Judi Health is a health technology company providing benefit administration solutions to employers, unions, health plans, and government entities. Judi Health replaces fragmented, outdated systems with the industry's first Unified Claims Processing™ architecture, seamlessly consolidating pharmacy and medical benefit administration on a single, secure platform. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels.
At Judi Health, we're deploying the infrastructure our country needs to deliver the healthcare we all deserve. We are the intelligence platform powering benefits plans for millions of Americans and proudly leading the next generation of care. To learn more, visit www.judi.health.
Hybrid (Local to New York, NY, Denver, CO or Charlotte, NC)
Position Summary
The Government Programs Operations Specialist (MPPP) provides operational and administrative support to ensure the successful coordination, implementation, and ongoing management of the Medicare Prescription Payment Plan (MPPP) program. This role focuses on organizing program activities, creates and maintains program level documentation, and supporting cross-functional teams to meet regulatory, client, and internal requirements. The Specialist also assists with tracking and testing technical development work, and supports quality assurance reviews for member communications, invoices, and program materials to promote compliance and accuracy. This position is critical to maintaining efficient program operations and mitigating risks associated with growth, compliance, and client expectations.
Position Responsibilities:
- Create, maintain and organize program documentation, including SOPs, job aides, FAQs, and control documentation.
- Submit and track development tickets; monitor progress and follow up to ensure timely completion of enhancements and fixes.
- Support testing of system(s) or process updates to validate functionality and ensure outcomes meet business requirements.
- Support quality assurance reviews of member notices, invoices and other communications to ensure accuracy, completeness, and compliance.
- Track deliverables, timelines, and service level agreements (SLAs) to ensure timely completion of client reporting and program outputs.
- Monitor program activities and escalate issues, risks, or discrepancies; assist in issue tracking and remediation efforts
- Coordinate internal and external (client) meetings; prepare and maintain meeting agendas, notes, and action item tracking.
Required Qualifications:
- 1-3 years of experience in operations, program coordination, healthcare administration, or a related role (Medicare, PBM, or managed care experience preferred).
- Associate’s or Bachelor’s degree preferred; High school diploma or equivalent required.
- Strong organizational skills with demonstrated attention to detail and accuracy, particularly in documentation, tracking, and quality review activities.
- Experience managing multiple workstreams, including meeting coordination, task tracking, and deliverable management in a deadline-driven environment.
- Familiarity with ticketing systems, project tracking tools, or workflow management platforms
- Experience supporting testing, quality assurance, or validation activities for operational processes, systems, or communications preferred.
- Exposure to healthcare regulatory or compliance environments (e.g., CMS, Medicare, notices, audits) is a plus.
- Strong written and verbal communication skills, including the ability to document meeting outcomes, summarize issues, and communicate with cross-functional teams and clients.
- Proven ability to work both independently and collaboratively across teams while managing competing priorities.
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.
We provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at https://www.judi.health/legal/privacy-policy.
Skills Required
- 1-3 years of experience in operations, program coordination, healthcare administration, or a related role
- Medicare, PBM, or managed care experience
- High school diploma or equivalent
- Associate's or bachelor's degree
- Strong organizational skills and attention to detail, especially in documentation, tracking, and quality review
- Experience managing multiple workstreams, meeting coordination, task tracking, and deliverable management in a deadline-driven environment
- Familiarity with ticketing systems, project tracking tools, or workflow management platforms
- Experience supporting testing, quality assurance, or validation activities for operational processes, systems, or communications
- Exposure to healthcare regulatory or compliance environments, such as CMS, Medicare, notices, or audits
- Strong written and verbal communication skills
- Ability to work independently and collaboratively across teams while managing competing priorities
What We Do
Judi Health is a health technology company providing a comprehensive suite of solutions for employers and health plans, including: - Capital Rx: a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers - Judi Health™: full-service health benefit management for employers, TPAs, and health plans - Judi®: a single, scalable SaaS solution that health plans can utilize to manage all their claim workflows Through these solutions, Judi Health is executing on its mission to give our country the infrastructure it needs for the healthcare we deserve. To learn more, visit www.judi.health.
