital Rx is seeking a Government Programs Analysis & Efficiencies Analyst to enhance operational success across Medicare, Medicaid, and Exchange programs. This role focuses on analyzing relational datasets, generating reports, and optimizing processes to drive healthcare efficiencies.

The ideal candidate will possess 2+ years of healthcare data experience, knowledge of SQL, and excellent communication skills. A flexible and self-motivated individual is preferred to help design automated solutions for streamlined workflows.

Qualifications

• 2+ years of healthcare data experience.
• Proven experience in government programs.
• Experience with SQL and large sets of relational datasets.

Responsibilities

• Analyze relational datasets to identify trends and opportunities for improvement.
• Support development of reports and analytical tools.
• Create standardized code templates to streamline report generation.

Skills

Healthcare data experience

SQL

Communication skills

Analytical skills

Education

2+ years of experience in government programs

2+ years of experience with relational datasets

Tools

Business intelligence tools

Python

Confluence

Jira

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. Responsibilities include delivering recurring and ad‑hoc reports, creating standardized code templates to automate deliverables, and documenting work products in detail. The analyst also contributes to process optimization by designing scalable, automated solutions that streamline workflows and minimize manual intervention.

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 a standardized code‑template repository to streamline report generation and automate 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
• Use 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
• Present and communicate analytical findings in a clear and concise manner
• Support root‑cause analysis and reporting of data issues/errors by partnering with key stakeholders
• Participate in user acceptance and quality assurance testing of new application features and team deliverables
• Prepare 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 products

Salary Range

New York, NY: $76,000—$95,000 USD

Denver, CO: $69,600—$87,000 USD

Charlotte, NC: $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.