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About the Role
Judi Health is a health technology company providing benefit administration solutions. We are deploying the infrastructure our country needs to deliver the healthcare we all deserve, serving as the intelligence platform for millions of Americans and leading the next generation of care.
Responsibilities
- Manage and execute client benefit requests, including benefit changes, eligibility changes, and new implementations.
- Support the implementation of new plans, pricing, and networks.
- Partner with clinical account manager and account executive to manage clients throughout their lifecycle.
- Act as a critical member of client management teams, supporting day-to-day client requirements.
- Analyze client requests and collaborate with internal and external teams to complete plan documentation.
- Lead pre- and post-implementation quality assurance and testing to validate coding accuracy.
- Lead claim reviews to identify discrepancies and develop solutions.
- Handle and resolve sponsor and member issues, escalating as needed.
- Research and respond to claims processing and system configuration inquiries.
- Coordinate the integration of other data inputs into client management processes.
- Collaborate cross-functionally to support general client operations.
- Manage client relationships to contribute to successful NPS and Account Management Survey results, and support retention.
- Adhere to the Judi Health Code of Conduct, including reporting non-compliance.
Requirements
- Undergraduate bachelor’s degree with a record of strong academic performance.
- 5+ years of proven experience in PBM/health plan, benefits consulting, or healthcare.
- Track record of building trusting internal and external relationships.
- Track record of leading cross-functional initiatives, driving high performance, meeting deadlines, and executing on deliverables.
- Experience working with structured and unstructured data.
- Ability to balance multiple complex projects simultaneously.
- Exceptional written and verbal communication skills.
- Extreme flexibility, high organization, and ability to shift priorities easily.
- Attention to detail and commitment to delivering high-quality work product.
- Must have authorization to work in the US at the time of application and throughout employment.
- Judi Health does not provide sponsorship for H1-B, TN, OPT, etc.
Skills
- Proficient in Microsoft Office
- SQL (bonus)
Location
- New York, NY
- Denver, CO
- Charlotte, NC
Work Type
- Hybrid (3-days)
Experience Level
- 5+ years
Education Level
- Bachelor's degree
Salary/Compensations
- $100,400—$125,500 USD (New York, NY)
- $92,000—$115,000 USD (Denver, CO)
- $83,600—$104,500 USD (Charlotte, NC)
About the Company
- 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.
- We are the intelligence platform powering benefits plans for millions of Americans and proudly leading the next generation of care.
- Visit www.judi.health to learn more.
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.