Triage clinical program calls, schedule consultations, and conduct outreach to members, prescribers, and pharmacies.
Monitor outreach queues, document case activities, and escalate issues to ensure timely completion of clinical programs.
Maintain compliance with HIPAA and internal SOPs while providing compassionate, professional support to members and providers.
Judi Health is a health technology company providing benefit administration solutions to employers, unions, health plans, and government entities. They consolidate pharmacy and medical benefits on a unified platform, leveraging AI-powered care delivery to enhance efficiency and service. The company is a growing startup focused on transforming healthcare infrastructure.
Handle intricate inbound calls and chats regarding child support services during a project surge.
Conduct case research, financial assessments, and clarify legal enforcement actions like income withholding.
Document member information, process state form requests, and update system records.
SMI develops state-of-the-art solutions for complex human service operations. As a family-owned business with over 650 employees, they emphasize teamwork, dedication, and work-life balance.
Review potentially eligible prescription claims and capture verified claims using EMR systems.
Coordinate with facilities to retrieve medical records and audit claims for accuracy.
Develop and present reports to clients and track department KPIs.
NuvemRx helps community health providers simplify pharmacy operations with software, intelligence, and expert support to illuminate savings, expand access, and elevate patient care. They are a fast-growing company with a mission-driven team that values ownership, resilience, and action.