Lead Analyst, Analysis & Efficiencies

Capital Rx; New York (NY); Hybrid; USD 100,000 - 150,000; Full time

Job summary

Judi Health in New York, NY is seeking a Lead Analyst, Analysis and Efficiencies to advance operational excellence across government programs including Medicare, Medicaid, and Exchange. You will translate strategic direction into actionable insights and mentor a team of analysts to deliver compliant, scalable solutions.

The role requires 5+ years in healthcare operations or data analysis, strong regulatory knowledge, and advanced data tooling skills.

Qualifications

• Bachelor's degree in business, Data Analytics, Health Administration, or related field.
• 5+ years of experience in healthcare operations, government programs, or data analysis.
• Strong understanding of Medicare, Medicaid, and Exchange regulatory requirements.
• Proven leadership experience managing or mentoring analysts.
• Advanced proficiency in data analysis tools (Excel, SQL, BI platforms).
• Excellent problem-solving, communication, and organizational skills.

Responsibilities

• Mentor a team of 5-7 analysts, ensuring high-quality deliverables and adherence to timelines.
• Prioritize tasks to meet operational and regulatory requirements.
• Serve as the first point of escalation for analyst questions and issues.
• Lead efforts to identify inefficiencies and recommend process improvements across government program operations.
• Collaborate with the Manager to design and implement automated solutions and scalable workflows.
• Validate accuracy and integrity of outgoing deliverables, including reports and operational tools.
• Interpret CMS and state guidance and ensure analyst team understands and applies regulatory requirements.
• Partner with internal subject matter experts to confirm system capabilities align with compliance and client needs.
• Work closely with compliance, product, sales, marketing, underwriting, implementation, client services, and clinical operations to support operational enhancements.
• Communicate findings and recommendations effectively to stakeholders.
• Oversee complex data analysis to identify trends, anomalies, and opportunities for optimization.
• Develop detailed specifications for reports and dashboards that support decision-making.
• Ensure consistency and accuracy in data-driven insights provided by the analyst team.
• Responsible for adherence to the Judi Rx Code of Conduct, including reporting of noncompliance.

Skills

Leadership

Data analysis

Communication

Problem solving

Regulatory knowledge

Education

Bachelor's degree

Tools

Excel

SQL

BI 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. 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.

Location:Hybrid 3 days (offices in NYC, Denver, CO and Charlotte, NC area)

Position Summary:

The Lead Analyst, Analysis and Efficiencies within Government Program Operations, plays a pivotal role in advancing operational excellence across government programs including Medicare, Medicaid, and Exchange. This position serves as a key technical and analytical resource, helping translate strategic direction into actionable insights for the analyst team. The Lead Analyst supports the Manager by guiding peers through complex analytical work, fostering best practices, and promoting efficient, compliant processes. By mentoring team members and contributing to scalable, data driven solutions, the Lead Analyst ensures the organization can meet evolving regulatory requirements and operational demands with consistency and precision.

Position Responsibilities

Team Leadership & Oversight

• Mentor a team of 5-7 analysts, ensuring high-quality deliverables and adherence to timelines.
• Prioritize tasks to meet operational and regulatory requirements.
• Serve as the first point of escalation for analyst questions and issues.

Operational Analysis & Process Improvement

• Lead efforts toidentifyinefficiencies and recommend process improvements across government program operations.
• Collaborate with the Manager to design and implement automated solutions and scalable workflows.
• Validate accuracy and integrity of outgoing deliverables, including reports and operational tools.

Regulatory & Technical Alignment

• Interpret CMS and state guidanceand ensure analyst team understands and applies regulatory requirements.
• Partner with internal subject matter experts to confirm system capabilities align with compliance and client needs.

Cross-Functional Collaboration

• Work closely with compliance, product, sales, marketing, underwriting, implementation, client services, and clinical operations to support operational enhancements.
• Communicate findings and recommendations effectively to stakeholders

Data Analysis & Reporting

• Oversee complex data analysis toidentifytrends, anomalies, and opportunities for optimization.
• Develop detailed specifications for reports and dashboards that support decision-making.
• Ensure consistency and accuracy in data-driven insights provided by the analyst team.
• Responsible for adherence to the Judi Rx Code of Conduct, including reporting of noncompliance.

Required Qualifications

• Bachelor's degree in business, Data Analytics, Health Administration, or related field.
• 5+ years of experience in healthcare operations, government programs, or data analysis.
• Strong understanding of Medicare, Medicaid, and Exchange regulatory requirements.
• Proven leadership experience managing or mentoring analysts.
• Advancedproficiencyin data analysis tools (Excel, SQL, BI platforms).
• Excellent problem-solving, communication, and organizational skills.

Salary Range

• New York, NY Salary Range: $120,000 — $150,000 USD
• Denver, CO Salary Range: $110,400 — $138,000 USD
• Charlotte, NC Salary Range: $100,400 — $125,500 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 athttps://www.judi.health/legal/privacy-policy.