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Senior Business Analyst, Government Programs Operations Claims & Encounters

Remote Full-time

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Qualifications

Bachelor’s degree in Business Administration, Data Analytics, or a related field. A minimum of 5 years of experience in business analysis within healthcare or government programs. Proficiency in data analysis tools and methodologies, including SQL and Excel. Strong analytical and problem-solving skills with attention to detail. Excellent communication and collaboration skills to work effectively with diverse teams. Familiarity with pharmacy benefit management and healthcare regulations is a plus.

About the job

Join Capital Rx as a Senior Business Analyst where you will play a pivotal role in gathering and documenting business and reporting requirements in alignment with state and federal guidelines. You will analyze complex issues using data from various internal and external sources, creating detailed specifications for business processes, reports, and data analyses based on business needs. Your expertise will also involve identifying trends in datasets to drive process improvements while collaborating with cross-functional teams across compliance, product, sales, marketing, underwriting, implementation, client services, and clinical operations to enhance operational capabilities.

About Capital Rx

At Capital Rx, we are revolutionizing the healthcare landscape by providing innovative health technology solutions that empower employers and health plans. Our suite of offerings includes Capital Rx, a public benefit corporation offering comprehensive pharmacy benefit management solutions, Judi Health™, which delivers full-service health benefit management, and Judi®, our leading Enterprise Health Platform that streamlines claim administration workflows. Together, we are committed to rebuilding trust in healthcare and enhancing the quality of care for all. Discover more at www.judi.health.

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