J

Judi Health

Unified claims processing for health benefits

Senior Analyst - Risk Management, Audit

Risk & ComplianceConfirmed live in the last 24 hours
Full-time$117.6k - $147k

About the Job

Requirements

  • A bachelor's degree or equivalent experience is required.
  • Three to five years of experience in audit, compliance, risk, operations, project coordination, or analytics is required.
  • Strong organizational skills, attention to detail, and the ability to maintain accurate, audit-ready documentation are required.
  • The ability to coordinate and execute cross-functional projects and workstreams across multiple teams, stakeholders, and timelines is required.
  • The ability to analyze data and build or maintain reporting, trackers, key performance indicators, and dashboards, for example in Excel, to support decision-making is required.

Responsibilities

  • Plan and execute cross-functional risk and audit initiatives end to end, from intake through closure, following a consistent identify, assign, track, and close workflow.
  • Coordinate deliverables, timelines, dependencies, and stakeholders across multiple teams to keep initiatives on schedule.
  • Design, build, and maintain dashboards, key performance indicator reporting, and trend analysis that track status, deliverables, risks, corrective actions, and closure activities.
  • Analyze audit, corrective action, and reverse and reprocess data to surface risks, trends, and operational improvement opportunities.
  • Maintain audit artifacts, documentation, repositories, and version control to support submission readiness and consistent, defensible audit responses.
  • Track corrective action tasks, audit findings, and follow-ups through to closure.
  • Review impact data and audit and reverse and reprocess outputs for accuracy and completeness, identifying data gaps or incomplete data pulls.
  • Support governance of audit-response and reverse and reprocess workflows through process documentation, job aids, responsibility assignment matrix clarity, and escalation paths.
  • Support automation of manual reporting and tracking processes to improve consistency, speed, and accuracy.
  • Partner with Client Audit Performance, Compliance, Analytics, and other stakeholders on responses, reporting, issue tracking, and process improvement.

Desired Qualifications

  • Formal project management methodology or certification, such as Agile/Scrum or Project Management Professional certification.
  • SQL and/or Python.
  • Power BI or Tableau.
  • Excel Power Query.
  • Business process mapping and workflow automation tools.
  • Jira or comparable project/work-tracking tools.
  • Project coordination or process improvement experience.
  • Working knowledge of pharmacy benefit management or healthcare operations sufficient to validate data outputs and audit results.

About the Company

Judi Health

Unified claims processing for health benefits

Judi Health is a New York health tech and benefits administrator serving employers, unions, health plans, and government entities, with three brands: Judi Rx, a transparent pass-through PBM; Judi Care, which handles medical, dental, and vision benefits and care navigation; and Judi Cloud, which licenses the platform to health plans and TPAs. Its core product is the Judi platform, a Unified Claims Processing system that brings pharmacy and medical claims onto a single cloud with AI-enabled workflows to adjudicate benefits. The company differentiates itself with price transparency through flat fees and a single, unified platform that reduces fragmentation, pursuing growth without acquisitions. Its goal is to simplify and lower the cost of health benefits administration and scale across commercial, Medicare, and Medicaid by licensing the platform and offering care services.

Company size
501-1,000
Company stage
Series F
Total funding
$585M
Headquarters
New York City, New York
Founded
2017

Recently Posted Jobs

Explore more opportunities at Judi Health

See more jobs