Delegation Oversight Audit Manager
Posted on November 28, 2025 (about 3 hours ago)
About Judi Health
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 Health0c, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and
- Judi0c, the industry99s leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform.
Together with our clients, we99re rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit www.judi.health.
Position Summary and Key Responsibilities
Capital Rx is seeking a strategic and detail-oriented Delegation Audit Oversight Manager to lead operational compliance initiatives and ensure audit readiness across the enterprise. This role manages daily compliance activities, supports accreditation efforts, and drives process improvements. The ideal candidate has deep knowledge of healthcare regulations and excels at building scalable, efficient compliance operations.
- Oversee daily compliance operations, including issue tracking, policy management, and regulatory reporting.
- Supervise and mentor compliance staff, ensuring timely task execution and professional growth.
- Manage new client compliance requests with accuracy and efficiency.
- Collaborate with internal teams to ensure compliance with federal and state regulations (e.g., CMS, HIPAA, ERISA, TPA).
- Maintain and enhance dashboards, metrics, and reporting tools.
- Develop and implement training, policies, and procedures.
- Coordinate internal audits and support external audit readiness.
- Lead URAC and NCQA accreditation efforts.
- Identify and implement process improvement initiatives.
- Serve as compliance liaison for new hire orientation and internal communications (e.g., surveys, Compliance Week activities).
- Maintain positive and collaborative working relationships with internal business partners.
- Responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance.
Preferred Qualifications
- Bachelor99s degree required
- Master99s degree in public health, Healthcare Administration, Business, or related field preferred.
- Minimum 5 years of experience in compliance, risk management, or regulatory affairs, preferably in healthcare or pharmacy benefit management.
- Compliance certification required (e.g., CHC, CCEP, CRCMP).
- Demonstrated experience managing or mentoring staff.
- Experience with NAVEX platforms is strongly preferred.
- Working knowledge of URAC and NCQA accreditation standards required.
- Strong project management, analytical, and communication skills.
- Proficiency with Microsoft Office Suite and compliance management systems.
Additional Information
All 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 provides equal employment opportunities to all employees and applicants, prohibiting discrimination and harassment on the basis of various protected characteristics.
By submitting an application, candidates agree to the retention of their personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at https://www.judi.health/legal/privacy-policy.
How to Apply
Applications can be submitted via the Greenhouse job board page where the job is posted. Candidates need to fill out the application form including personal details, upload resume or CV, and cover letter if applicable. Additional fields include certifications, work authorization status, desired salary, and self-identification surveys for government reporting purposes.
For more information or direct applications, visit the job listing page at https://job-boards.greenhouse.io/capitalrx/jobs/4977018008.