<div class="content-intro"><h2><strong>About Judi Health</strong></h2> <p>Judi Health is a health technology company providing benefit administration solutions to employers, unions, health plans, and government entities. Judi Health replaces fragmented, outdated systems with the industry's first Unified Claims Processing™ architecture, seamlessly consolidating pharmacy and medical benefit administration on a single, secure platform. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels.<br><br>At Judi Health, we're deploying the infrastructure our country needs to deliver the healthcare we all deserve. We are the intelligence platform powering
benefits plans for millions of Americans and proudly leading the next generation of care. To learn more, visit <span><a href="http://www.judi.health" target="_blank">www.judi.health</a></span>.</p></div><p><strong><span data-contrast="auto">Hybrid 3 days (offices in NYC, Denver, CO and Charlotte, NC area)</span><span data-ccp-props="{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}">&nbsp;</span></strong></p> <p><strong><span data-contrast="auto">Position Summary:</span></strong><span data-contrast="auto"> </span><span data-ccp-props="{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}">&nbsp;</span></p> <p><span data-contrast="auto">Judi Health is building the technology infrastructure our nation needs to deliver the healthcare we deserve. The Architecture organization is responsible for the technical foundation the rest of the company builds o</span><span data-contrast="auto">n:</span><span data-contrast="auto">&nbsp;the standards, patterns, and infrastructure that engineering teams&nbsp;</span><span data-contrast="auto">use&nbsp;</span><span data-contrast="auto">to move fast and build&nbsp;</span><span data-contrast="auto">efficiently</span><span data-contrast="auto">. </span><span data-contrast="auto">The Performance team sits within Architecture's Core Platform function, owning the platform's ability to understand, measure, and enforce how systems behave under load. </span><span data-ccp-props="{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}">&nbsp;</span></p> <p><span data-contrast="auto">As a Staff Engineer in Architecture, your influence extends beyond what you ship directly. The standards you set, the patterns you establish, and the decisions you document become the reference point for how system performance is measured and managed across the organization.</span><span data-contrast="auto">&nbsp;</span></p> <p><span data-contrast="auto">Claims </span><span data-contrast="auto">processing</span><span data-contrast="auto">, prior authorization, and </span><span data-contrast="auto">supporting data products</span><span data-contrast="auto">&nbsp;drive</span><span data-contrast="auto">&nbsp;highly complex, data-intensive workloads where decisions across the entire database stack – including schema design, database configuration, connection management, and storage architecture – directly determine the platform’s&nbsp;</span><span data-contrast="auto">ability to deliver reliable performance under heavy read and write load. </span><span data-contrast="auto">You will be directly response for identifying where the ceiling is, prioritizing changes that move it with minimal disruption, and driving deeper re-architecture where the problem demands it. </span><span data-ccp-props="{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}">&nbsp;</span></p> <p><span data-contrast="auto">One of your first major initiatives will be a comprehensive diagnostic of the platform's database architecture, focused on the systems powering </span><span data-contrast="auto">adjudication and claims processing — the most performance-sensitive workflows on the platform. This is a deeply embedded engagement; you will work directly within these domains to understand the query patterns, connection behavior, and cluster configuration shaping how the system performs under load. From there, you will establish the benchmarking frameworks and performance baselines that give the engineering organization a reproducible way to evaluate parameter changes, </span><span data-contrast="auto">query</span><span data-contrast="auto">&nbsp;</span><span data-contrast="auto">modifications, and database upgrades before they reach production. </span><span data-ccp-props="{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}">&nbsp;</span></p> <p><strong><span data-contrast="auto">Position
Responsibilities:</span></strong><span data-contrast="auto"> </span><span data-ccp-props="{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}">&nbsp;</span></p> <p><span data-contrast="auto">In this role, you'll own the observability infrastructure that powers our engineering organization. You will: </span><span data-ccp-props="{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}">&nbsp;</span></p> <ul> <li><span data-contrast="auto">Apply deep Postgres expertise to diagnose production performance problems</span><span data-contrast="auto">&nbsp;by</span><span data-contrast="auto">&nbsp;</span><span data-contrast="auto">interpreting query plans, analyzing usage patterns, and evaluating how cluster configuration and architectural decisions shape system behavior at scale</span><span data-contrast="auto">,</span><span data-contrast="auto"> t</span><span data-contrast="auto">hen own the path from root cause to production remediation </span><span data-ccp-props="{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}">&nbsp;</span></li> <li><span data-contrast="auto">Evaluate and implement cluster topology changes and drive the architectural transformations</span><span data-contrast="auto">,&nbsp;</span><span data-contrast="auto">including the migration from synchronous to asynchronous I/O patterns</span><span data-contrast="auto">,&nbsp;</span><span data-contrast="auto">that take the platform's throughput to the next order of magnitude </span><span data-ccp-props="{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}">&nbsp;</span></li> <li><span data-contrast="auto">Build the benchmarking and regression-detection infrastructure that gives engineering teams a database performance signal</span><span data-contrast="auto">,&nbsp;</span><span data-contrast="auto">before changes reach production </span><span data-ccp-props="{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}">&nbsp;</span></li> <li><span data-contrast="auto">Define and own performance contracts for the database layer: latency targets, throughput expectations, and the SLA boundaries that upstream services build against </span><span data-ccp-props="{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}">&nbsp;</span></li> <li><span data-contrast="auto">Lead query and schema reviews for high-risk changes; own incident response for performance-related degradations and drive post-incident findings into </span><span data-contrast="auto">engineering improvements </span><span data-ccp-props="{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}">&nbsp;</span></li> <li><span data-contrast="auto">Mentor and develop senior engineers on Postgres internals, query analysis, execution plan interpretation, and the performance implications of schema decisions at scale </span><span data-ccp-props="{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}">&nbsp;</span></li> <li><span data-contrast="auto">Participate in a 24/7 on-call rotation to provide continuous operational support and rapid incident response </span><span data-ccp-props="{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}">&nbsp;</span></li> </ul> <p><strong><span data-contrast="auto">Required
Qualifications:</span></strong><span data-contrast="auto"> </span><span data-ccp-props="{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}">&nbsp;</span></p> <ul> <li><span data-contrast="auto">10+ years of production engineering experience, with deep specialization in PostgreSQL performance and transactional systems at scale </span><span data-ccp-props="{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}">&nbsp;</span></li> <li><span data-contrast="auto">Deep fluency in PostgreSQL internals: MVCC, autovacuum behavior, query planner statistics, locking semantics, and the interaction between transaction patterns and long-running queries </span><span data-ccp-props="{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}">&nbsp;</span></li> <li><span data-contrast="auto">Demonstrated ability to diagnose and remediate production database performance problems in regulated or correctness-critical environments </span><span data-contrast="auto">where performance improvements cannot compromise data integrity</span><span data-contrast="auto"> </span><span data-ccp-props="{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}">&nbsp;</span></li> <li><span data-contrast="auto">Experience designing and building performance benchmarking and regression-detection systems — including CI-integrated performance gates and observability pipelines — that give engineering teams pre-production visibility into database performance across the stack</span></li> <li><span data-contrast="auto">Experience evaluating and implementing cluster topology changes: connection pooling configuration, read replica strategy,&nbsp;</span><span data-contrast="auto">partitioning/</span><span data-contrast="auto">sharding approaches, and PostgreSQL</span><span data-contrast="auto"> -</span><span data-contrast="auto">&nbsp;</span><span data-contrast="auto">parameter tuning for high-concurrency transactional workloads </span><span data-ccp-props="{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}">&nbsp;</span></li> <li><span data-contrast="auto">A track record of leading cross-team technical initiatives — driving decisions through influence and producing documentation that holds up over time </span><span data-ccp-props="{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}">&nbsp;</span></li> <li><span data-contrast="auto">Strong written and verbal communication — you produce architectural guidance that the broader engineering organization depends on </span><span data-ccp-props="{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}">&nbsp;</span></li> <li><span data-contrast="auto">Comfortable operating with ambiguity — at this level, you will be handed problems, not plans, and are expected to identify the right approach and drive it from first principles to production</span><span data-ccp-props="{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}">&nbsp;</span></li> <li><span data-contrast="auto">Strong experience supporting 24/7 production on-call rotations, including responding to alerts and resolving incidents outside of standard business hours </span><span data-ccp-props="{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}">&nbsp;</span></li> </ul> <p><strong><span data-contrast="auto">Preferred
Qualifications:</span></strong><span data-contrast="auto"> </span><span data-ccp-props="{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}">&nbsp;</span></p> <ul> <li><span data-contrast="auto">Direct experience with Aurora PostgreSQL at scale</span><span data-contrast="auto">,&nbsp;</span><span data-contrast="auto">including familiarity with the operational constraints of a managed PostgreSQL deployment: connection limits, storage autoscaling behavior, I/O throughput ceilings,</span><span data-contrast="auto">&nbsp;extensions,</span><span data-contrast="auto">&nbsp;and the performance characteristics of Aurora's distributed storage layer </span><span data-ccp-props="{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}">&nbsp;</span></li> <li><span data-contrast="auto">Hands-on experience with connection pooling middleware</span><span data-contrast="auto">,&nbsp;</span><span data-contrast="auto">particularly the operational tradeoffs between pooling modes (session, transaction, statement) in high-concurrency transactional workloads; e.g. PgBouncer, PgDog, or equivalent </span><span data-ccp-props="{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}">&nbsp;</span></li> <li><span data-contrast="auto">Experience with asynchronous Python I/O patterns (asyncio, asyncpg, or equivalent) and the architectural migration from synchronous to asynchronous database interaction </span><span data-ccp-props="{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}">&nbsp;</span></li> <li><span data-contrast="auto">Familiarity with horizontal scale strategies for transactional PostgreSQL workloads</span><span data-contrast="auto">,</span><span data-contrast="auto">&nbsp;</span><span data-contrast="auto">including logical and physical sharding approaches and the tradeoffs they introduce for data model complexity and query routing </span><span data-ccp-props="{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}">&nbsp;</span></li> <li><span data-contrast="auto">Familiarity with the boundary between OLTP and OLAP workloads</span><span data-contrast="auto">,&nbsp;</span><span data-contrast="auto">and the ability to recognize when analytical query patterns are better served by a purpose-built system than optimized on the transactional cluster </span><span data-ccp-props="{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}">&nbsp;</span></li> <li><span data-contrast="auto">Systems-level programming experience in Rust, Go, or C/C++</span><span data-contrast="auto">.&nbsp;</span><span data-contrast="auto">&nbsp;</span><span data-contrast="auto">W</span><span data-contrast="auto">hile the primary focus of this role is database optimization,&nbsp;you'll&nbsp;be actively involved in application development, and the ability to work at lower levels of the stack when performance demands it is a meaningful advantage </span><span data-ccp-props="{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}">&nbsp;</span></li> <li><span data-contrast="auto">Background in pharmacy benefit management, claims adjudication, healthcare data systems, or other regulated, correctness-first transactional environments </span><span data-ccp-props="{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}">&nbsp;</span></li> </ul> <p><strong><em><span data-contrast="auto">Nothing in this position description restricts management’s right to assign or reassign duties and
responsibilities to this job at any time.</span></em></strong><span data-contrast="auto"> </span><span data-ccp-props="{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}">&nbsp;</span></p><div class="content-pay-transparency"><div class="pay-input"><div class="title">New York, NY Salary Range</div><div class="pay-range"><span>$200,800</span><span class="divider">&mdash;</span><span>$251,000 USD</span></div></div><div class="pay-input"><div class="title">Denver, CO Salary Range</div><div class="pay-range"><span>$184,000</span><span class="divider">&mdash;</span><span>$230,000 USD</span></div></div><div class="pay-input"><div class="title">Charlotte, NC Salary Range</div><div class="pay-range"><span>$167,200</span><span class="divider">&mdash;</span><span>$209,000 USD</span></div></div></div><div class="content-conclusion"><p class="p1"><em>All employees are responsible for adherence to the Judi Health 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.</em></p> <p><em><span data-contrast="none">We 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.</span></em><span data-ccp-props="{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}">&nbsp;</span></p> <p><span data-ccp-props="{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}">By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at<span class="Apple-converted-space">&nbsp;</span><a href="https://www.judi.health/legal/privacy-policy" data-outlook-id="be5f7242-36ad-42be-9caf-fd585904c3c5">https://www.judi.health/legal/privacy-policy</a>.</span></p></div>
Judi Health is a 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™: full-service health benefit management for employers, TPAs, and health plans - Judi®: a single, scalable SaaS solution that health plans can utilize to manage all their claim workflows Through these solutions, Judi Health is executing on its mission to give our country the infrastructure it needs for the healthcare we deserve.
Account Executive, PBM
Lead Analyst, Analysis & Efficiencies
VP, Health Plan, Health System, & TPA Client Services
Senior Implementation Project Manager
Supervisor, Utilization Management Technician
Salary
$200,800 - $251,000
Location
United States, Colorado + 5 more
Total raised
$762M
Last stage
Series F
Investors
Ryan Kelly
Co-Founder & CTO
No applications, no recruiter spam. Just the intro.
A few questions to make sure this role is the right shape for you. Two minutes.
I write the intro, send it to the founder, and handle the back-and-forth.
If they’re a yes, I book the chat. You show up — that’s the whole job-hunt.