Medicare Programs Operations Specialist

Judi Health, LLC; New York, Northern (NY, KY); Hybrid; USD 87,000 - 109,000; Full time

Job summary

Judi Health is seeking a Government Programs Operations Specialist to provide operational and administrative support for the Medicare Prescription Payment Plan program. You will organize documentation and support cross-functional teams to meet regulatory and client requirements.

You will track tickets, assist with testing, and support QA reviews for member communications, invoices, and program materials to ensure accuracy and compliance. This is a hybrid role local to NY, Denver, or Charlotte.

Qualifications

• 1–3 years in operations, program coordination, healthcare administration, or related roles.
• 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 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.
• Exposure to healthcare regulatory or compliance environments (CMS, Medicare) is a plus.
• Strong written and verbal communication across 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 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 elevate 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

Organization

Detail orientation

Cross-functional coordination

Multitasking

Communication

Education

Associate’s degree

Bachelor’s degree

Tools

Ticketing systems

Project tracking tools

Workflow management platforms

Job description

Judi Health is seeking a Government Programs Operations Specialist to provide operational and administrative support for the Medicare Prescription Payment Plan program. You will organize documentation and support cross-functional teams to meet regulatory and client requirements.

You will track tickets, assist with testing, and support QA reviews for member communications, invoices, and program materials to ensure accuracy and compliance. This is a hybrid role local to NY, Denver, or Charlotte.