Logo for Capital Rx

Lead Analyst, Analysis & Efficiencies

Role overview

Qualifications

  • Bachelor’s degree in business, Data Analytics, Health Administration, or related field
  • 5+ years of experience in healthcare operations, government programs, or data analysis
  • Strong understanding of Medicare, Medicaid, and Exchange regulatory requirements
  • Proven leadership experience managing or mentoring analysts

Responsibilities

  • Mentor a team of 5–7 analysts, ensuring high-quality deliverables and adherence to timelines
  • Lead efforts to identify inefficiencies and recommend process improvements across government program operations
  • Interpret CMS and state guidance and ensure analyst team understands and applies regulatory requirements
  • Oversee complex data analysis to identify trends, anomalies, and opportunities for optimization

Key facts

Hard skills

Other skills

  • Leadership
  • Microsoft Excel
  • Communication
  • Problem Solving
  • Organizational Skills

About the company

Capital Rx logo

Capital Rx

Digital Health & Health Tech

Capital Rx is a healthcare technology company changing the way prescription drugs are priced, and patients are cared for in America. As a Certified B Corp™, Capital Rx is executing its mission through a Single Ledger Model™, the industry’s first ethical framework for drug pricing. The company’s cloud-native enterprise pharmacy platform, JUDI®, connects every aspect of the pharmacy ecosystem in one system, empowering Capital Rx to deliver exceptional service to its commercial, Medicare, and Medicaid clients and members 24/7, 365 days a year. Together with its clients, Capital Rx is reimagining the administration of pharmacy benefits and rebuilding trust in healthcare.

Company details

Company typeScaleup
IndustryDigital Health & Health Tech
Company size201 - 500

Your match analysis

See how your profile stacks up against this role.

We compared the job requirements to your profile to show where you're strong and where you fall short.

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 Judi Health replaces fragmented, outdated systems with the industry's first Unified Claims Processing™ architecture, seamlessly consolidating pharmacy and medical benefit administration on a single,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 Lead Analyst, Analysis and Efficiencies within Government Program Operations, plays a pivotal role in advancing operational excellence across government programs including Medicare, Medicaid, and Exchange. This position serves as a key technical and analytical resource, helping translate strategic direction into actionable insights for the analyst team. The Lead Analyst supports the Manager by guiding peers through complex analytical work, fostering best practices, and promoting efficient, compliant processes. By mentoring team members and contributing to scalable, data‑driven solutions, the Lead Analyst ensures the organization can meet evolving regulatory requirements and operational demands with consistency and precision. 

Position Responsibilities: 

Team Leadership & Oversight 

  • Mentor a team of 5–7 analysts, ensuring high-quality deliverables and adherence to timelines. 
  • Prioritize tasks to meet operational and regulatory requirements. 
  • Serve as the first point of escalation for analyst questions and issues. 

Operational Analysis & Process Improvement 

  • Lead efforts to identify inefficiencies and recommend process improvements across government program operations. 
  • Collaborate with the Manager to design and implement automated solutions and scalable workflows. 
  • Validate accuracy and integrity of outgoing deliverables, including reports and operational tools. 

Regulatory & Technical Alignment 

  • Interpret CMS and state guidance and ensure analyst team understands and applies regulatory requirements. 
  • Partner with internal subject matter experts to confirm system capabilities align with compliance and client needs. 

Cross-Functional Collaboration 

  • Work closely with compliance, product, sales, marketing, underwriting, implementation, client services, and clinical operations to support operational enhancements. 
  • Communicate findings and recommendations effectively to stakeholders 

Data Analysis & Reporting 

  • Oversee complex data analysis to identify trends, anomalies, and opportunities for optimization. 
  • Develop detailed specifications for reports and dashboards that support decision-making. 
  • Ensure consistency and accuracy in data-driven insights provided by the analyst team. 
  • Responsible for adherence to the Judi Rx Code of Conduct, including reporting of noncompliance. 

Required Qualifications: 

  • Bachelor’s degree in business, Data Analytics, Health Administration, or related field.  
  • 5+ years of experience in healthcare operations, government programs, or data analysis.  
  • Strong understanding of Medicare, Medicaid, and Exchange regulatory requirements.  
  • Proven leadership experience managing or mentoring analysts.  
  • Advanced proficiency in data analysis tools (Excel, SQL, BI platforms).  
  • Excellent problem-solving, communication, and organizational skills. 
New York, NY Salary Range$120,000—$150,000 USDDenver, CO Salary Range$110,400—$138,000 USDCharlotte, NC Salary Range$100,400—$125,500 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 at https://www.judi.health/legal/privacy-policy.

Apply once. Then go straight to the hiring manager.

After you apply, unlock the direct contact details of the people who actually make the call. A quick follow-up makes you 5x more likely to land an interview.

MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
Unlocked after you apply
·

Lead Developer Related jobs

Other jobs at Capital Rx

Premium

Reach out to the hiring manager directly.

Gain access to the contact details of the hiring managers who actually decide, and reach out to network with them directly. That, plus more when you upgrade:

  • Full match report with fit score and gaps
  • Career diagnostics on how recruiters read you
  • Curated company matches and warm intros
  • 48h early access to new roles

Cancel anytime.