JG

Judge Group

5 open positions available

3 locations
1 employment type
Actively hiring
Full-time

Latest Positions

Showing 5 most recent jobs
JG

IT PMO Analyst

Judge GroupHouston, TXFull-time
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Compensation$70K - 100K a year

Support IT PMO team with project delivery framework, maintain dashboards and reports, perform phase gate audits, provide training on project management tools and processes, and assist with project setup and platform updates. | Bachelor’s degree, minimum five years of ITPMO experience, knowledge of business metrics, strong communication skills, and proficiency with project management methodologies and tools. | Location: Houston, TX Description: Our client is currently seeking a IT PMO Analyst Job Description The role of IT PMO Analyst is to support the Information Technology Project Management Office Team and IT Leadership Team on Project Delivery Framework, ITPMO Platform. Responsibilities and Expectations • Contribute to continuous improvement of ITPMO project management processes and templates throughout the project lifecycle. • Provide support to IT customers and maintain all performance dashboards and prepare reports to be submitted to management. • Perform project phase gate audits ensuring project schedules and documentation are complete and/or up to date. • Provide support to the team on Project Management tools/processes/templates • Provide project management tool training to all users. • Provide project delivery framework training to all users. • Assist with project setup (Teams folders, Templates, etc.) • Assist with ITPMO platform updates. Requirements • Bachelor’s Degree in computer science, business or relative field. • Minimum five years of relevant ITPMO professional experience. • Knowledge of business metrics. • Ability to work independently and as part of a team. • Strong communication skills (written and verbal). • Proven ability to meet deadlines. • Extensive knowledge of project management methodologies, principles and project management tools. • (i.e., Monday.com, Trello, Microsoft Teams, Smartsheet) By providing your phone number, you consent to: (1) receive automated text messages and calls from the Judge Group, Inc. and its affiliates (collectively "Judge") to such phone number regarding job opportunities, your job application, and for other related purposes. Message & data rates apply and message frequency may vary. Consistent with Judge's Privacy Policy, information obtained from your consent will not be shared with third parties for marketing/promotional purposes. Reply STOP to opt out of receiving telephone calls and text messages from Judge and HELP for help. Contact: phenderson@judge.com This job and many more are available through The Judge Group. Find us on the web at www.judge.com About the Company: Judge Group The Judge Group Inc., is a leading professional services firm specializing in talent, technology, and learning solutions. We consult, staff, train, and solve. Through our work we make people and organizations better. Our services are successfully delivered through a network of more than 30 offices across the United States, Canada, and India. The Judge Group is proud to partner with the best and brightest companies in business today, including over 60 of the Fortune 100. We serve organizations in financial services, healthcare, life sciences, insurance, government (including aerospace and defense), manufacturing, and technology and telecommunications. If you would like to learn more about The Judge Group visit www.judge.com or call toll free (800) 360-4474. Company Size: 5,000 to 9,999 employees Industry: Computer/IT Services Founded: 1970 Website: https://www.judge.com

Project Management
ITPMO Platform
Project Delivery Framework
Project Management Tools (Monday.com, Trello, Microsoft Teams, Smartsheet)
Business Metrics
Communication Skills
Verified Source
Posted 5 months ago
JG

Cust Care Rep 1 (Bilingual)

Judge GroupAnywhereFull-time
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Compensation$33K - 37K a year

Handle high-volume inbound calls and written correspondence to assist members with insurance benefits, provider contracts, eligibility, and claims while maintaining documentation and coordinating with internal departments. | High school diploma, minimum 1 year customer service experience, bilingual fluency in English and Spanish, proficiency in MS Excel and Outlook, and strong communication and problem-solving skills. | Location: Tampa, FL Salary: $16.00 USD Hourly - $18.00 USD Hourly Description: Job Title: Bilingual Customer Service Representative (Remote)Location: Remote Schedule: • Full-time: 40 hours/week • Initial Training: 1 week, 8:30 AM – 5:00 PM EST (remote) • Nesting Period: 1 week, 8:30 AM – 5:00 PM EST (remote) • Post-training: Flexible 8-hour shifts between 8:00 AM – 8:00 PM EST, Monday–Friday • Rotational weekend shifts: 1–2 weekend days/month with a compensatory weekday off • Must be available to work on Black Friday, New Year’s Day, and MLK Jr. Day Assignment Duration: October 13, 2025 – January 11, 2026, with potential for extension Job Summary: As a Bilingual Customer Service Representative, you will be the frontline connection for members seeking support with insurance benefits, provider contracts, eligibility, and claims. You’ll handle high-volume inbound calls, provide accurate information, and ensure a positive customer experience through timely and empathetic service. Responsibilities: • Respond to member inquiries via phone and written correspondence • Analyze issues and provide effective solutions • Document interactions and outcomes thoroughly in internal systems • Coordinate with internal departments to resolve member concerns • Navigate multiple web-based applications using Chrome and Edge • Maintain high performance metrics including call quality and attendance • Participate in ongoing training including provider and member services Qualifications: • High school diploma or equivalent • Minimum 1 year of customer service experience (call center or healthcare preferred) • Bilingual fluency in English and Spanish (validated language assessment required) • Proficiency in MS Excel and Outlook; accurate data entry skills • Familiarity with HIPAA regulations preferred • Strong communication, problem-solving, and interpersonal skills By providing your phone number, you consent to: (1) receive automated text messages and calls from the Judge Group, Inc. and its affiliates (collectively "Judge") to such phone number regarding job opportunities, your job application, and for other related purposes. Message & data rates apply and message frequency may vary. Consistent with Judge's Privacy Policy, information obtained from your consent will not be shared with third parties for marketing/promotional purposes. Reply STOP to opt out of receiving telephone calls and text messages from Judge and HELP for help. Contact: cdemey@judge.com This job and many more are available through The Judge Group. Find us on the web at www.judge.com Remote Skills: Call Centers, Call Volume, Communication Skills, Customer Experience, Customer Support/Service, English Language, HIPAA (Health Insurance Portability and Accountability Act), Healthcare, Interpersonal Skills, Microsoft Excel, Microsoft Outlook, Multilingual, Performance Metrics, Problem Solving Skills, Quality Metrics, Regulations, Short Messaging Service (SMS), Spanish Language, Time Management About the Company: Judge Group The Judge Group Inc., is a leading professional services firm specializing in talent, technology, and learning solutions. We consult, staff, train, and solve. Through our work we make people and organizations better. Our services are successfully delivered through a network of more than 30 offices across the United States, Canada, and India. The Judge Group is proud to partner with the best and brightest companies in business today, including over 60 of the Fortune 100. We serve organizations in financial services, healthcare, life sciences, insurance, government (including aerospace and defense), manufacturing, and technology and telecommunications. If you would like to learn more about The Judge Group visit www.judge.com or call toll free (800) 360-4474. Company Size: 5,000 to 9,999 employees Industry: Computer/IT Services Founded: 1970 Website: https://www.judge.com

Bilingual English and Spanish
Customer Service
Call Center Experience
Microsoft Excel
Microsoft Outlook
Data Entry
HIPAA familiarity
Problem Solving
Communication Skills
Time Management
Verified Source
Posted 6 months ago
JG

Bus Ops Spclst

Judge GroupAnywhereFull-time
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Compensation$46K - 48K a year

Conduct provider outreach, assemble and audit medical record submissions, perform quality assurance, and manage compliance documentation for RADV audit process. | Experience in medical records handling, coding & billing, healthcare operations, or audit support preferred with strong attention to detail, communication skills, and ability to work independently. | Location: REMOTE Salary: $22.00 USD Hourly - $23.00 USD Hourly Description: RADV Business Operations Specialist (Medical Records Outreach & Audit) Location: Remote Start Date: August 25, 2025 Hourly Rate: $23/hour Contract Type: Temporary (August 2025-February 2026)Schedule: • Training: Monday–Friday, 8:00 AM–5:00 PM PST • Post-Training Shift Start Times: (Monday-Friday, 40 hours/week) • 6:00 AM–8:00 AM PST • 7:00 AM MST • 8:00 AM CST • 9:00 AM EST Role Overview: The RADV Business Operations Specialist plays a critical role in the CMS Risk Adjustment Data Validation (RADV) audit process. This position focuses on provider outreach, record retrieval, quality assurance, and medical record submission to support compliance with client and CMS service level agreements (SLAs). Key Responsibilities: • Conduct outreach to providers and facilities that have been unresponsive or declined participation, to obtain necessary medical records within defined program timeframes. • Create and assemble RADV submission packets for providers. • Intake, organize, and audit medical record images before forwarding for coding. • Perform quality assurance checks on medical records to ensure completeness and compliance. • Upload audited records and documentation to the CMS submission portal, per member and HCC (Hierarchical Condition Category). • Monitor and resolve issues related to Provider Non-Participation (PNP) in the RADV audit process. Skills & Qualifications: • Experience in medical records handling, coding & billing, healthcare operations, or audit support preferred. • Strong attention to detail and organizational skills. • Comfortable working within set timeframes and managing compliance-related documentation. • Excellent communication skills for provider outreach and issue resolution. • Ability to work independently with minimal supervision, especially during early shift hours. By providing your phone number, you consent to: (1) receive automated text messages and calls from the Judge Group, Inc. and its affiliates (collectively "Judge") to such phone number regarding job opportunities, your job application, and for other related purposes. Message & data rates apply and message frequency may vary. Consistent with Judge's Privacy Policy, information obtained from your consent will not be shared with third parties for marketing/promotional purposes. Reply STOP to opt out of receiving telephone calls and text messages from Judge and HELP for help. Contact: jmaybrier@judge.com This job and many more are available through The Judge Group. Find us on the web at www.judge.com Remote Skills: Auditing, Centers for Medicare and Medicaid Services (CMS), Communication Skills, Content Management Systems (CMS), Contract Management, Data Management, Detail Oriented, Establish Priorities, Medical Imaging, Medical Records, Multiplatform/Cross-Platform, Multitasking, Organizational Skills, Quality Assurance, Service Level Agreement (SLA), Short Messaging Service (SMS), Time Management About the Company: Judge Group The Judge Group Inc., is a leading professional services firm specializing in talent, technology, and learning solutions. We consult, staff, train, and solve. Through our work we make people and organizations better. Our services are successfully delivered through a network of more than 30 offices across the United States, Canada, and India. The Judge Group is proud to partner with the best and brightest companies in business today, including over 60 of the Fortune 100. We serve organizations in financial services, healthcare, life sciences, insurance, government (including aerospace and defense), manufacturing, and technology and telecommunications. If you would like to learn more about The Judge Group visit www.judge.com or call toll free (800) 360-4474. Company Size: 5,000 to 9,999 employees Industry: Computer/IT Services Founded: 1970 Website: https://www.judge.com

Medical Records
Auditing
Quality Assurance
CMS (Centers for Medicare and Medicaid Services)
Communication Skills
Organizational Skills
Time Management
Data Management
Service Level Agreement (SLA)
Contract Management
Verified Source
Posted 6 months ago
JG

Health Rules Payer (HRP) Technical Architect

Judge GroupAnywhereFull-time
View Job
Compensation$146K - 166K a year

Lead technical architecture and cutover planning for healthcare payer modernization projects, collaborating with business and technology teams. | 10+ years SDLC experience, 5+ years in health insurance systems and HealthRules Payer integration, and proven system migration cutover planning experience. | Location: REMOTE Salary: $70.00 USD Hourly - $80.00 USD Hourly Description: Our client is currently seeking a Health Rules Payer (HRP) Technical Architect This role is primarily remote but some travel to Minnesota may be involved (up to 25%) Overview: We are seeking a seasoned Technical Architect to lead two parallel workstreams: Stop Loss Modernization and Cutover Planning. This role requires deep healthcare domain expertise, strong architectural design skills, and the ability to collaborate across business and technology teams. Responsibilities: • Lead technical architecture design for the Stop Loss Modernization workstream • Define key architecture elements integrating with core admin systems and TPA partner ecosystems • Collaborate with Business Solution Architect, Stop Loss SMEs, and client stakeholders to understand future-state requirements • Design and document high-level technology solution architecture • Provide technical insights, documentation, and subject matter expertise • Lead technical planning for the Cutover Planning workstream • Collaborate with a matrixed program team (business, technology, configuration, testing, vendors) • Create and maintain a comprehensive technical cutover plan for in-scope migrations • Track tasks through go-live and ensure readiness • Provide day-to-day oversight and assignments to offshore Technical Analyst • Ensure high-quality deliverables and client satisfaction • Operate independently in a fast-paced environment Required Skills: • 10+ years of experience with SDLC, including Agile and Waterfall delivery models • Proven experience developing and documenting at least one system migration cutover plan • 5+ years of experience with core admin system payer integration (preferably HealthRules Payer) • 5+ years of experience in health insurance systems and processes (claims, stop loss, enrollment, benefits, provider management) • 5+ years of experience migrating healthcare plans to new technology platforms Desired Skills: • HealthRules Payer (HRP) expertise • Familiarity with Medica Health Plan • Experience with stop loss modernization By providing your phone number, you consent to: (1) receive automated text messages and calls from the Judge Group, Inc. and its affiliates (collectively "Judge") to such phone number regarding job opportunities, your job application, and for other related purposes. Message & data rates apply and message frequency may vary. Consistent with Judge's Privacy Policy, information obtained from your consent will not be shared with third parties for marketing/promotional purposes. Reply STOP to opt out of receiving telephone calls and text messages from Judge and HELP for help. Contact: tbousson@judge.com This job and many more are available through The Judge Group. Find us on the web at www.judge.com Remote About the Company: Judge Group The Judge Group Inc., is a leading professional services firm specializing in talent, technology, and learning solutions. We consult, staff, train, and solve. Through our work we make people and organizations better. Our services are successfully delivered through a network of more than 30 offices across the United States, Canada, and India. The Judge Group is proud to partner with the best and brightest companies in business today, including over 60 of the Fortune 100. We serve organizations in financial services, healthcare, life sciences, insurance, government (including aerospace and defense), manufacturing, and technology and telecommunications. If you would like to learn more about The Judge Group visit www.judge.com or call toll free (800) 360-4474. Company Size: 5,000 to 9,999 employees Industry: Computer/IT Services Founded: 1970 Website: https://www.judge.com

HealthRules Payer
System migration cutover planning
Healthcare payer integration
Stop loss modernization
Agile and Waterfall SDLC
Technical architecture design
Verified Source
Posted 6 months ago
JG

Sr. Manager, Technology and Ecosystem Sourcing

Judge GroupDenver, COFull-time
View Job
Compensation$120K - 165K a year

Lead a team managing technology and payments sourcing activities, develop sourcing strategies, negotiate contracts, manage vendor relationships, and provide updates to senior leadership. | Seven+ years in strategic sourcing with at least five years in technology sourcing and three years managing direct reports, bachelor's degree preferred, certifications like CPSM or PMP a plus, strong negotiation and leadership skills. | Location: Denver, CO Salary: $120,000.00 USD Annually - $165,000.00 USD Annually Description: Location: Denver or Austin Are you ready to join a world-class financial services Technology Sourcing organization that helps people prosper? Are you interested in joining a globally diverse organization where our unique contributions are recognized and celebrated, allowing each of us to thrive? Then it's time to join our team as a Sr. Manager, Technology and Ecosystem Sourcing! This role is a strategic position that continually assesses business needs, financials, and the supplier market to determine the best options and sources of supply for the organization. This individual must also be an effective change agent, working with senior leadership within the business to drive enduring changes to how the organization manages third-party spend and supplier relationships. In this role, you will regularly interact with key business leaders to balance cost, risk, and speed to ensure that the business is able to realize its objectives. Role Responsibilities Team Leadership • Lead a team of sourcing professionals to ensure proactive management and execution of category management, sourcing activities, and contracting related to Technology and Payments spend categories. • Model and develop maturity of key sourcing competencies, such as business relationship management, strategic sourcing, negotiations, category planning, analytics, project management, and executive communication. • Develop sourcing and procurement talent through succession planning, training, and mentoring of direct reports. Sourcing Strategy and Spend Management • Develop, through a collaborative and inclusive approach, sourcing and negotiation strategies that deliver against company priorities, translating business imperatives into effective procurement plans. • As an individual and team leader, execute market events and direct negotiations to reduce costs while simultaneously increasing quality and resilience. • Build and manage the pipeline of projects and opportunities for the Tech and Ecosystem Sourcing team, including prioritization, socialization of strategies, and validation of outcomes and cost savings delivered. • Provide regular updates to senior leadership on sourcing activities, cost savings, and vendor performance. • Manage contract lifecycle for all supplier contracts within relevant spend categories, including contract negotiation, execution process, capturing in management tools, coordinating renewals and terminations, and documenting key data points in compliance with Company policies and procedures. Relationship Management • Partner with Tech, Product, Ecosystem, and other departments to understand business requirements and align Sourcing resources with business objectives. • Manage and present information in both written or oral form for respectful dialogue with all levels of the organization and suppliers, including individual requestors through senior executives. • Through effective relationship building, develop the ability to influence and negotiate outcomes with suppliers and business leaders. • Implement mechanisms to ensure that Sourcing is embedded with the business and operating as a "trusted advisor" to business partners. Role Requirements • A bachelor's degree in Business, Supply Chain Management, Information Technology, Communications, or another related field is preferred. • Professional certification (e.g., CPSM, PMP, or CIPS) is a plus. • Seven or more years in strategic sourcing or category management, showing progressive increase in skills and responsibilities, including at least five years of experience in a technology-focused role and three or more years leading direct reports. • Demonstrated leadership, including team leadership and organizational skills, in a cross-cultural, global environment. • Proven experience in contract negotiations, vendor management, and cost optimization in the technology space. • Strong negotiation, communication, and interpersonal skills. • Experience leading large-scale, highly complex, and global sourcing activities. • Deep understanding of technology products, services, market trends, and emerging technologies. • Demonstrated ability to model and maintain a comprehensive procurement fact-base and ongoing financial base case for use in category planning and strategy development. • Ability to manage multiple priorities, operate consistently in high-pressure situations, and meet deadlines. • Proficient in common communication, planning, and analysis tools (e.g., Word, PowerPoint, Excel, SharePoint, PowerBI). Your United States-specific benefits include: • Medical, Dental, Vision, and Life Insurance • Flexible Time Off • Tuition Assistance Program • Parental Leave • 4% Company Contribution to 401K By providing your phone number, you consent to: (1) receive automated text messages and calls from the Judge Group, Inc. and its affiliates (collectively "Judge") to such phone number regarding job opportunities, your job application, and for other related purposes. Message & data rates apply and message frequency may vary. Consistent with Judge's Privacy Policy, information obtained from your consent will not be shared with third parties for marketing/promotional purposes. Reply STOP to opt out of receiving telephone calls and text messages from Judge and HELP for help. Contact: dtaneja@judge.com This job and many more are available through The Judge Group. Find us on the web at www.judge.com Skills: Analysis Skills, Business Analysis, Business Skills, Candidate Sourcing, Category Management, Certified Professional in Supply Management (CPSM), Communication Skills, Contract Management, Contract Negotiation, Corporate Compliance, Corporate Policies, Cost Control, Documentation, Ecosystems, Embedded Systems, Emerging Technology, Establish Priorities, Expense Management, Financial Services, Information Technology & Information Systems, Interpersonal Skills, Leadership, Life Insurance, Market Trend Analysis, Mentoring, Microsoft Excel, Microsoft PowerPoint, Microsoft SharePoint, Microsoft Word, Multitasking, Needs Assessment, Negotiation Skills, Organizational Skills, People Management, Power BI, Process Improvement, Procurement Planning, Project Management Professional (PMP), Project/Program Management, Purchasing/Procurement, Relationship Management, Risk, Sales Management, Sales Pipeline, Short Messaging Service (SMS), Sourcing Strategy, Strategic Planning, Succession Planning, Supply Chain Management, Team Lead/Manager, Team Player, Time Management, Vendor/Supplier Evaluation, Vendor/Supplier Management, Vendor/Supplier Relations, Vision Plan About the Company: Judge Group The Judge Group Inc., is a leading professional services firm specializing in talent, technology, and learning solutions. We consult, staff, train, and solve. Through our work we make people and organizations better. Our services are successfully delivered through a network of more than 30 offices across the United States, Canada, and India. The Judge Group is proud to partner with the best and brightest companies in business today, including over 60 of the Fortune 100. We serve organizations in financial services, healthcare, life sciences, insurance, government (including aerospace and defense), manufacturing, and technology and telecommunications. If you would like to learn more about The Judge Group visit www.judge.com or call toll free (800) 360-4474. Company Size: 5,000 to 9,999 employees Industry: Computer/IT Services Founded: 1970 Website: https://www.judge.com

Strategic Sourcing
Category Management
Contract Negotiation
Vendor Management
Team Leadership
Project Management
Financial Analysis
Communication
Procurement Planning
Power BI
Microsoft Office Suite
Verified Source
Posted 6 months ago

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