Analyst, Client Audit and Performance

Judi Health•Charlotte, NC

About The Position

Judi Health is a health technology company that provides benefit administration solutions to employers, unions, health plans, and government entities. Its Unified Claims Processing architecture consolidates pharmacy and medical benefit administration on a single platform. The company focuses on price transparency, reducing unnecessary middleman fees, and AI-powered care delivery. Judi Health is seeking a highly analytical, detail-oriented Analyst to validate and code audit deliverables, develop performance-monitoring reports, quantify financial impact, and improve efficiency through automation and advanced analytics. The role involves pharmacy claims analysis, audit risk assessment, data reconciliation, SQL/Python reporting, dashboard development, and collaboration with internal and technology teams. The position description allows management to assign or reassign duties and responsibilities as needed to meet organizational goals.

Requirements

  • Bachelor’s degree in a quantitative or business-related field, such as Actuarial Science, Statistics, Economics, Finance, Data Analytics, or Business Administration.
  • At least 2 years of experience in data analytics, audit, or a related role.
  • Proficiency with SQL, Excel, and Tableau.
  • Strong attention to detail, intellectual and professional curiosity, and a passion for continuous improvement.
  • Track record of leading cross-functional initiatives, driving high performance, meeting deadlines, and executing deliverables.
  • Effective communication with technical and non-technical stakeholders.
  • Flexibility, strong organization, and ability to shift priorities easily.

Nice To Haves

  • Experience in healthcare, PBM, or pharmacy claims.
  • Knowledge of pharmacy benefits, pricing, guarantees, and pharmacy claims analysis.
  • Snowflake experience preferred.
  • Familiarity with Python and project management/version control tools such as Jira, Confluence, and GitHub.

Responsibilities

  • Research and analyze pharmacy claims to ensure accuracy and contractual compliance across benefit setup, pricing, and guarantees.
  • Perform audit risk assessments, annual logic reviews, and ongoing monitoring activities.
  • Analyze, reconcile, and validate large datasets across multiple internal systems.
  • Develop and maintain SQL/Python queries for audit reporting and performance monitoring.
  • Create audit deliverable reporting, quantify the financial impact of potential and confirmed audit findings, and build dashboards to identify trends and risks.
  • Identify and implement automation and process improvements across audit, reporting, and reconciliation workflows.
  • Maintain and enhance code, reporting tools, and dashboards to improve reliability, efficiency, and scalability.
  • Define and document technical requirements, data specifications, and methodologies to support transparency and repeatability.
  • Collaborate with internal and technology teams to improve data quality, workflows, and controls.
  • Provide ad-hoc analysis to support evolving business and audit needs.
  • Adhere to the Judi Health Code of Conduct, including reporting non-compliance.
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