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About the Role

The Clinical Account Consultant (CAC) is a clinical subject matter expert for pharmacy benefit management clients. This role analyzes claims data, clinical guidelines, and market shifts to provide data-driven recommendations, partnering with Account Executives and internal teams to enhance member outcomes and pharmacy benefit performance.

Responsibilities

• Analyze pharmacy claims, utilization, and drug trend data to provide evidence-based recommendations on formulary, utilization management, specialty, and clinical programs.
• Translate treatment guidelines, pipeline developments, and market trends into client strategy and assess clinical impact.
• Operationalize approved recommendations with internal teams to ensure accurate implementation in formulary changes, utilization management initiatives, and other pharmacy benefit enhancements.
• Review disruption analyses, clinical readiness materials, and post-go-live outputs to support accurate execution and a positive client/member experience.
• Develop client-ready clinical content for business reviews, strategic reviews, renewals, finalist presentations, and other client needs, and present findings while addressing clinical questions.
• Collaborate with Account Executives, analytics, operations, product, and other internal teams to align clinical strategy with operational execution and platform capabilities.
• Contribute to the development of standardized clinical tools, templates, and best practices to improve quality, efficiency, and consistency.
• Support general business and team needs as required.
• Be available for participation in meetings, testing, claims review, or other support outside standard business hours, including weekends, during certain times of the year.

Requirements

• Doctor of Pharmacy (PharmD) degree from an accredited institution.
• Active pharmacist license, or ability to obtain/maintain licensure as required.
• 3–5 years of experience in PBM, managed care, or health plan environments.
• Strong clinical knowledge of formulary management, utilization management, clinical programs, and pharmacy trend analysis.
• Experience analyzing pharmacy claims data and translating findings into actionable clinical recommendations.
• Ability to explain complex clinical concepts clearly to both clinical and non-clinical audiences.
• Strong written and verbal communication skills.
• Highly organized and able to manage multiple priorities in a fast-paced, cross-functional environment.
• Proficiency in Microsoft Office Suite, including Excel, and experience working with large data sets.
• Ability to travel and present to small and large groups; travel is estimated not to exceed 25%.

Skills

• Formulary management
• Utilization management
• Clinical programs
• Pharmacy trend analysis
• Pharmacy claims data analysis
• Clinical concept explanation
• Written communication
• Verbal communication
• Organization
• Priority management
• Microsoft Office Suite
• Excel
• Working with large data sets
• Client-facing presentations
• Strategic recommendations
• Formulary strategy
• Specialty pharmacy initiatives
• Implementation support
• Disruption review
• Benefit setup

Location

• New York, NY
• Denver, CO
• Charlotte, NC

Work Type

• Full-time

Experience Level

• 3-5 years

Education Level

• Doctor of Pharmacy (PharmD)

Salary/Compensations

• $140,000—$160,000 USD

About the Company

• Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans.
• Judi Rx delivers full-service pharmacy benefit management (PBM) solutions to self-insured employers.
• Judi Health™ offers full-service health benefit management solutions to employers, TPAs, and health plans.
• Judi® is the industry’s leading proprietary Enterprise Health Platform (EHP), consolidating all claim administration-related workflows in one scalable, secure platform.
• The company is rebuilding trust in healthcare in the U.S. and deploying the infrastructure needed for the care people deserve.

Equal Opportunity

• 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.