Capital Rx

Financial Planning and Analysis

• Develop team-specific KPI dashboard and conduct periodic analyses of financial results to identify positive/negative trends, operational opportunities, etc.
• Identify automation opportunities and partner with Fin Ops management and Strategic Operations to assess ROI, develop requirements, and prioritize projects based on importance and impact
• Obtain working knowledge of and assist in all invoicing aspects:
• Lead comprehensive billing processes by analyzing inbound data from multiple sources, including multi-year contracts, client programs, and service volumes (e.g., per claim, per member, one-time fees, recurring fees)
• Manage billing across various lines of business including commercial, public, private, and government health plans, covering drug spend and ancillary services
• Invoice Generation: Prepare and issue invoices based on predefined billing schedules and contract terms
• System Reconciliation: Reconcile billing records between internal platforms (e.g., ERP and adjudication systems) to ensure consistency
• Contractual and Clinical Program Reconciliation for Billing: enhance reconciliation process to ensure and confirm all billable programs and administrative fees are correctly captured
• Audit Support: Assist with internal audits by providing technical or analytical support on requests
• Process Adherence: Follow established billing procedures and escalate discrepancies to senior finance staff.
• Continuous Improvement & Collaboration
• Utilize SQL or other data query applications to prepare journal entries, accruals, and adjustments as required
• Responsible for adherence to the Capital Rx Code of Conduct, including reporting of noncompliance.

Finance Analyst, Client Financial Operations

Manager

• Serve as an analytics partner to Client Services teams, understanding their reporting needs and ensuring timely, high-quality delivery.
• Proactively manage and foster stakeholder relationships by acting as a strategic, consultative advisor with a keen understanding of client objectives.
• Translate client requests into clear analytical requirements and deliver actionable reporting that supports client conversations and decision-making.
• Advocate for data-driven decision-making across Client Services and leadership.
• Coach and develop team members, contributing to their professional growth and fostering a collaborative team environment.
• Set priorities, manage workloads, and establish clear expectations to meet client-driven reporting needs.
• Support the adoption of analytics best practices and tools through training sessions and knowledge sharing.
• Contribute to the execution and enhancement of client-facing analytics deliverables aligned with business needs.
• Collaborate on the development of scalable processes for data collection, analysis, and reporting.
• Identify areas for improving efficiency through process improvements, automation, and better data practices.
• Maintain documentation of key analytics processes and ensure data quality standards are upheld.
• Conduct data analysis to generate insights that inform client strategy and support Client Services in their engagements.
• Translate complex analytical findings into clear, actionable recommendations using visualizations and presentations.
• Contribute to proactive analytics that support client outcomes and operational decision-making.
• Ensure adherence to company compliance standards, including reporting any noncompliance.
• Support the development and implementation of quality controls and departmental standards to satisfy organizational and regulatory requirements.
• Participate in internal training sessions to support continued learning and development.

Manager, Analytics – Business Reporting

Analyst

• Support the Head of Benefits and Compensation with creating project plans for the team, defining milestones, and coordinating with stakeholders to deliver initiatives.
• Support team members by mapping, documenting and standardizing current workflows.
• Analyze current HR workflows to identify bottlenecks, redundancies, and opportunities for automation or improvement.
• Tracks and analyzes employee contributions, monitors deductions against payroll register, and identifies and documents adjustments to resolve discrepancies.
• Identify primary duties and responsibilities of current jobs, assess the nature of work, and research and map them to an occupational classification.
• Manage the Benefits inbox by addressing employee inquiries regarding compensation, benefits, and payroll and escalate complex issues to the designated subject matter expert.
• Conduct regular audits of payroll, benefits or other HR programs to ensure data accuracy, compliance with regulations, and recommend corrective action.
• Maintain, organize, and ensure the confidentiality of documents related to benefits, compensation and payroll.
• Ensure HR processes meet both organizational goals and health regulatory requirements.
• Collaborate with cross-functional teams to ensure consistent human resource practices.
• Monitor state and local employment laws, including minimum wage adjustment, pay transparency, leave programs, determine their impact on company policy, distribute updates, and revise process workflow.
• Maintain HRIS by ensuring employee information such as benefit, equity, job titles, address, and bonuses is correct before each pay cycle.
• Responsible for adherence to the Judi Health Code of Conduct, including reporting of non-compliance.
• Performs other related duties as assigned.

Total Rewards Analyst

Attorney

• Manage and provide legal oversight for regulatory change management for the Company, including but not limited to monitoring, analyzing, and interpreting federal and state healthcare legislation, proposed legislation, and sub-regulatory guidance.
• Track regulatory developments and assess their impact on organizational strategy, operations, and provider relationships.
• Provide practical, risk‑based legal advice to support regulatory change management initiatives, including implementation planning and cross‑functional execution.
• Develop and deliver clear legal guidance, summaries, and recommendations for senior leadership and business stakeholders.
• Support internal policy development and updates to ensure alignment with evolving regulatory requirements.
• Manage and provide legal oversight for organizational licensing activities, including initial applications, renewals, and compliance with state and federal requirements.
• Advise on licensing strategies related to provider expansion, new service lines, geographic growth, and organizational restructuring.
• Serve as a legal resource for licensing issues, audits, investigations, and correspondence with regulatory agencies.
• Provide legal support for provider relations contracting, including drafting, reviewing, and negotiating provider agreements and related amendments.
• Advise on regulatory compliance matters affecting provider contracts, reimbursement arrangements, and network participation.
• Collaborate with provider relations, contracting, and compliance teams to ensure contracts align with regulatory, operational, and business objectives.
• Partner with compliance, government affairs, operations, and business teams to proactively identify and mitigate legal and regulatory risks.
• Support other legal and regulatory initiatives as needed, including audits, investigations, and special projects.
• Maintain strong relationships with internal stakeholders and external counsel as appropriate.
• Responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance.

Senior Attorney

Operations

• Responsible for all aspects of benefit configuration, including new plan setup, plan change setup, claims testing, and regular audits
• Drives cross-functional collaboration with the product/dev team as well as additional stakeholder teams to ensure client customized requests are configurable for both new plan setups and plan changes
• Clearly communicate benefit configuration setup and testing process or specific test claims to clients in a concise way that can be understood by users who are not experts in benefit areas
• Make recommendations to streamline the work processes and systems that impact plan/benefit design to create efficiency and quality outcomes
• Works cross-functionally to create new benefit options aligning with market needs, including expansion in government programs
• Develop standards and custom batch testing scenarios and inputs, reviewing test claims output to validate claim accuracy against the clients’ benefit design
• Develops standard policy and procedures, training materials and provide education for training and presentation to cross-functional teams
• Maintain acceptable and appropriate quality levels and production SLA response time
• Participate in client meetings to assess new client benefit information or change requests to ensure design of Judi logic ties to the benefit configuration intended to meet client needs
• Partner with leadership to develop benefit plan designs and ensure that the plan designs meet client requests, Health Plan strategic/business parameters, and all regulatory and other oversight agencies’ requirements
• Partner with Client Services team as clients go live and troubleshoot benefit-related discrepancies, errors, and problems
• Support general business or team needs, as assigned

Benefit Operations Specialist

Data Engineer

• Partner closely with operational and analytics teams to translate business needs into effective data solutions
• Architect and implement ETL workflows leveraging CapitalRx platforms and technologies such as Python, dbt, SQLAlchemy, Terraform, Airflow, Snowflake, and Redshift
• Conduct testing to ensure the flawless execution of data pipelines before production deployment
• Proactively identify and resolve data-related issues, ensuring system reliability and data integrity
• Provide ongoing maintenance and support for data infrastructure
• Responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance.

Data Engineering Intern – Graduate Level

Account Manager

• Support implementation and client management teams with all day-to-day client requirements
• Responsible for timely and accurate management and execution of all client benefit requests, including benefit changes, eligibility changes, and new implementations
• Analyze incoming client requests and work with internal and external teams to complete required plan documentation
• Support implementation of new plans, pricing, and networks, consistent with strategic or administrative intent
• Lead pre- and post-implementation quality assurance and testing to validate coding accuracy
• Lead claim reviews to proactively identify discrepancies or inaccuracies and develop solutions to address
• Handle and resolve sponsor and member issues, escalating as needed
• Research and respond to claims processing and system configuration inquiries
• Coordinate integration of other data inputs into client management processes
• Collaborate cross functionally to support general client operations, as required

Account Coordinator

Security Analyst

• Collaborate with the engineering departments to implement security controls from approved security frameworks and drive best IT practices.
• Interface with internal partner teams to help drive best practices and compliance.
• Evaluate and perform Risk Assessments of new software solutions with internal partners.
• Drive deployment of new systems/solutions as needed.
• Write procedure documentation for end users as needed to facilitate process improvement.
• Help develop IT security training content and drive completion of required security training in collaboration with Human Resources.
• Respond to complex security questionnaires, RFP/RFI requests, and client audits.
• Facilitate end-to-end evidence gathering for external audits, ensuring all technical and administrative artifacts align strictly with security control requirements and regulatory frameworks.
• Evaluate, identify, and remediate the risks associated with current vendors, new vendor acquisitions, and consumer data exchanges.
• Perform risk oversight tasks of vendor security compliance.
• Help run internal, external and vendor related audits.
• Conduct security analysis of deployed software.
• Monitor for risks to the enterprise and to implemented controls.
• Identify, maintain, and publish the requirements for the IT department to achieve compliance and privacy standards in SOC 2, HITRUST, FedRAMP, and other frameworks.
• Work with the internal team in communicating related security notifications and IT controls within the organization while collaborating with teams and vendors on changes, remediations, and updates.
• Experience with incident management Drive use cases to enable threat detection and hunting based on threat intelligence frameworks.
• Experience with Agile and/or Kanban with emphasis on Scrum to drive continuous process improvement.
• Perform Access Reviews.

IT Security Analyst

Solutions Engineer

• Serve as a technical SME in early-stage prospect engagements, joining discovery calls to assess platform fit and clarify complex operational or adjudication-related requirements
• Lead technical product demonstrations tailored to prospective client use cases across medical and pharmacy benefit administration
• Translate prospective client business requirements into technically feasible platform configurations
• Ask targeted discovery questions to identify potential implementation constraints or non-standard client requirements early in the sales process
• Conduct internal solutioning and requirements analysis throughout the prospect lifecycle to support qualification, technical scoping, and pricing
• Partner with Sales to support RFP responses, technical questionnaires, and solution design documentation
• Partner with Product and Engineering teams to clarify platform behavior in complex or ambiguous solutioning scenarios
• Maintain deep familiarity with Judi platform architecture, configuration logic, and adjudication workflows to support accurate technical representation in client-facing settings
• Responsible for adherence to the Capital Rx Code of Conduct, including reporting of noncompliance.

Senior Solutions Architect

Engineer

• Architect observability platform
• Build internal observability products
• Develop custom log indexing systems
• Integrate SQL analytics for logs
• Create advanced query interfaces
• Balance cloud-native and open-source solutions
• Integrate AWS observability
• Build intelligent alerting systems
• Partner with engineering teams
• Enable performance optimization
• Establish observability standards
• Drive platform adoption
• Demonstrate technical leadership
• Work in an Agile/Scrum environment

Senior Scalability Engineer – Observability

• Partner closely with operational and analytics teams to translate business needs into analytics-ready data models, curated data marts, and reusable datasets.
• Build and maintain dbt projects (staging → intermediate → marts), including model layering, macros, exposures, packages, and source freshness to accelerate delivery and improve reliability.
• Design and evolve dimensional models (facts/dimensions, grain, SCD patterns) and analytics patterns aligned with key business domains.
• Own metrics definitions end-to-end: establish KPI logic, naming standards, calculation rules, and governance; maintain a metrics/semantic layer so stakeholders use consistent definitions across tools and teams.
• Implement robust data quality practices (dbt tests, constraints, anomaly checks/monitoring) to ensure reliable downstream reporting and decision-making.
• Produce clear documentation and enablement assets (dbt docs, lineage, data dictionaries, metric definitions, onboarding guides) to support self-service analytics.
• Optimize warehouse performance and cost in Snowflake through SQL tuning, incremental models, appropriate materializations, and efficient data design.
• Use disciplined software engineering practices (Git-based workflows, peer review, CI checks, versioning, environment promotion) to deploy changes safely and repeatably.
• Proactively identify and resolve data-related issues, ensuring system reliability and data integrity.
• Provide ongoing support for critical analytics data products and participate in an on-call rotation as needed.
• Responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance.

Data Engineer I

• Partner closely with operational and analytics teams to translate business needs into effective data solutions
• Architect and implement ETL workflows leveraging CapitalRx platforms and technologies such as Python, dbt, SQLAlchemy, Terraform, Airflow, Snowflake, and Redshift
• Conduct rigorous testing to ensure the flawless execution of data pipelines before production deployment
• Proactively identify and resolve data-related issues, ensuring system reliability and data integrity
• Provide ongoing maintenance and support for critical data infrastructure, including 24x7 on-call availability
• Responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance.

Data Engineer II

Machine Learning Engineer

• Design, build, and operate greenfield SIP trunking infrastructure connecting carrier-grade telephony to our internal voice AI platform.
• Architect and implement real-time bidirectional audio streaming pipelines to support our ECS-based voice stack.
• Design autoscaling strategies for stateful, connection-based workloads, enabling the platform to scale dynamically based on connection ingress and concurrent call volume.
• Implement call routing, inbound/outbound dialing flows, and media transport (RTP/SRTP).
• Integrate with Amazon Connect to bridge carrier connectivity into our custom infrastructure.
• Collaborate with ML engineers, product managers, and other stakeholders to ensure the telephony layer meets the needs of our voice AI systems.
• Ensure outbound dialing infrastructure complies with TCPA regulations and supports STIR/SHAKEN attestation.

Senior Machine Learning Engineer – SIP Telephony

Artificial Intelligence

• Accelerate customer time-to-value by ensuring rapid adoption and operational excellence for AI solutions.
• Act as a strategic partner to department leaders within the company and external clients as needed, mapping AI capabilities to business goals, identifying new use cases, and driving expansion.
• Lead the end-to-end onboarding process, including scoping, technical setup, and training, to ensure successful deployment.
• Track and analyze key AI usage metrics, such as model performance, adoption rates, and ROI, to inform optimization strategies.
• Guide clients through the organizational changes required for AI adoption, focusing on training and cultural alignment.
• Act as a liaison between the clients/departments and the AI product/engineering teams to resolve technical issues and advocate for product enhancements.
• Proactively identify potential bottlenecks, ethical concerns, or security risks in AI deployment.
• Manage and lead a small team of Machine Learning Engineers.

AI Success Specialist, Manager

Revenue Operations

• The Revenue Enablement Manager is responsible for developing, executing, and maintaining the systems, training programs, and standards that empower the sales organization to consistently perform at a high level.
• This role oversees the full enablement engine – from onboarding and continuous training to playbooks, talk tracks, and sales asset governance.
• As a key partner to the Sr. Director of Revenue Operations, this position converts sales strategy into daily, repeatable execution and equips Sales Representatives and Account Executives with the skills, messaging, tools, and insights they need to exceed quota.