Analyst, Client Audit and Performance (Healthcare)

TL;DR

Analyst, Client Audit and Performance (Healthcare): Validating audit deliverables and developing performance monitoring reporting with an accent on pharmacy claims analysis and financial impact quantification. Focus on automating audit workflows, optimizing SQL/Python queries, and ensuring contractual compliance within a high-scale health tech environment.

Location: Must be based in the United States (Denver, NY, or Remote)

Salary: $80,000 - $100,000 USD

Company

An enterprise health technology company providing PBM and comprehensive health benefit management solutions via the Judi Enterprise Health Platform.

What you will do

• Research and analyze pharmacy claims to ensure accuracy and contractual compliance across pricing and guarantees.
• Perform audit risk assessments, annual logic reviews, and ongoing monitoring activities.
• Develop and maintain SQL and Python queries for audit reporting and performance monitoring.
• Build Tableau dashboards to identify trends, risks, and quantify the financial impact of audit findings.
• Implement automation and process improvements across audit, reporting, and reconciliation workflows.
• Collaborate with internal technology teams to improve data quality, controls, and system workflows.

Requirements

• Bachelor’s degree in a quantitative or business-related field (e.g., Statistics, Finance, Data Analytics).
• 2+ years of experience in data analytics, audit, or a related analytical role.
• Experience in healthcare, PBM, or pharmacy claims analysis.
• Proficiency with SQL (Snowflake preferred), Excel, and Tableau.
• Familiarity with Python and version control tools like GitHub, Jira, and Confluence.
• Must be based in the United States.

Culture & Benefits

• Inclusive workplace that celebrates diversity and equal employment opportunities.
• Fast-paced, collaborative environment focused on rebuilding trust in the U.S. healthcare system.
• Opportunity to work with cutting-edge enterprise health platforms.