Judi Rx delivers transparent, member-focused PBM solutions, while Judi Care provides medical, vision, and dental benefits through Judi®, supporting millions of plan members across employers, unions, health systems, and government programs. Backed by General Catalyst.
About the role
We are seeking a highly analytical Analyst to join our Analytics team and support pharmacy claims integrity, adjudication validation, and operational excellence. This role will use SQL and large-scale pharmacy claims data to investigate claim outcomes, identify discrepancies, validate benefit and pricing configurations, and ensure claims adjudicate accurately and in accordance with contractual and regulatory requirements. Found on 1752vc Careers, the job board for startup and VC roles.
What they're looking for
- 4-6 years of experience in healthcare analytics, pharmacy analytics, PBM operations, claims auditing, or a related field
- Advanced SQL skills with the ability to analyze large, complex datasets
- Experience performing pharmacy reimbursement, network pricing, financial reconciliation, contract compliance, or payment-integrity analysis
- Ability to interpret complex contractual pricing terms and convert them into documented calculations, validation rules, and analytical test cases
- Experience investigating discrepancies across claims, pricing reference data, contract terms, adjudication logic, and financial outputs
- Demonstrated ability to quantify financial exposure and communicate material findings, assumptions, and limitations to Finance, Legal, Network, Product, and executive stakeholders
More about this role
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 Judi Health replaces fragmented, outdated systems with the industry's first Unified Claims Processing™ architecture, seamlessly consolidating pharmacy and medical benefit administration on a single,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 .
We are seeking a highly analytical Analyst to join our Analytics team and support pharmacy claims integrity, adjudication validation, and operational excellence. This role will use SQL and large-scale pharmacy claims data to investigate claim outcomes, identify discrepancies, validate benefit and pricing configurations, and ensure...
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