Current openings at Judi Health

Location: Remote (For Non-Local) or Hybrid (Local to Denver or NYC area)  Position Summary:  The Case Development Specialist supports both the Pharmacy Audit and the FWA investigation teams by ensuring that all cases are accurately initiated, risk-assessed, and prioritized according to established guidelines. This role serves as the operation backbone for the case intake, triage, and tracking process, verifying data integrity, performing initial analysis, and supporting case documentation from intake through closure. The Specialist ensures smooth operational flow from case intake through closure, maintaining organized files, supporting data validation, and preparing materials needed for auditors, investigators, and reporting requirements. Position Responsibilities:  Enter and track new cases for both Pharmacy Audit and FWA Investigation teams. Complete and document risk scores prior to case opening to determine priority level. Review incoming referrals for completeness and data accuracy. Maintain all cases files and supporting documentation in accordance with SIU standards. Prepare case information materials and letters for audits, investigations, and reporting. Support communication and document flow between teams. Track and report case activity, ensuring deadlines and quality standards are met. Enter, track and identify cases involving potential billing issues or referrals from members or providers. Track cases by documenting the timeline, interactions between internal teams and pharmacy, and escalating to Pharmacy Audit or FWA Investigation team as needed. Assess risk score using judgement and discretion. Analyze claims, prior authorization, and patient data to find patterns of abnormal utilization or fraud. Responsible for adherence to the Capital Rx Code of Conduct. Required Qualifications:  2+ years of experience in healthcare, PBM, or insurance (SIU or audit experience preferred). Strong organizational and data management skills with attention to detail. Proficiency with case management systems and Microsoft Office and Excel. Ability to handle confidential and sensitive information. Preferred Qualifications:  Associate or bachelor’s degree preferred.

Hybrid 3 days per week in New York City or Denver office Position Summary: The Senior Executive Assistant provides high-quality administrative and communications support to key members of the Executive Leadership Team (ELT) and Senior Leadership Team (SLT). In addition to helping executives manage their calendars and expenses, the Senior Executive Assistant will support the organization on strategic initiatives to ensure our operations run seamlessly. Position Responsibilities: Act as a strategic partner to executive leadership team and senior leadership team across Clinical, Human Resources, Legal, Product, and Sales teams by learning and anticipating needs, managing priorities, and ensuring follow-through on key initiatives. Manage complex calendaring and prioritization across competing business needs, ensuring executives spend time on high-level activities Prepare leadership for key meetings through agenda-setting, briefing memos, and follow-up tracking with internal and external stakeholders. Provide accurate and timely minute‑taking, record‑keeping, and distribution of notes and action items. Deliver exceptional presentation support, including slide development, formatting, reviews, and meeting-ready preparation. Manage relevant expenses for executive leadership team and senior leadership team, including processing invoices, handling expense reports, and providing light financial coordination to support operational efficiency and cost management. Serve as a cultural amplifier, reinforcing company values through internal communications, off-site planning, and leadership presence. Support marketing team with planning and day-of execution for key annual events. Provide high-quality administrative and communications support to executive team support office management team with ad hoc responsibilities and general business needs as required. Proactively drive operational efficiency by streamlining internal processes, managing special projects, and identifying opportunities for automation or delegation. Provides in-office support as backup to the office engagement team and on-site meetings. Other duties as assigned. Responsible for the adherence of the Capital Rx Code of Conduct including reporting of non-compliance. Required Qualifications 5+ years of experience in an equivalent role. High school diploma required; BS/BA in office administration or relevant field is preferred. Excited to work out of our New York City or Denver office 3 days per week (REQUIRED). Organizational skills and a very keen eye for detail and accuracy. Strong project management skills. Experience working in high-growth, startup environments - an advantage. Proven ability to work efficiently across competing priorities. A positive and upbeat attitude, and excellent interpersonal communication skills. A go getter and self-starter, someone who proactively looks for ways to improve the environment around them. A commitment to delivering a high level of customer service, both internally and externally. Flexibility to respond to a range of different work situations. An ability to work under pressure and juggle multiple priorities at any given time. An ability to work well independently and be an effective collaborator within and across teams. You have a demonstrated ability to handle confidential and sensitive information, using utmost discretion.