Note: The job is a remote job and is open to candidates in USA. Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans. As a member of the Enterprise Solutions team, you will play a critical role in contributing to the success of Judi Health’s customers by leveraging Judi, the Enterprise Health Platform, to service their pharmacy administrative needs.
Responsibilities
- Accountable for configuration, load, and maintenance of data from previous adjudication systems into Judi
- Provide customers with subject matter expertise in Judi’s capabilities, ensuring successful migration to the adjudication platform, with parity of all logic and initiatives
- Devise a repeatable process for implementing data in Judi, establishing key milestones, and maintaining up to date project plan
- Build and maintain trusting relationships with customers through superior customer service, meeting or exceeded service level metrics
- Perform QA and claims testing to validate that data loads yield appropriate adjudication results
- Partner with Analytics colleagues to author automated/manual test cases and monitoring processes for configurations and data loads
- Proactively identify execution risks around build status and defects, partnering with internal Product teams and clients to surface mitigation strategies
- Contribute to playbooks/templates that scale configurations for future client onboardings
- Take charge of critical issues or problems to key stakeholders, ensuring swift resolution and communication within service level agreements
- Certain times of year may require meeting participation, travel, service support or other requirements outside of standard business hours, including weekends
- Responsible for adherence to the Capital Rx Code of Conduct, including reporting of noncompliance
Skills
- 1+ years of experience in an Analyst role, Software Engineering role or related work experience
- 1+ year of PBM or Health Plan operations experience handling adjudication configurations
- Experience performing complex analyses on large sets of data
- Knowledge of data management, statistics, modeling
- Experience working with structured and unstructured data
- Proficient in SQL, JSON, Java, R, Excel, and other data visualization tools
- Track record of leading cross-functional initiatives, driving high performance, meeting deadlines, and executing on deliverables
- Exceptional project / time management, prioritization, and organizational skills to ensure customer satisfaction
- Ability to shift between competing priorities and meet organizational goals
- Excellent verbal, written, interpersonal and presentation skills
- Ability to work effectively with virtual teams
- Ability to travel 5-10%
- Bachelor's Degree preferred, or equivalent combination of education, training, and experience
- Experience working with AWS Redshift
Company Overview
Capital Rx is now Judi Health! Navigate to our new page here: https://www.linkedin.com/company/judi-health It was founded in 2017, and is headquartered in New York, New York, USA, with a workforce of 501-1000 employees. Its website is https://www.judi.health.Company H1B Sponsorship
Capital Rx has a track record of offering H1B sponsorships, with 3 in 2026, 3 in 2025, 2 in 2024, 1 in 2023, 1 in 2022, 5 in 2021. Please note that this does not guarantee sponsorship for this specific role.