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Judi Health
Judi Health
3 open remote positions
Judi Health is a health technology company providing benefit administration solutions to employers, unions, health plans, and government entities. It is the intelligence platform powering benefits plans for millions of Americans, focused on operational efficiency and service excellence.
Salary Distribution
3 of 3 jobs
Open Positions
Review prior authorization requests, appeals, and overrides using clinical guidelines and benefit criteria. Ensure compliance with federal, state, and internal regulations across Commercial, Exchange, Medicare, and Medicaid plans. Provide clear, empathetic support to members, prescribers, and pharmacies via phone, while staying current with clinical guidelines.
Pharmacy
Prior Authorization
Utilization Management
Managed Care
Lead daily Customer Care operations and oversee Team Leaders to meet SLAs and ensure positive experiences. Hire, coach, and manage remote teams; analyze data to improve processes and workforce alignment. Collaborate with Clinical Operations and Client Account Management on prior auth calls and escalations.
Customer Service
Team Leadership
Healthcare
Salesforce CRM
Data Analysis
Triage incoming phone calls from members and pharmacies with professional etiquette. Identify, document, and escalate member and pharmacy concerns to appropriate teams. Ensure first-call resolution and exceptional customer care with genuine compassion.
Customer Service
Healthcare
PBM
Communication
Bilingual Spanish