Lead Analyst, Government Programs (Hybrid)

Capital Rx; Charlotte (NC); Hybrid; USD 100,000 - 126,000; Full time

Job summary

Judi Health is seeking a Lead Analyst, Analysis and Efficiencies within Government Program Operations to drive operational excellence across Medicare, Medicaid, and Exchange programs. You will mentor a team of analysts, translate strategic goals into actionable insights, and promote scalable, compliant processes.

You will collaborate with cross-functional teams to design automated solutions, validate data integrity, and ensure regulatory alignment with CMS guidance.

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.
• 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

Regulatory knowledge

Communication

Education

Bachelor's degree

Tools

Excel

SQL

BI platforms

Job description

Judi Health is seeking a Lead Analyst, Analysis and Efficiencies within Government Program Operations to drive operational excellence across Medicare, Medicaid, and Exchange programs. You will mentor a team of analysts, translate strategic goals into actionable insights, and promote scalable, compliant processes.

You will collaborate with cross-functional teams to design automated solutions, validate data integrity, and ensure regulatory alignment with CMS guidance.