Capital Rx · 18 hours ago
Analysis & Efficiencies Senior Analyst
United States
Full-time
Remote
Mid, Senior Level
$90K/yr - $105K/yr
4+ years expCapital Rx is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans. The Government Programs Analysis & Efficiencies Senior Analyst will support the operational success of Medicare, Medicaid, and the Exchange programs by developing data-driven solutions and collaborating with cross-functional teams.
Hospital & Health Care
Responsibilities
Analyze complex datasets to identify trends, outliers, and opportunities for operational improvement across Medicare, Medicaid, and Exchange programs
Develop and maintain recurring and ad-hoc reports, dashboards, and analytical tools to support data-driven decision-making
Create and maintain a repository of standardized code templates to streamline report generation and automate routine tasks
Ensure analytical outputs align with regulatory requirements and business objectives by interpreting CMS and state guidance in partnership with internal subject matter experts
Support the development of scalable processes that enhance efficiency, accuracy, and responsiveness across government program operations
Design and implement automated solutions to reduce manual effort and improve process scalability and accuracy
Implements and uses analytical software to support the department in achieving goals as defined by executive leadership
Facilitate requirements gathering sessions to understand business needs and translate them into actionable analytical deliverables
Analyzes business workflow and system needs for conversions and migrations to ensure that encounter, recovery, and cost savings regulations are met
Presents and communicates complex analytical findings in a clear and concise manner
Participates in user acceptance, and quality assurance testing of new application features and team deliverables
Supports root-cause-analysis and reporting of encounter data issues/errors by partnering with key stakeholders – Will also provide operationally support
Prepares high-level user documentation and training materials as needed
Work with internal and external clients to research, develop, and document new standards to enhance reporting capabilities
Collaborate with cross-functional teams—including compliance, product, sales, marketing, underwriting, implementation, client services, and clinical operations—to refine and enhance operational capabilities
Responsible for adherence to the Capital Rx Code of Conduct, including reporting of noncompliance
Qualification
Required
4+ years of healthcare data experience
4+ years of experience working with SQL, R, or Python
4+ years of experience working with business intelligence tools
Experience performing analyses on large sets of data
Knowledge of data management, statistics, modeling concepts
Experience working with cross-functional teams
Experience with Power BI or other data visualization tools
Ability to balance multiple complex projects simultaneously
Extremely flexible, highly organized, and able to shift priorities easily
Attention to detail & commitment to delivering high-quality work product
Bachelor's degree in Business Administration, Data Analytics or 4+ years of relevant experience
Preferred
4+ years of proven experience in government programs
3+ years of experience working with pharmacy data
Experience with Medicare(Part D), Medicaid, and/or Marketplace Pharmacy Data/Processes
Company
Capital Rx
Capital Rx is now Judi Health! Navigate to our new page here: https://www.linkedin.com/company/judi-health
501-1000 employees
H1B Sponsorship
Capital Rx has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (3)
2024 (2)
2023 (1)
2022 (1)
2021 (5)
Funding
Current Stage
Late StageLeadership Team
A. J. Loiacono
CEO
Ryan Kelly
CTO
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