Government Program Operations Specialist

Position Responsibilities

• Create, maintain and organize program documentation, including SOPs, job aides, FAQs, and control documentation.
• Submit and track development tickets; monitor progress and follow up to ensure timely completion of enhancements and fixes.
• Support testing of system(s) or process updates to validate functionality and ensure outcomes meet business requirements.
• Support quality assurance reviews of member notices, invoices and other communications to ensure accuracy, completeness, and compliance.
• Track deliverables, timelines, and service level agreements (SLAs) to ensure timely completion of client reporting and program outputs.
• Monitor program activities and escalate issues, risks, or discrepancies; assist in issue tracking and remediation efforts
• Coordinate internal and external (client) meetings; prepare and maintain meeting agendas, notes, and action item tracking.

Required Qualifications

• 1-3 years of experience in operations, program coordination, healthcare administration, or a related role (Medicare, PBM, or managed care experience preferred).
• Associate’s or Bachelor’s degree preferred; High school diploma or equivalent required.
• Strong organizational skills with demonstrated attention to detail and accuracy, particularly in documentation, tracking, and quality review activities.
• Experience managing multiple workstreams, including meeting coordination, task tracking, and deliverable management in a deadline-driven environment.
• Familiarity with ticketing systems, project tracking tools, or workflow management platforms
• Experience supporting testing, quality assurance, or validation activities for operational processes, systems, or communications preferred.
• Exposure to healthcare regulatory or compliance environments (e.g., CMS, Medicare, notices, audits) is a plus.
• Strong written and verbal communication skills, including the ability to document meeting outcomes, summarize issues, and communicate with cross-functional teams and clients.
• Proven ability to work both independently and collaboratively across teams while managing competing priorities.

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$69,200—$109,000 USDNew York, NY Salary Range$87,000—$109,000 USDDenver, CO Salary Range$80,000—$100,000 USDAll employees are responsible for adherence to the Capital Rx 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.

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.

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