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Position Responsibilities:
- Serve as the Medicare coverage determinations and redeterminations subject matter expert
- Create and uphold robust policies and procedures for coverage determinations and redeterminations in accordance with CMS guidelines
- Write and maintain department specific job aids/work instructions
Required Qualifications:
- 2+ years of Medicare PA leadership experience required
- 4+ years of experience at a PBM or health plan preferred
- Active, unrestricted, pharmacist license required
Judi Health
Judi Health provides a comprehensive suite of solutions for employers and health plans. Together with our clients, they’re rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve.