• Provide services as part of a brokerage operations functional team • Answering member and field phone calls • Assisting other team members • Managing workflow • Flexing to provide functional coverage • Collaborating with other service teams • Maintain a thorough understanding of brokerage operations products, services and affiliated systems • Analyze, approve and provide high quality and timely service • Provide quality customer service by providing detailed, accurate and timely communications

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Step into the role of Operations Specialist where you'll provide essential operational support that keeps our ACO running smoothly while directly contributing to healthcare transformation initiatives. This dynamic role offers the opportunity to monitor compliance activities, support leadership on special projects, and serve as the operational backbone ensuring seamless communication across all levels of the organization. - Preparation of materials such as board presentations, practice communications, and minutes for ACO board meetings. - Coordination of key events such as ACO retreats, ACO kick-offs, and ACO board meetings for providers and field teams. - Assist in designing and implementing a range of key reports (financial reports, KPIs) using relevant business intelligence and customer relationship management tools. - Monitoring of compliance activities. - Support the Market President / Executive Director and field team on special projects, data requests and other program reporting requirements, as needed. Qualifications - Bachelor's degree plus 1 to 3 years of related experience, or an equivalent combination of education and experience. Requirements - Healthcare Industry experience is a plus. - Project management process knowledge is a plus. - Ability to work in a rapidly changing startup environment. - Ability to travel up to 10% across the year for team retreats & events. - Ability to sit for prolonged periods and extensive keyboard use. Benefits - Flexible work schedules and the ability to work remotely are available for many roles. - Health, dental and vision insurance paid up to 80% for employees, dependents and domestic partners. - Robust time-off plan (21 days of PTO in your first year). - Two paid volunteer days and 11 paid holidays. - 12 weeks paid parental leave for all new parents. - Six weeks paid sabbatical after six years of service. - Educational Assistant Program and Clinical Employee Reimbursement Program. - 401(k) with up to 4% match. - Stock options. - And much more!

• Act as the primary operational gatekeeper to the Managing Director (supported by the MD’s EA) • Resolve operational matters independently, escalating only when necessary • Filter priorities and protect the MD’s focus • Ensure the business operates calmly, predictably, and efficiently • Take authority for day-to-day operational decisions within agreed financial and strategic guardrails • Own end-to-end delivery of all events and programmes • Ensure consistent quality, seamless execution, and exceptional customer experience • Oversee handovers between sales, operations, and post-event follow-up • Act as senior escalation point during delivery • Line-manage: Head of Events & Community, Finance Assistant, Executive Assistant • Ensure teams are well-resourced, focused, and supported • Lead recruitment, onboarding, and performance management • Coordinate operational marketing delivery • Operate within agreed budgets and forecasts • Ensure operational adherence to financial plans • Identify and flag risks or variances early • Maintain oversight via the Directors’ Dashboard • Own and monitor key KPIs • Act as the MD’s execution arm • Translate ideas and briefs into structured, actionable plans • Drive follow-through and ensure cross-functional alignment • Own SOPs, CRM systems, automations, and operational reporting • Continuously improve processes and remove friction • Oversee the AI roadmap • Lead cross-functional initiatives

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Senior Manager is responsible for leading the end‑to‑end implementation, governance, and change management of regulatory requirements for Exchange plans and EDGE Server operations. This role oversees the delivery of CMS submissions, compliance activities, contract applications, and bid‑related client support, while also coordinating responses to federal and state regulatory audits. The Senior Manager ensures all regulatory reporting obligations are met for Exchange clients by interpreting CMS and state guidance, partnering with internal subject matter experts and client teams, and translating requirements into operational processes. Using structured research, analysis, testing, and validation, this role ensures that systems, workflows, and data submissions consistently meet regulator expectations and client objectives. Responsibilities - Lead Government Programs support for Exchange business functions including claims adjudication, regulatory reporting, and audit support (Government, and Client). - Leads the interpretation, implementation and monitoring of all relevant regulatory requirements and changes impacting Capital Rx’s Exchange Programs. - Establish and maintain the EDGE pharmacy submission playbook (file intent, lineage, duplicate controls, timestamp standards, enrollment alignment). - Define and enforce submission cadences, pre‑submission QA gates, and accept/active/non‑orphan targets that meet CMS sufficiency timelines. - Translate CMS updates into operational SOPs and training. - Partners with cross‑functional SMEs to analyze regulatory changes, determine their implications for organizational processes, systems, and client commitments, and leads the coordinated, on‑time implementation of required updates across the enterprise. - Manages timely response to Government Programs support for RFP/RFI, internal sales, and Exchange client requests. - Provides key insights on Exchange functions using data analysis, industry knowledge and subject matter expertise to identify opportunities, and develop solutions, for optimization of internal business processes and systems. - Supports the documentation management of internal policies and procedures, reporting and project specifications, job aids, and workflows for designated Government Programs Operations. - Leverages profound knowledge of Exchange guidance and understanding of industry and market requirements to support product strategy and service delivery. - Maintains current knowledge of Exchange requirements to facilitate compliance of ongoing business operations. - Fosters a high-performance culture through mentoring and collaboration, providing team members with ongoing performance feedback and identifying required changes to existing roles and responsibilities to ensure effectiveness and efficiency. - Assesses impact of new business to understand scalability and staffing needs. Qualifications - 6+ years of relevant Prescription Benefit Management and/or Health Plan experience supporting Exchange plans. - 5+ years people management experience. - Vast knowledge of Exchange regulatory requirements and associated product and/or operational workflows. - Proven success managing multiple complex projects simultaneously. - Extremely flexible, highly organized, and able to shift priorities easily. - Attention to detail & commitment to delivering high quality work product. - Excellent written and verbal communication skills. - Proven success managing cross functional teams and maintaining effective relationships at all levels both internal and external; including government entities. Salary Range $120,000 - $135,000 USD Company Description Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: - Capital 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. - 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. Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to 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.