Pharmacy Claims Analytics Specialist

Judi Health, LLC; Port Charlotte (FL); Hybrid; USD 111,000 - 189,000; Full time

Job summary

Judi Health, LLC is seeking a highly analytical Analyst to join our Analytics team to support pharmacy claims integrity, adjudication validation, and operational excellence. The role will use SQL and large-scale pharmacy claims data to investigate outcomes and ensure claims adjudicate accurately per contracts and regulations.

The ideal candidate combines strong analytical and technical skills with curiosity about pharmacy claims processing and will partner with Finance, Legal, Product,

Qualifications

• 4-6 years of experience in healthcare analytics, pharmacy analytics, PBM operations, or related field.
• Advanced SQL skills and ability to analyze large datasets.
• Experience with pharmacy reimbursement, network pricing, or financial reconciliation.
• Ability to interpret complex pricing terms and convert to documented calculations and test cases.

Responsibilities

• Analyze and validate pharmacy claims using SQL and analytical tools.
• Collaborate with Finance, Legal, Product, Operations, Network, and Compliance teams.
• Develop dashboards and reports to support claims oversight and decision-making.
• Identify risks and support audits, regulatory reviews, and process improvements.

Skills

Advanced SQL

Healthcare analytics

PBM operations

Data storytelling

Tools

SQL

Excel

Dashboard tools

Job description

Judi Health, LLC is seeking a highly analytical Analyst to join our Analytics team to support pharmacy claims integrity, adjudication validation, and operational excellence. The role will use SQL and large-scale pharmacy claims data to investigate outcomes and ensure claims adjudicate accurately per contracts and regulations.

The ideal candidate combines strong analytical and technical skills with curiosity about pharmacy claims processing and will partner with Finance, Legal, Product,