Home
/
Companies
/
Judi Health
Judi Health
6 open remote positions
Judi Health is a health technology company providing benefit administration solutions with Unified Claims Processing architecture. It operates in a startup environment, deploying infrastructure for millions of Americans.
Salary Distribution
6 of 6 jobs
Open Positions
Triage incoming clinical programs calls, schedule consultations, and conduct outreach to prescribers, pharmacies, and members. Manage and maintain drug lists to support clinical programs, including periodic maintenance and ad-hoc updates. Support reporting requirements, monitor claims, and ensure communication among internal and external stakeholders.
Microsoft Office
Customer Service
Project Management
Triage clinical incoming calls and conduct outreach to members, pharmacies, and prescribers. Support operations of clinical programs including pharmacogenomics, MTM, and lower cost alternatives. Ensure customer satisfaction and meet performance metrics while maintaining quality and compliance.
Clinical Pharmacy
Customer Service
Call Center
Managed Care
Handle complex customer inquiries and oversee call center operations, including monitoring performance and resolving issues. Train, mentor, and supervise a team of customer service professionals to ensure growth and optimize performance. Collaborate with other departments to improve processes and enhance the customer experience, while ensuring compliance with policies.
Customer Service
Team Leadership
Problem Solving
Healthcare Experience
Handle incoming calls with professional phone etiquette, triaging issues and resolving concerns promptly. Identify and document member, pharmacy, and medical claims concerns, escalating to appropriate teams. Communicate effectively with internal and external customers to ensure first-call resolution and quality care.
Customer Service
Communication
Problem Solving
Multitasking
Manage and grow client relationships for Pharmacy Benefit Administration (PBA) services, focusing on Texas-based clients and regulatory compliance. Lead the account management team, developing strategic business plans and overseeing renewals, financials, and contractual obligations. Collaborate with internal teams to customize solutions, analyze industry trends, and support business development for health plans and TPAs.
Pharmacy Benefits
Client Management
Regulatory Compliance
Excel
Strategic Planning
Complete assigned medication utilization reviews and medical necessity appeals for commercial and governmental clients. Provide peer-to-peer support to physicians and prescribers regarding clinical programs and utilization review decisions. Actively participate in developing utilization management criteria and clinical policy revisions.
Medical Review
Prior Authorization
Managed Care