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Medicaid Government Programs Director Jobs (NOW HIRING)

CVS Health Corporation

Executive Director, Medicaid Provider Relations & Contracting for the Southeast is responsible for ... Partner with Compliance, Legal, and Government Programs teams to address regulatory issues ...

Neara

Government Programs Manager

Menlo Park, CA · On-site

$140K - $185K/yr

Role Overview The Government Programs Manager will own Aether Bio's pipeline of non-dilutive ... Own and expand direct sales relationships with strategic DoD end users, program offices, and ...

CompSpec Inc.

Be Seen First

FINANCIAL COUNSELOR (Medicaid Eligibility)

Lake Forest, IL · On-site

$23 - $27/hr

Work with uninsured population w/Government programs, i.e., (Medicaid) in a hospital setting. Bi-lingual - Spanish a plus Interview patients to determine linkage to Medicaid at hospital bedside.

Molina Healthcare

Director, Government Affairs - REMOTE

$96K - $208K/yr

... Medicaid, Medicare, Marketplace and/or other government-sponsored programs. • General familiarity with health care policy and regulatory issues, including the Affordable Care Act (ACA). • ...

New

Tomorrow.io

Sr. Manager, Government Programs

$118K - $119K/yr

Build direct relationships with decision-makers and technical counterparts across U.S. and ... program momentum. * Navigate government procurement processes, contracting norms, cultural ...

Tomorrow.io

Sr. Manager, Government Programs

$118K - $119K/yr

Build direct relationships with decision-makers and technical counterparts across U.S. and ... program momentum. * Navigate government procurement processes, contracting norms, cultural ...

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Government Programs Analysis & Efficiencies Analyst

Charlotte, NC • On-site

Capital Rx
Health Care and Social Assistance • 201 - 500 employees
Learn more about Capital Rxexternal

$76K - $95K/yr

Other

This job post has expired today. Applications are no longer accepted.

Job description

About Judi Health

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 Judi Health replaces fragmented, outdated systems with the industry's first Unified Claims Processing architecture, seamlessly consolidating pharmacy and medical benefit administration on a single,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 Government Programs Analysis & Efficiencies Analyst will play a role in supporting the operational success of Medicare, Medicaid, and Exchange programs. Under the guidance of their manager, this analyst willutilizerelational datasets toidentifyactionable insights that inform decisions and drive solutions that enhance efficiencies. The analyst's responsibilities include delivering recurring and ad-hoc reports, creating standardized code templates to automate deliverables, and detailed documentation of work products. Additionally, the analyst contributes to process optimization by designing scalable, automated solutions that streamline workflows and minimize manual intervention. Collaboration with cross-functional teams, including compliance, product, sales, marketing, underwriting, implementation, client services, and clinical operations, is crucial to ensure that analytical tools and operational capabilities align with both regulatory requirements and businessobjectives.

Position Responsibilities:

  • Analyze relational datasets to identify trends, outliers, and opportunities for operational improvement across Medicare, Medicaid, and Exchange programs
  • Support development and maintenance of recurring and ad-hoc reports and analytical tools to support data-driven decision-making
  • Contribute to the creation and maintenance of standardized code template repository to help streamline report generation and automation of routine tasks
  • Ensure analytical outputs align with regulatory requirements and business objectives by interpreting CMS and state guidance in partnership with internal subject matter experts.
  • Support the development of scalable processes that enhance efficiency, accuracy, and responsiveness across government program operations
  • Support in designing and implementing automated solutions to reduce manual effort and improve process scalability, accuracy, and efficiency
  • Uses analytical software to support the department in achieving goals as defined by executive leadership
  • Participate in requirements gathering sessions to understand business needs and translate them into actionable analytical deliverables
  • Presents and communicates analytical findings in a clear and concise manner
  • Supports root-cause-analysis and reporting of data issues/errors by partnering with key stakeholders
  • Participates in user acceptance, and quality assurance testing of new application features and team deliverables
  • Prepares high-level user documentation (Including SOPs, Job Aids, and BRDs)
  • Work with internal clients to research, develop, and document new standards to enhance reporting capabilities
  • Collaborate with cross-functional teams-including compliance, product, sales, marketing, underwriting, implementation, client services, and clinical operations-to refine and enhance operational capabilities

Required Qualifications:

  • 2+ years of healthcare data experience
  • 2+ years of proven experience in government programs
  • 2+ years of experience working with SQL
  • Experience performing analyses on large sets of relational datasets
  • Experience working with cross-functional teams
  • Ability to balance multiple projects simultaneously
  • Extremely flexible, highly organized, and able to shift priorities easily
  • Self-motivated with the ability to problem solve with limited direction
  • Attention to detail & commitment to delivering high-quality work product
  • Excellent written and verbal communication skills

Preferred Qualifications:

  • 2+ years of experience working with business intelligence tools
  • 1+ year working with Python
  • 1+ year of experience working with pharmacy data
  • 1+ year of experience with Medicare (Part D), Medicaid, and/or Exchange Pharmacy Data/Processes
  • Experience with Confluence, Jira, and other Atlassian product
New York, NY Salary Range
$76,000—$95,000 USD
Denver, CO Salary Range
$69,600—$87,000 USD
Charlotte, NC Salary Range
$63,200—$79,000 USD

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 athttps://www.judi.health/legal/privacy-policy.

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