Location: Hybrid 3 days (offices in NYC, Denver, CO and Charlotte, NC area)
Position Responsibilities:- Analyze pharmacy claims, medical claims, and clinical datasets.
- Independently develop and deliver ad hoc and recurring analytics supporting clinical program management, formulary strategy, utilization review, savings identification, and regulatory reporting.
- Collaborate with clinical, operational, and business stakeholders to define requirements and deliver data-driven solutions that address business needs.
- Integrate quantitative and qualitative analyses to evaluate program performance, utilization trends, member disruption, and financial impact.
- Develop dashboards, automated reporting solutions, and data visualizations to support internal and external reporting needs.
- Translate analytical findings into clear business recommendations and present results to audiences ranging from operational teams to senior leadership.
- Partner with cross-functional teams to acquire, validate, and reconcile data required for reporting and analytics initiatives.
- Lead portions of cross-functional projects, contributing analytical expertise while helping identify process improvement, automation, and optimization opportunities.
- Create and maintain documentation, methodologies, data definitions, and business rules supporting clinical reporting and analytics processes.
- Review peer analyses for accuracy and consistency, promote best practices in data and code quality, and provide mentorship to junior analysts.
- Support departmental quality controls, governance standards, and continuous improvement initiatives.
Minimum Qualifications:- 4 years of experience in analytics, business intelligence, healthcare consulting, benefits consulting, financial consulting, or a related analytical field.
- 2+ years of PBM, health plan, healthcare services, or related industry experience.
- Experience working directly with pharmacy claims and/or medical claims data.
- Advanced SQL skills and experience querying large, complex datasets.
- Proficient with Python for data analysis.
- Proficient with GitHub and version control workflows.
- Experience with Tableau and data visualization.
- Experience performing complex analyses and communicating insights to business stakeholders.
- Knowledge of statistics, data modeling, and healthcare analytics methodologies.
- Ability to manage multiple priorities and deliver high-quality work in a fast-paced environment.
- Strong written, verbal, and presentation communication skills.
- Demonstrated ability to work independently while collaborating effectively with cross-functional teams.
- High attention to detail and commitment to delivering high-quality work.
(Optional) Preferred Qualifications:- Experience leading small projects, mentoring team members, or coordinating work across multiple stakeholders.
- Experience identifying and implementing process automation opportunities.
- Bachelor's degree in a relevant field or equivalent experience.
New York, NY Salary Range
$124,000-$155,000 USD
Denver, CO Salary Range
$113,600-$142,000 USD
Charlotte, NC Salary Range
$103,200-$129,000 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.
