Job Description
Position Summary:
- Perform routine auditing and monitoring processes.
- Ensure quality, accuracy, and regulatory compliance.
Position Responsibilities:
- Complete monthly utilization management and appeals audits.
- Create and maintain progress reports and audit results.
- Respond to inquiries regarding quality assurance processes.
Minimum Qualifications:
- Active pharmacist license required.
- 2+ years of state regulatory and audit experience required.
- Strong communication and analytical skills required.
About Judi Health
Judi Health provides a comprehensive suite of solutions for employers and health plans. They offer full-service health benefit management solutions and consolidate all claim administration-related workflows in one scalable, secure platform.