J

Judi Health

Unified claims processing for health benefits

Principal Analyst - Analytics

Full-TimeUpdated on 10/23/2026
$135.2k - $207k
Senior
Charlotte, NC, USA+2 moreMore locations: New York, NY, USA | Denver, CO, USA
HybridHybrid; local to NYC, Denver, or Charlotte.
Data & AnalyticsData Science, Data Analysis

About the job

Requirements
  • At least 5 years of experience in healthcare analytics, healthcare economics, actuarial support, financial analytics, underwriting analytics, benefits consulting, provider or network analytics, or strategic healthcare consulting.
  • Demonstrated experience analyzing both medical and pharmacy claims data, including eligibility, provider, utilization, cost, trend, and financial performance data.
  • Demonstrated experience partnering with actuarial, underwriting, healthcare economics, or financial performance teams to support healthcare cost analysis, forecasting, trend evaluation, pricing, risk assessment, or strategic decision-making.
  • Strong understanding of healthcare cost and utilization drivers, trend analysis, forecasting, benchmarking, financial performance measurement, risk adjustment concepts, and claims-based analytical methods.
  • Experience developing executive-level recommendations, business cases, return-on-investment evaluations, and strategic narratives based on complex analytical findings.
  • Strong SQL skills and experience using Python, R, SAS, Tableau, Excel, Power BI, or similar tools for healthcare data analysis, automation, statistical modeling, visualization, or reporting.
  • Ability to translate ambiguous stakeholder needs into structured analytical approaches, defensible assumptions, clear deliverables, and actionable recommendations.
  • Experience working in environments such as health plans, pharmacy benefit managers, healthcare consultancies, employer health benefits organizations, actuarial organizations, managed care organizations, third-party administrators, or integrated delivery systems.
Responsibilities
  • Analyze medical and pharmacy claims, eligibility, provider, utilization, cost, and financial data to identify trends, cost drivers, utilization patterns, and opportunities for intervention.
  • Evaluate the financial impact of benefit design, formulary strategies, clinical programs, network arrangements, utilization management initiatives, and other healthcare cost management strategies.
  • Develop actionable insights that support affordability, healthcare cost management, clinical effectiveness, client value, and measurable business outcomes.
  • Perform healthcare economic analyses, forecasting, benchmarking, and modeling to support strategic planning, financial performance measurement, and business decision-making.
  • Partner with actuarial, finance, underwriting, healthcare economics, and financial performance stakeholders to support pricing, forecasting, reserving, trend analysis, and risk assessment activities.
  • Contribute analytical expertise to budget planning, financial projections, business cases, return-on-investment evaluations, and strategic healthcare cost initiatives.
  • Support the development and validation of key healthcare cost, utilization, trend, and financial performance metrics used in operational and strategic planning.
  • Translate actuarial, underwriting, healthcare economics, and business needs into clear analytical approaches, defensible assumptions, and decision-ready recommendations.
  • Serve as a consultative partner to business leaders, translating complex analytical findings into strategic recommendations and practical next steps.
  • Present insights and recommendations to executive leadership, operational stakeholders, and client-facing teams with clarity, confidence, and appropriate context.
  • Collaborate across departments to identify opportunities for performance improvement, healthcare cost reduction, affordability, and measurable business impact.
  • Clarify business problems, success criteria, assumptions, trade-offs, and delivery options before significant analytical work begins.
  • Leverage large, complex healthcare datasets to conduct ad hoc investigations, root cause analyses, predictive analyses, descriptive analyses, and trend evaluations.
  • Develop analyses that support value-based care, population health, cost containment, network strategy, clinical program evaluation, and growth initiatives.
  • Design scalable analytical approaches, reusable assets, quality controls, and repeatable frameworks that improve organizational understanding of healthcare costs, utilization, quality, and outcomes.
  • Work independently in SQL, Python, R, SAS, Tableau, Excel, or similar tools to extract, transform, analyze, visualize, and communicate complex healthcare data.
Desired Qualifications
  • Background in healthcare economics, medical and pharmacy analytics, actuarial consulting, financial analytics consulting, benefits consulting, value-based care analytics, provider analytics, network analytics, underwriting, or risk adjustment.
  • Experience with forecasting, trend evaluation, healthcare cost modeling, benchmarking, pricing, renewal strategy, repricing, disruption analysis, self-funded employer group analysis, episode groupers, risk adjustment models, utilization benchmarks, or provider and network performance analytics.
  • Experience supporting actuarial, healthcare economics, benefits consulting, health plan, pharmacy benefit manager, managed care, employer health benefits, or value-based care organizations.

About the company

J

Judi Health

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Website

Judi Health is a health technology and benefits administrator that serves employers, unions, health plans, and government entities through three brands: Judi Rx (transparent pass-through PBM with flat fees), Judi Care (medical, dental, and vision benefit administration and care navigation), and Judi Cloud (licenses the platform to plans and TPAs). Its core product is Judi, a Unified Claims Processing platform that brings pharmacy and medical benefits and medical, dental, and vision claims onto a single cloud system with AI-enhanced workflows. This approach replaces fragmented legacy systems by offering end-to-end benefits administration on one platform, differentiating itself with price transparency and a non-opaque fee structure. The goal is to simplify and lower the cost of health benefits administration while scaling across commercial, Medicare, and Medicaid markets and expanding access through licensing and care navigation.

Company Size

501-1,000

Company Stage

Series F

Total Funding

$585M

Headquarters

New York City, New York

Founded

2017

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Simplify's Take

What believers are saying

  • September 3, 2026 adds Color Health, WellTheory, and Cylinder to clinical ecosystem.
  • August 11, 2026 Inc. 5000 ranking signals five straight years of growth.
  • January 12, 2026 surpassed five million contracted PBM lives and 80 partnerships.

What critics are saying

  • St. Luke’s-related fraud suit from 2023 persists, exposing contract and misrepresentation risk.
  • CVS’s non-compete litigation shows talent and IP disputes with incumbents remain live.
  • If unified claims adoption stalls, Judi becomes another niche PBM against CVS/Cigna.

What makes Judi Health unique

  • Judi Health’s July 15, 2026 Unified Claims Processing merges pharmacy, medical, dental, vision.
  • September 8, 2026 StarkRx with Employers Health offers modular cost-plus PBM flexibility.
  • July 30, 2026 FedRAMP Ready status differentiates Judi for federal healthcare buyers.

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Benefits

  • Health Insurance
  • Remote Work Options
  • Hybrid Work Options
  • Wellness Program
  • Mental Health Support
  • Conference Attendance Budget
  • Professional Development Budget

Growth & Insights and Company News

6 month growth

0%

1 year growth

0%

2 year growth

4%
Business Wire
Oct 20th, 2026
Judi Health launches Judi Rx Retire, a CMS-approved Medicare Part D plan for employer groups

Judi Health, a health technology company and benefits administrator, has launched Judi Rx Retire, a Medicare Part D plan for employer groups and their Medicare-eligible retirees. The Centers for Medicare & Medicaid Services (CMS) approved it as an Employer Group Waiver Plan (PDP-EGWP). The plan runs on Judi Health's Judi platform and offers transparent pricing, flexible coverage, and technology-enabled administration. Employers can access claims data, cut out third-party middlemen, and verify the full value of the CMS subsidy. "Retirees are often an afterthought in a healthcare system that continues to defy logic and reward complexity over clarity," said chief executive officer AJ Loiacono. Judi Rx Retire holds the CMS contract directly and keeps eligibility, claims, and formulary data in one system. Its member care team promises 24/7/365 support, with 97% first-call resolution.

Associated Press
Sep 8th, 2026
Employers Health and Judi Health launch StarkRx transparent PBM solution for self-funded plans

Employers Health has launched StarkRx, a transparent pharmacy benefit solution developed with Judi Health. The cost-plus model aims to give self-funded plan sponsors greater visibility into pharmacy costs and more control over their benefit plans. StarkRx offers flexible plan designs backed by Judi Health's technology platform. Features include a broad retail pharmacy network using cost-plus reimbursement, a specialty pharmacy network including Amazon and Accredo by Evernorth, and integration with third-party solution providers. The offering allows Employers Health's 500-plus clients, covering 2.5 million lives and nearly $6.1 billion in spend, to work collaboratively whilst avoiding restrictions associated with traditional spread models. Chris Goff, Employers Health's CEO, said the platform enables clients to identify market innovators and implement solutions more quickly.

HIT Consultant
Jul 15th, 2026
Capital Rx rebrands as Judi Health, raises $400M to unify pharmacy, medical, dental and vision claims

Capital Rx has rebranded as Judi Health following a $400 million funding round. The transparent pharmacy benefit manager is expanding beyond prescription drugs to launch Unified Claims Processing, consolidating pharmacy, medical, vision, and dental benefits on a single cloud platform called Judi. The company has achieved 20,000% organic enrolment growth over five years, now serving over 50 million individuals across commercial, Medicare, and Medicaid segments. Judi Health operates through three divisions: Judi Rx (pass-through pharmacy benefit model), Judi Care (medical benefit administration), and Judi Cloud (platform licensing for health plans). A June 2026 survey by Employee Benefit News found that 100% of transparent pharmacy benefit manager adopters would choose the pass-through framework again, with most migrating from traditional incumbents.

Associated Press
Jul 15th, 2026
Capital Rx rebrands to Judi Rx after $400M funding, launches medical benefits and cloud licensing arms

Judi Health has rebranded its pharmacy benefit manager Capital Rx to Judi Rx and launched two new divisions: Judi Care for medical benefit administration and Judi Cloud for platform licensing. The announcement follows a $400 million financing round. Founded in 2017, the company has grown its contracted lives by 20,000% over five years to more than 50 million across commercial, Medicare, and Medicaid. A June 2026 survey found transparent PBMs are now expected to dominate the industry over the next three to five years. The company's proprietary Judi platform consolidates pharmacy and medical benefit administration on a single system. Judi Care handles medical, dental, and vision solutions, whilst Judi Cloud enables health plans and third-party administrators to license the technology.

Business Wire
Feb 12th, 2026
Judi Health names John Nicolosi as CAO following $400M funding round

Judi Health has appointed John Nicolosi as Chief Administrative Officer to lead its newly established Administrative Services function. Nicolosi will oversee client-facing operations including implementation, client services, customer care and government programmes. Nicolosi brings over 20 years of healthcare and pharmacy benefit management experience, with a track record in driving organisational growth and client satisfaction. He previously held multiple leadership roles overseeing large-scale implementations and clinical strategy. The appointment follows Judi Health's significant expansion, including over 80 new partnerships, a $400 million funding round, and the launch of its unified pharmacy and medical claims adjudication platform. Nicolosi holds a Doctor of Pharmacy degree from Midwestern University and a bachelor's degree from the University of Illinois.