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Salary
$201k – $251k per year
Location
Hybrid (Charlotte, New York, Denver, United States)
Seniority
Staff · 10+ years exp

Confirmed on the employer's own hiring board on Oct 29, 2026. First seen by Alion on Jul 15, 2026. Judi Health scores A on the Alion truth index.

Overview
Company
Impact
Profile match
Judi Health, formerly known as Capital Rx, is a health technology company headquartered in New York that provides pharmacy benefit management and unified medical and pharmacy benefit administration to employers, unions, health plans and government entities. Its Judi platform consolidates pharmacy and medical claims processing on one system, alongside the Judi Rx pharmacy benefit service, care navigation and a licensed cloud offering for health plans and third-party administrators. The company hires analytics and business analysts, project managers, security engineers, payroll and clinical solutions leaders, and customer care representatives, mostly in Charlotte.

About Judi Health

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 Judi Health replaces fragmented, outdated systems with the industry's first Unified Claims Processing™ architecture, seamlessly consolidating pharmacy and medical benefit administration on a single,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.

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 www.judi.health.

Hybrid 3 days (offices in NYC, Denver, CO and Charlotte, NC area) 

Position Summary:  

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 on: the standards, patterns, and infrastructure that engineering teams use to move fast and build efficiently. The Caching team sits within Architecture's Core Platform function, owning the data access layer across the entire platform.  

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 caching is approached across the organization.

Claims processing, eligibility, accumulations, and prior authorizations drive highly interconnected, high-volume workflows where maintaining a consistent view of data across the platform is a significant architectural challenge. Decisions around caching, invalidation, and state propagation directly impact both performance and correctness, particularly where the cost of a stale or incorrect read is high. You will be directly responsible for defining consistency contracts, designing invalidation patterns, and balancing correctness and performance across a domain with varying tolerance for stale data. 

One of your first major initiatives will be architecting the caching strategy for our most critical domain: claims adjudication. This is a deeply embedded engagement. You will work directly within the domain by reviewing and analyzing real claims data and processing workflows to understand the caching and consistency requirements. This data flows across systems throughout the platform, directly influencing critical workflows including prior authorization, reporting, and member experience.  

Position Responsibilities:  

  • Design, build, and operatethe caching infrastructure that serves as the data access layer for one of the most complex domain models in American healthcare 
  • Own the full lifecycle of cache design,  from eviction policy and service topology to invalidation architecture and operational recovery 
  • Define and own the performance and correctness contracts between the caching layer and the services that depend on it 
  • Drive adoption of caching best practices across engineering, eliminating anti-patterns, building shared libraries, and making cache-aware design the default 
  • Diagnose and resolve correctness, performance, and stability issues in the caching layer, including leading incident response and post-incident reviews 
  • Set the technical bar for the caching team through design review, code review, and direct mentorship of senior engineers 
  • Participate in a 24/7 on-call rotation to provide continuous operational support and rapid incident response 

Required Qualifications:  

  • 10+ years of production engineering experience, with deep specialization in distributed systems and caching infrastructure 
  • Production experience operatingdistributed caching systems, such as Redis/Valkey or, Memcached, at cloud scale, including cluster topology, eviction policy, replication, and failure recovery 
  • Experience with multi-tenancy and the operational complexity of running shared caching infrastructure across many independent workloads 
  • Deep understanding of cache consistency and the failure modes that emergeat scale, such as thundering herd, hot key saturation, cache leasing, and dual-write consistency problems, and the judgment to choose the right invalidation strategy for a given workload 
  • Fluency with cache replacement algorithms beyond LRU (e.g., LFU, ARC, and probabilistic eviction) and the tradeoffs of multi-tier architectures when an in-process layer belongs alongside a shared distributed cache 
  • Experience in cloud-native environments where redundancy, resource efficiency, and resiliency are first-class requirements, not afterthoughts 
  • A track record of leading cross-team technical initiatives - driving decisions through influence and producing documentation that holds up over time  
  • Strong written and verbal communication - you produce architectural guidance that the broader engineering organization depends on  
  • 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 
  • Strong experience supporting 24/7 production on-call rotations, including responding to alerts and resolving incidents outside of standard business hours  

Preferred Qualifications:  

  • Experience in healthcare, pharmacy benefits, or other regulated industries 
  • Working familiarity with probabilistic data structures and when they belong in a caching architecture over standard key-value patterns 
  • Experience with caching in real-time transactional processing domains - payments, financial services, insurance, or healthcare - where data correctness and timeliness have measurable downstream consequences 
  • Familiarity with database replication and change data capture as mechanisms for cache invalidation and maintainingconsistency with the source of truth 
  • Systems-level programming experience in Rust, Go, or C/C++, particularly for performance-critical infrastructure components 
  • Proficiencyin Python for infrastructure tooling, automation, or service development 
  • Experience with AWS/GCP for managed caching, database, and streaming services 
  • Open-source contributions, technical publications, or conference presentations in distributed systems or infrastructure 

Nothing in this position description restricts management’s right to assign or reassign duties and responsibilities to this job at any time.  

New York, NY Salary Range

$200,800—$251,000 USD

Denver, CO Salary Range

$184,000—$230,000 USD

Charlotte, NC Salary Range

$167,200—$209,000 USD

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.

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. 

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  https://www.judi.health/legal/privacy-policy.

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