Medicare Programs Operations Specialist

Judi Health; New York (NY); Hybrid; USD 80,000 - 100,000; Full time

Job summary

Judi Health is seeking a Government Programs Operations Specialist to ensure smooth coordination of the Medicare Prescription Payment Plan (MPPP). You will organize documentation, track tickets, support testing, and maintain QA reviews to promote accuracy and regulatory compliance.

Based in NY/CO/NC, this hybrid role requires 1–3 years in operations or healthcare administration, with strong organizational and communication skills to manage multiple cross-functional tasks and client expectations.

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.

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.

Skills

Operations coordination

Healthcare administration

Documentation

Project tracking

Quality assurance

Regulatory compliance

Cross-functional teamwork

Communication skills

Education

Associate/Bachelor degree preferred

Tools

Ticketing systems

Project tracking

Workflow management

Job description

Judi Health is seeking a Government Programs Operations Specialist to ensure smooth coordination of the Medicare Prescription Payment Plan (MPPP). You will organize documentation, track tickets, support testing, and maintain QA reviews to promote accuracy and regulatory compliance.

Based in NY/CO/NC, this hybrid role requires 1–3 years in operations or healthcare administration, with strong organizational and communication skills to manage multiple cross-functional tasks and client expectations.