Senior Regulatory Data Analyst – PBM & CMS Reporting

Judi Health, LLC; New York (NY); On-site; USD 124,000 - 155,000; Full time

Job summary

Judi Health is seeking a highly technical Senior Analyst to support the development, maintenance, and execution of pharmacy benefits regulatory reporting. This role partners with Government Programs and internal stakeholders to translate CMS guidance into actionable, scalable reports.

The ideal candidate has strong SQL skills, experience with pharmacy claims data, and a background in PBM or government program operations, able to manage multiple complex deliverables independently.

Qualifications

• 4–6 years of experience in data analytics, healthcare analytics, or a related field, including 2–3 years of direct experience analyzing medical claims data.
• Four or more years of healthcare data or analytics experience.
• Four or more years of proven experience supporting government programs.
• Experience with Medicare Part D, Medicaid, Marketplace, or state regulatory reporting and related pharmacy data or processes.
• Experience working with pharmacy claims data and PBM-related business processes.
• Advanced SQL skills and experience working with large, complex datasets.
• Experience developing, maintaining, or executing recurring analytical or regulatory reports.
• Experience with Snowflake, Python, Jupyter notebooks, or GitHub.

Responsibilities

• CMS Regulatory Reporting: Develop, maintain, update, and execute CMS-required regulatory reporting related to pharmacy benefit management.
• Translate CMS requirements and approved reporting methodologies into reliable technical solutions.
• Use the approved reporting methodology consistently across clients.
• Complete technical checks to confirm reporting processes execute as intended before Government Programs leads validation and compliance review.
• Reporting Standards and Improvement: Maintain reporting code, technical documentation, assumptions, dependencies, and change history using established standards.
• Implement approved changes to CMS-required reports while preserving consistent methodology and governance.
• Standardize and automate recurring reporting processes to reduce manual effort and improve scalability.
• Cross-Functional and Collaboration: Partner with Government Programs to clarify requirements and translate documented CMS guidance into actionable technical deliverables.
• Collaborate with subject matter experts to understand source data, operational processes, and technical dependencies.
• Communicate progress, risks, dependencies, and the impact of requirement or priority changes.
• Delivery and Continuity: Independently manage reporting deliverables from requirements review through development, technical testing, stakeholder review, and recurring execution.
• Manage scope, timelines, and dependencies, escalating risks early with recommended actions.
• Maintain reporting documentation and reusable code templates to support continuity, knowledge transfer, and efficient report generation.

Skills

SQL

Data analytics

Healthcare analytics

Regulatory reporting

Education

Bachelor's degree or equivalent

Tools

Snowflake

Python

Jupyter notebooks

GitHub

Job description

Judi Health is seeking a highly technical Senior Analyst to support the development, maintenance, and execution of pharmacy benefits regulatory reporting. This role partners with Government Programs and internal stakeholders to translate CMS guidance into actionable, scalable reports.

The ideal candidate has strong SQL skills, experience with pharmacy claims data, and a background in PBM or government program operations, able to manage multiple complex deliverables independently.