Judi Health
Formulary Operations Specialist
Denver, Colorado, United States
Sponsorship not specified$70k-$85kDetected 8 days ago
SalesforceExcelOrganizational SkillsMicrosoft OfficeSharePointClaims 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.
- 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.
Responsibilities
- Assists the pharmacists with cross functional support for claim troubleshooting through the adjudication platform
- Supports the creation, maintenance, and validation of client and formulary marketing materials in the formulary management tool
- 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
- Performs Monthly Specialty formulary updates in the formulary management tool
- Provides support to Weekly New Drug to Market updates
- Develops and maintains departmental SharePoint sites
- Performs other duties and responsibilities as needed
Requirements
- Experience working with large datasets required
- High attention to detail required
- Ability to work independently and accurately in a fast-paced environment
- Ability to balance multiple projects simultaneously
- Support quality improvement projects, as required
Compensation
- Denver, CO Salary Range
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.
- Assists the pharmacists in operationalizing nd implementing custom client formulary and benefit requests within the formulary management and adjudication platform
- Uploads formulary composites in the adjudication platform and supports Benefits team testing by uploading adjudication data to applicable Salesforce cases
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This listing is sourced directly from Judi Health's careers page and normalized into a canonical job model.