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 Judi Health replaces fragmented, outdated systems with the industry's first Unified Claims Processing™ architecture, seamlessly consolidating pharmacy and medical benefit administration on a single,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.
Location: Hybrid 3 days (offices in NYC, Denver, CO and Charlotte, NC area)
Position Summary:
The Senior Analyst, Risk Management (Audit) exists to support the Risk Management function by executing risk-based initiatives from intake through completion. This is a hybrid role spanning risk management, project execution, and data analytics: the Analyst plans and coordinates cross-functional workstreams, analyzes data to surface risks and trends, and improves the processes and reporting that keep regulatory and client audits, corrective actions, performance guarantees, finance accruals, and client-experience initiatives controlled and defensible. Partnering across Client Audit Performance, Compliance, Analytics, and other stakeholders, the Analyst strengthens audit and risk readiness, maintains accurate reporting, and reduces operational risk.
Position 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, KPI reporting, and trend analysis that track status, deliverables, risks, corrective actions, and closure activities.
- Analyze audit, corrective action, and reverse & reprocess (R&R) 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 & reprocess (R&R) outputs for accuracy and completeness, identifying data gaps or incomplete pulls.
- Support governance of audit-response and R&R workflows through process documentation, job aids, RACI 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.
Required Qualifications:
- Bachelor’s degree or equivalent experience.
- 3 – 5 years of experience in audit, compliance, risk, operations, project coordination, or analytics.
- Strong organizational skills, attention to detail, and ability to maintain accurate, audit-ready documentation.
- Ability to coordinate and execute cross-functional projects and workstreams across multiple teams, stakeholders, and timelines.
- Ability to analyze data and build or maintain reporting, trackers, KPIs, and dashboards (e.g., in Excel) to support decision-making.
Preferred Qualifications:
- Formal project management methodology or certification (e.g., Agile/Scrum, PMP).
- 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 PBM or healthcare operations sufficient to validate data outputs and audit results.
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
- Bachelor's degree or equivalent experience
- 3–5 years of experience in audit, compliance, risk, operations, project coordination, or analytics
- Strong organizational skills and attention to detail
- Ability to maintain accurate, audit-ready documentation
- Ability to coordinate and execute cross-functional projects and workstreams across multiple teams, stakeholders, and timelines
- Ability to analyze data and build or maintain reporting, trackers, KPIs, and dashboards, such as in Excel
- Formal project management methodology or certification, such as Agile/Scrum or PMP
- SQL and/or Python experience
- Power BI or Tableau experience
- Excel Power Query experience
- Experience with business process mapping and workflow automation tools
- Jira or comparable project/work-tracking tool experience
- Project coordination or process improvement experience
- Working knowledge of PBM or healthcare operations sufficient to validate data outputs and audit results
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.
