Bachelor's degree in a quantitative or business-related field (e.g., Actuarial Science, Statistics, Economics, Finance, Data Analytics, or Business Administration)
2+ years of experience in data analytics, audit, or a related role
Experience in healthcare, PBM, or pharmacy claims; knowledge of pharmacy benefits preferred
Proficiency with SQL (Snowflake preferred), Excel, Tableau
Familiarity with Python and project management/version control tools (e.g., Jira, Confluence, GitHub)
Strong attention to detail and a passion for continuous improvement
Effective communicator with both technical and non-technical stakeholders
Responsibilities
Research and analyze pharmacy claims for accuracy and compliance
Perform audit risk assessments and ongoing monitoring activities
Analyze and validate large datasets; develop SQL/Python queries for reporting
Create audit deliverable reporting and quantify financial impacts
Identify and implement automation and process improvements
Maintain and enhance reporting tools and dashboards
Collaborate with internal teams to improve data quality and workflows
Benefits
Flexible work environment
Opportunities for professional development
Collaborative team culture
Access to advanced analytics tools
Support for continuous improvement initiatives
Full Job Description
Position Summary
We are seeking a highly analytical and detail-oriented Analyst to join our team. This role plays a key part in validating and coding audit deliverables, developing performance monitoring reporting, quantifying financial impact, and driving efficiency through automation and advanced analytics. The ideal candidate brings experience with internal controls, audit testing, and risk assessment, along with a proven ability to deliver high-quality results in a fast-paced, collaborative environment.
Position Responsibilities:
Research and analyze pharmacy claims to ensure accuracy and contractual compliance across benefit setup, pricing, and guarantees
Analyze, reconcile and validate large datasets across multiple internal systems; develop and maintain SQL/Python queries for audit reporting and performance monitoring
Create audit deliverable reporting, quantify financial impact of potential and confirmed audit findings, and build dashboards to identify trends and risks
Identify and implement automation and process improvements across audit, reporting, and reconciliation workflows
Maintain and enhance code, reporting tools, and dashboards to improve reliability, efficiency, and scalability
Define and document technical requirements, data specifications, and methodologies to support transparency and repeatability
Collaborate with internal and technology teams to improve data quality, workflows, and controls
Provide ad-hoc analysis to support evolving business and audit needs
Required Qualifications:
Bachelor's degree in a quantitative or business-related field (e.g., Actuarial Science, Statistics, Economics, Finance, Data Analytics, or Business Administration)
2+ years of of experience in data analytics, audit, or a related role
Experience in healthcare, PBM, or pharmacy claims; knowledge of pharmacy benefits, pricing, guarantees, and pharmacy claims analysis preferred
Proficiency with SQL (Snowflake preferred), Excel, Tableau
Familiarity with Python and project management/version control tools (e.g., Jira, Confluence, GitHub)
Strong attention to detail with an intellectual and professional curiosity along with a passion for continuous improvement
Track record of leading cross-functional initiatives, driving high performance, meeting deadlines, and executing on deliverables
Effective communicator with both technical and non-technical stakeholders
Extremely flexible, highly organized, and able to shift priorities easily
New York, NY Salary Range
$96,800-$121,000 USD
Denver, CO Salary Range
$88,800-$111,000 USD
Charlotte, NC Salary Range
$80,800-$101,000 USD
All employees are responsible for adherence to the Judi Health Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals.
