Account Coordinator, PBM

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, andJudi®, 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

Capital Rx 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 implementation and client management teams with all day-to-day client requirementsResponsible for timely and accurate management and execution of all client benefit requests, including benefit changes, eligibility changes, and new implementationsAnalyze incoming client requests and work with internal and external teams to complete required plan documentationSupport implementation of new plans, pricing, and networks, consistent with strategic or administrative intentLead pre- and post-implementation quality assurance and testing to validate coding accuracyLead claim reviews to proactively identify discrepancies or inaccuracies and develop solutions to addressHandle and resolve sponsor and member issues, escalating as neededResearch and respond to claims processing and system configuration inquiriesCoordinate integration of other data inputs into client management processesCollaborate cross functionally to support general client operations, as requiredResponsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance

Required Qualifications

Undergraduate bachelor’s degree, with record of strong academic performance or equivalent job experience1+ years of proven experience in PBM / health plan, benefits consulting, healthcareTrack record of building trusting internal and external relationshipsTrack record of leading cross-functional initiatives, driving high performance, meeting deadlines, and executing on deliverablesExperience working with structured and unstructured dataProficient in Microsoft Office, SQL a bonusAbility to balance multiple complex projects simultaneouslyExceptional written and verbal communication skillsExtremely flexible, highly organized, and able to shift priorities easilyAttention to detail & commitment to delivering high quality work product

New York, NY Salary Range: $69,200 USD - $86,500 USD

Denver, CO Salary Range: $63,200 USD - $79,000 USD

Charlotte, NC Salary Range: $57,600 USD - $72,000 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.