About the role
About Judi Health Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Judi Rx , a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, Judi Health™ , which offers full-service health benefit management solutions to employers, TPAs, and health plans, and Judi® , the industry’s leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform. Together with our clients, we’re 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 . Location : Hybrid 3 days (offices in NYC, Denver, CO and Charlotte, NC area) Position Summary: Judi Health is looking for a results-driven Account Coordinator, PBM to support the PBM Commercial account teams with large and jumbo commercial clients in the health system, employer, labor/union, and public sectors. In this role, you will partner with account teams to enhance client satisfaction and help with day-to-day tasks. You’ll collaborate with internal teams to meet the needs of our clients and their members. If you’re passionate about building strong client relationships, navigating healthcare trends, and improving processes, we want to hear from you! Position
Responsibilities: Support a variety of clients and account management teams to ensure best in class service and superior service levels are achieved Support implementation and client management teams with all day-to-day client
requirements Responsible for timely and accurate management and execution of assigned client benefit requests, including benefit changes, eligibility changes, override requests, demo support and new implementation support 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 Participate in pre- and post-implementation quality assurance and testing to validate coding accuracy Participate in 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 Responsible for adherence to the Capital Rx Code of Conduct, including reporting of noncompliance. Required
