Clinical Programs Specialist

About Judi Health
Judi Health is a health technology company providing benefit administration solutions to employers, unions, health plans, and government entities. Judi Health replaces fragmented, outdated systems with the industry's first Unified Claims Processing™ architecture, seamlessly consolidating pharmacy and medical benefit administration on a single, secure platform. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels.
At Judi Health, we're deploying the infrastructure our country needs to deliver the healthcare we all deserve. We are the intelligence platform powering benefits plans for millions of Americans and proudly leading the next generation of care. To learn more, visit www.judi.health.
Position Summary
Acts as a dedicated specialist responsible for leading administrative and operational tasks to facilitate the execution of clinical programs and clinical initiatives, including but not limited to, triaging incoming calls, conducting outreach, managing and maintaining drug lists, and supporting reporting requirements.
Position Responsibilities:
Work with the Clinical Programs team to triage incoming clinical programs calls, schedule appointments for consultations and conduct outreaches to prescribers, pharmacies, and members
Lead administrative and operational tasks to support the implementation of clinical programs, including but not limited to Capital Rx’s pharmacogenomics, MTM (Medication Therapy Management), lower cost alternative solutions, opioid safety edits, cost containment, and other clinical initiatives as needed
Manage and maintain drug lists to support operations of clinical programs including periodic drug list maintenance, weekly and quarterly list reviews, and ad-hoc updates
Support reporting requirements, monitor claims, and ensure communication amongst all stakeholders including internal and external partners
Identify, document, and effectively communicate issues to appropriate internal stakeholders ensuring customers receive quality care and resolution meets all health and safety standards
Work collaboratively with internal business and clinical partners to support clinical program initiatives as required
Ensure customer satisfaction, demonstrate genuine compassion and care, and provide professional customer service in a fast paced, startup environment
Follow all internal Standard Operating Procedures and adhere to HIPAA guidelines and Company policies
Uphold general business needs and operations as required
Required Qualifications:
Active, unrestricted pharmacy technician license
2+ years of applicable experience in a clinical pharmacy setting PBM, health plan, or related health care experience
1+ year of customer service experience with a passion for building customer loyalty through exceptional listening, relationship building, and strong written and verbal communication
Ability to balance multiple complex projects simultaneously with minimal direction
Preferred Qualifications:
Medication Therapy Management (MTM) experience preferred
Proficient in Microsoft Office Suite with emphasis on Microsoft Excel and PowerPoint
Experience with Confluence, Jira, Tableau, Salesforce
Highly detail-oriented and analytical
Bilingual- Spanish preferred
This range represents the low and high end of the anticipated base salary range. The actual base salary will depend on several factors such as: experience, knowledge, skills, and location of the job.
Remote, US Salary Range
$65,000—$75,000 USD
All employees are responsible for adherence to the Judi Health Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals.
We provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at https://www.judi.health/legal/privacy-policy.