Job Opportunities API

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) As an Account Manager focused on PBA and Medicare, you'll be at the forefront of delivering seamless client experiences by managing benefit changes, implementing new plans, and ensuring pricing accuracy—all while driving impactful solutions that directly shape business success. You’ll lead key quality assurance initiatives, proactively identify claim discrepancies, and collaborate across teams to streamline processes, making a tangible impact on client satisfaction and operational efficiency. Your expertise will be essential in shaping client strategies, resolving complex issues, and upholding the values that keep Capital Rx ahead of the competition.   Position Responsibilities: Partner with clinical account manager (CAM) and account executive (AE) to manage clients through the entire lifecycle from implementation through go-live and renewal on a designated book of business    Support implementation as a critical member of the client management teams with all day-to-day client requirements   Responsible for timely and accurate management and execution of all client benefit requests, including benefit changes, eligibility changes, override requests, demos and new implementations   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   Lead pre- and post-implementation quality assurance and testing to validate coding accuracy   Lead claim reviews to proactively identify discrepancies or inaccuracies and develop solutions to address   Travel requirements not to exceed 25%   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 relationship management and contribution to successful NPS and Account Management Survey results, along with retention support   Qualifications :  Undergraduate bachelor’s degree, with record of strong academic performance   5+ years of proven experience in PBM / health plan, benefits consulting, 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   Proficient in Microsoft Office, SQL a bonus   Ability to balance multiple complex projects simultaneously   Exceptional written and verbal communic