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 . Position Responsibilities:   Supports the weekly, monthly, and quarterly maintenance and quality assurance checks of standard and custom formularies for all lines of business including Commercial, Medicaid, Medicare Part D, and the Health Information Marketplace   Assists the pharmacists in operationalizing nd implementing custom client formulary and benefit requests within the formulary management and adjudication platform   Triages and assists with Salesforce cases for custom formularies   Triages and monitors the Formulary Operations inbox   Uploads formulary composites in the adjudication platform and supports Benefits team testing by uploading adjudication data to applicable Salesforce cases   Assists the pharmacists with cross functional support for claim troubleshooting through the adjudication platform   Reviews formulary testing output templates for formulary accuracy   Supports the creation, maintenance, and validation of client and formulary marketing materials in the formulary management tool   Conducts adjudication system maintenance data entry activities   Inputs inactive to active NDC updates   Supplemental list updates in Medispan for pharmacists to perform quality checks   Creates non-formulary tier flips in the formulary management tool    Performs weekly formulary updates for Liberty, Freedom, and standard HIM formularies   Weekly moratorium updates, and weekly utilization management updates in the formulary management tool   Performs Monthly Specialty formulary updates in the formulary management tool   Provides support to Weekly New Drug to Market updates   Assists with creating job aids for Formulary Operations   Develops and maintains departmental SharePoint sites   Completes assigned work plan objectives and projects on a timely basis   Ensures quality assurance and formulary accuracy   Support quality improvement projects, as required   Support RFI and RFP submissions, as required   Support general business needs and operations, as required   Performs other duties and responsibilities as needed     Required Qualifications:   Registered Pharmacy Technician license    Certification from the National Pharmacy Technician Certification Board or National Health career Association or   equivalent experience   3-4 years of pharmacy experience working for a health plan or PBM    Formulary development and maintenance process experience at a PBM or health plan including experience with custom client benefit and formulary design highly preferred   Proficient in Microsoft office suite with emphasis on Microsoft Excel including advanced Microsoft Excel functions, VBA, macros, etc.   Experience working with large datasets required   Knowledge o