Back to jobs

Senior Manager, Client Experience & Risk Optimization (CERO)

Charlotte, North Carolina, United States; Denver, Colorado, United States; New York, New York, United States

About Judi Health

Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including:

  • Judi Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers,
  • Judi Health™, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and
  • Judi®, the industry’s leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform.

Together with our clients, we’re rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit www.judi.health.

Position Summary 

The Senior Manager, Client Experience & Risk Optimization exists to lead risk-based operational initiatives from intake through execution, ensuring client-impacting issues, audits, and performance guarantee (PG) commitments are captured consistently, assigned clear ownership, structured into actionable workstreams, and tracked to resolution. Reporting into Risk Management leadership, the Manager builds and owns the operating model that integrates risk management, project execution, analytics, and process improvement across the Audit, PG, and CERO functions. The Manager directly leads a team of Analysts, partners cross-functionally with Legal, Compliance, Finance, Client Services, and Technology, and delivers the reporting and analysis leadership needs to understand emerging risks, recurring issues, workload trends, and opportunities for operational improvement. 

Position Responsibilities: 

Team Leadership & Development 

  • Directly manage, coach, and develop the Audit, PG, and CERO Analysts. 
  • Establish performance expectations, priorities, and development plans for team members. 
  • Oversee workload management, resource allocation, and operational execution across all assigned functions. 
  • Foster a culture of accountability, collaboration, continuous improvement, and operational excellence. 

Operational Governance & Execution 

  • Lead intake, triage, prioritization, tracking, and resolution processes across Audit, PG, and CERO functions. 
  • Ensure workflows are standardized, documented, scalable, and consistently executed. 
  • Maintain SOPs, process documentation, governance standards, and operational controls. 
  • Coordinate cross-functional activities and manage escalations impacting operational performance or risk. 

Project & Initiative Management 

  • Structure risk-based initiatives into project plans with defined scope, milestones, owners, and timelines. 
  • Organize and execute cross-functional workstreams, coordinating resources and dependencies from intake through completion. 
  • Manage changes to initiative scope and evaluate progress, developing mitigation plans when timelines or deliverables are at risk. 
  • Facilitate working sessions and apply consistent project and governance methodology across the team. 

 

Reporting, Analytics & Operational Visibility 

  • Lead development of operational reporting, dashboards, KPIs, and analytics that provide visibility into audit readiness, PG performance, intake trends, operational risks, and overall organizational performance. 
  • Partner with Analytics and Technology teams to automate reporting processes, improve data visibility, and reduce manual effort. 
  • Analyze trends, recurring issues, operational bottlenecks, and emerging risks to support proactive decision-making. 
  • Provide leadership with actionable insights, reporting, and recommendations based on data and performance indicators. 

 

Process Optimization & Continuous Improvement 

  • Identify opportunities to streamline workflows, automate processes, and improve operational effectiveness. 
  • Lead continuous improvement initiatives utilizing data, stakeholder feedback, and root-cause analysis. 
  • Drive implementation of process enhancements that improve efficiency, quality, and scalability. 
  • Support development of operational frameworks that strengthen organizational readiness and reduce risk. 

Cross-Functional Partnership & Risk Support 

  • Partner with Risk Management leadership to support audit readiness, regulatory compliance, and performance guarantee oversight. 
  • Collaborate with Legal, Compliance, Finance, Client Services, and Technology teams to address operational challenges and risk-related activities. 
  • Support strategic initiatives requiring operational coordination, reporting, and execution. 
  • Escalate significant risks, trends, and operational concerns to leadership as appropriate. 

 

Required Qualifications: 

Education & Experience 

  • Bachelor's degree required 
  • 5+ years of operations, analytics, risk, or process improvement experience 
  • 2+ years of leadership experience 

Technical & Analytical Skills 

  • Dashboard and KPI development 
  • Reporting and analytics experience 
  • Process improvement and automation experience 
  • Advanced Excel proficiency 

Leadership & Communication 

  • Cross-functional stakeholder management 
  • Team development and coaching 
  • Ability to manage competing priorities 

 

Preferred Qualifications 

  • Experience in healthcare, PBM, health plan, payer, audit, compliance, or risk management environments. 
  • Experience with Power BI, Tableau, SQL, or similar analytical and reporting tools. 
  • Knowledge of performance guarantees, contract governance, audit management, or operational risk programs. 
  • Experience building reporting and operational performance frameworks from the ground up. 

 

This range represents the low and high end of the anticipated base salary range. The actual base salary will depend on several factors such as: experience, knowledge, skills, and location of the job.

Remote, US Salary Range

$95,200 - $169,000 USD

New York, NY Salary Range

$135,200 - $169,000 USD

Denver, CO Salary Range

$124,000 - $155,000 USD

Charlotte, NC Salary Range

$112,800 - $141,000 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 at https://www.judi.health/legal/privacy-policy.

Apply for this job

*

indicates a required field

Resume/CV

Accepted file types: pdf, doc, docx, txt, rtf

Cover Letter

Accepted file types: pdf, doc, docx, txt, rtf

Select...
Select...
Select...
Select...
Select...

Voluntary Self-Identification

For government reporting purposes, we ask candidates to respond to the below self-identification survey. Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiring process or thereafter. Any information that you do provide will be recorded and maintained in a confidential file.

As set forth in Judi Health’s Equal Employment Opportunity policy, we do not discriminate on the basis of any protected group status under any applicable law.

Select...
Select...
Race & Ethnicity Definitions

If you believe you belong to any of the categories of protected veterans listed below, please indicate by making the appropriate selection. As a government contractor subject to the Vietnam Era Veterans Readjustment Assistance Act (VEVRAA), we request this information in order to measure the effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. Classification of protected categories is as follows:

A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability.

A "recently separated veteran" means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.

An "active duty wartime or campaign badge veteran" means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.

An "Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.

Select...

Voluntary Self-Identification of Disability

Form CC-305
Page 1 of 1
OMB Control Number 1250-0005
Expires 04/30/2026

Why are you being asked to complete this form?

We are a federal contractor or subcontractor. The law requires us to provide equal employment opportunity to qualified people with disabilities. We have a goal of having at least 7% of our workers as people with disabilities. The law says we must measure our progress towards this goal. To do this, we must ask applicants and employees if they have a disability or have ever had one. People can become disabled, so we need to ask this question at least every five years.

Completing this form is voluntary, and we hope that you will choose to do so. Your answer is confidential. No one who makes hiring decisions will see it. Your decision to complete the form and your answer will not harm you in any way. If you want to learn more about the law or this form, visit the U.S. Department of Labor’s Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp.

How do you know if you have a disability?

A disability is a condition that substantially limits one or more of your “major life activities.” If you have or have ever had such a condition, you are a person with a disability. Disabilities include, but are not limited to:

  • Alcohol or other substance use disorder (not currently using drugs illegally)
  • Autoimmune disorder, for example, lupus, fibromyalgia, rheumatoid arthritis, HIV/AIDS
  • Blind or low vision
  • Cancer (past or present)
  • Cardiovascular or heart disease
  • Celiac disease
  • Cerebral palsy
  • Deaf or serious difficulty hearing
  • Diabetes
  • Disfigurement, for example, disfigurement caused by burns, wounds, accidents, or congenital disorders
  • Epilepsy or other seizure disorder
  • Gastrointestinal disorders, for example, Crohn's Disease, irritable bowel syndrome
  • Intellectual or developmental disability
  • Mental health conditions, for example, depression, bipolar disorder, anxiety disorder, schizophrenia, PTSD
  • Missing limbs or partially missing limbs
  • Mobility impairment, benefiting from the use of a wheelchair, scooter, walker, leg brace(s) and/or other supports
  • Nervous system condition, for example, migraine headaches, Parkinson’s disease, multiple sclerosis (MS)
  • Neurodivergence, for example, attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder, dyslexia, dyspraxia, other learning disabilities
  • Partial or complete paralysis (any cause)
  • Pulmonary or respiratory conditions, for example, tuberculosis, asthma, emphysema
  • Short stature (dwarfism)
  • Traumatic brain injury
Select...

PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete.