Judi Health
Account Manager, PBA
Charlotte, North Carolina, United States
Sponsorship not specified$84k-$105kDetected 8 days ago
SQLSalesAccount ManagementCAMResearchCommunicationOrganizational SkillsMicrosoft OfficeClaims Management
About the role
- 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.
- Your expertise will be essential in shaping client strategies, resolving complex issues, and upholding the values that keep Capital Rx ahead of the competition.
- By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health.
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
- 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
- Responsible for relationship management and contribution to successful NPS and Account Management Survey results, along with retention support
Requirements
- Undergraduate bachelor's degree, with record of strong academic performance
- 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
- Analyze incoming client requests and work with internal and external teams to complete required plan documentation
- Collaborate cross functionally to support general client operations, as required
- 5+ years of proven experience in PBM / health plan, benefits consulting, healthcare
- Track record of building trusting internal and external relationships
- Proficient in Microsoft Office, SQL a bonus
- Exceptional written and verbal communication skills
- Extremely flexible, highly organized, and able to shift priorities easily
- Attention to detail & commitment to delivering high quality work product
Compensation
- Charlotte, NC Salary Range
- $83,600 - $104,500 USD
Benefits
- 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.
- Responsible for timely and accurate management and execution of all client benefit requests, including benefit changes, eligibility changes, override requests, demos and new implementations
- Extremely flexible, highly organized, and able to
- 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.
Visa & Work Authorization
- Handle and resolve sponsor and member issues, escalating as needed
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This listing is sourced directly from Judi Health's careers page and normalized into a canonical job model.