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 Judi Health replaces fragmented, outdated systems with the industry's first Unified Claims Processing™ architecture, seamlessly consolidating pharmacy and medical benefit administration on a single,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 Senior Analyst, Risk Management (PGs) supports the Risk Management function by maintaining the day-to-day governance, tracking, and reporting of client performance guarantees (PGs) and related contractual commitments across the client book of business. Operating within the Client Services, Account Advocacy & Risk Management team, the Analyst maintains the centralized PG database, produces performance and risk reporting, and partners cross-functionally with Legal, Finance, Analytics, and Client Services to improve data quality, clarify ownership, and mature the end-to-end PG process. The role blends risk and process-improvement work, managing risk-based initiatives from intake through execution, and operational analytics—identifying gaps and risk patterns and supporting initiatives that reduce the organization’s contractual risk exposure.
Position Responsibilities:
- Maintain the centralized PG database (Jira Assets), entering and updating awarded PGs, contract amendments, and new client implementations, and reducing the ongoing data backlog.
- Reconcile and feed PG data into downstream reporting environments (e.g., Snowflake and Tableau) to support accurate dashboards and visibility into dollars at risk, contract counts, and PG counts.
- Design, build, and maintain operational dashboards, KPI reporting, and recurring trend analysis covering PG performance, contractual compliance, and risk exposure, translating data into insights for stakeholders.
- Analyze PG performance trends, contractual compliance metrics, and underlying data relationships to identify root causes, assess operational risk, support forecasting and variance analysis, and recommend process or reporting improvements
- Support client scorecard generation by centralizing and standardizing PG data sources, reducing reliance on manual, decentralized stakeholder requests.
- Help document and improve the end-to-end PG lifecycle (establishment, negotiation, approval, award, tracking, measurement, and reporting), assessing impacts, clarifying ownership, and recommending standardized practices.
- Maintain the PG data source inventory, ownership mapping, and methodology-review flags to capture risk signals and support governance decisions.
- Support governance of risk events through a structured identify–assign–track–close workflow, logging items, confirming owners, and following up to closure.
- Support automation of manual reporting and tracking processes and partner with stakeholders to improve data quality and reporting accuracy.
- Plan and execute risk-based initiatives end to end — structuring project plans, coordinating cross-functional workstreams, and tracking progress, dependencies, and action items to closure across Legal, Finance, Analytics, and Client Services partners.
- Support client audit activities and broader contractual-guarantee visibility (e.g., clinical and program guarantees) as part of the overall risk management framework.
Required Qualifications:
- Bachelor’s degree or equivalent experience
- 3-5 years of experience in operations, contract support, healthcare or PBM administration, risk management, or process improvement
- Strong documentation, data-tracking, and organizational skills with high attention to detail and accuracy
- Strong problem-solving skills and a process-improvement mindset, with the ability to identify gaps, risks, and improvement opportunities
- Ability to collaborate and coordinate across cross-functional teams, including Legal, Finance, Analytics, and Client Services
- Proficiency with Excel and comfort working with data in reporting and dashboarding tools
- Experience coordinating or executing cross-functional projects or initiatives, including planning, tracking, and driving work to closure
- Experience analyzing data and building reporting or dashboards to translate information into actionable insights
Preferred Qualifications:
- Experience in a PBM, healthcare, or healthtech environment.
- Familiarity with performance guarantees, contractual compliance, or client audit processes.
- SQL and/or Python.
- Power BI or Tableau, and Excel Power Query.
- Business process mapping and workflow automation tools.
- Formal project management methodology, tools, or certification (e.g., Agile/Scrum, PMP).
- Experience with Jira / Jira Assets or comparable database and dashboarding tools.
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.