Account Coordinator, PBA

Capitalrx; Denver (CO); Hybrid; USD 63,200 - 79,000; Full time

Job summary

Judi Health in New York and Denver environs seeks an Account Coordinator to support PBA account teams serving Health Plan, TPA, and copay card clients. You will partner with account teams to enhance client satisfaction and streamline day-to-day tasks, collaborating with internal teams to meet client needs and member expectations.

You’ll thrive if you enjoy building client relationships, following healthcare trends, and improving processes in a fast-paced environment.

Qualifications

• Undergraduate bachelor’s degree with strong academic performance or equivalent job experience.
• 1+ years of PBM/health plan, benefits consulting, healthcare experience.
• Track record of building trusted internal and external relationships.
• Experience leading cross-functional initiatives and delivering deadlines.
• Experience working with structured and unstructured data.
• Proficient in Microsoft Office; SQL a bonus.

Responsibilities

• Support implementation and client management teams with day-to-day client requirements.
• Manage benefit changes, eligibility changes, and new implementations accurately and timely.
• Analyze incoming client requests and collaborate with internal/external teams to complete plan documentation.
• Support implementation of new plans, pricing, and networks per strategic/administrative intent.
• Lead pre- and post-implementation QA and testing to validate coding accuracy.
• Lead claim reviews to identify discrepancies and develop solutions.
• Handle sponsor and member issues, escalating as needed.
• Research and respond to claims processing and system configuration inquiries.
• Coordinate integration of other data inputs into client management processes.
• Collaborate cross-functionally to support general client operations as required.

Skills

Strong communication

Cross-functional collaboration

Attention to detail

Project management

MS Office proficiency

Education

Bachelor’s degree

Tools

Microsoft Office

SQL

Job description

About Judi Health

Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including:

• Judi Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers,
• Judi Health™, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and
• Judi®, the industry’s leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform.

Together with our clients, we’re rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve.

Location: Hybrid 3 days (offices in NYC, Denver, CO and Charlotte, NC area)

Position Summary

Capital Rx is looking for a results-driven Account Coordinator to support the PBA account teams, supporting Health Plan, TPA, and copay card clients. In this role, you will partner with account teams to enhance client satisfaction and help with day-to‑day tasks. You’ll collaborate with internal teams to meet the needs of our clients and their members. If you’re passionate about building strong client relationships, navigating healthcare trends, and improving processes, we want to hear from you!

Position Responsibilities

• Support implementation and client management teams with all day‑to‑day client requirements
• Responsible for timely and accurate management and execution of all client benefit requests, including benefit changes, eligibility changes, and new implementations
• Analyze incoming client requests and work with internal and external teams to complete required plan documentation
• Support implementation of new plans, pricing, and networks, consistent with strategic or administrative intent
• Lead pre‑ and post‑implementation quality assurance and testing to validate coding accuracy
• Lead claim reviews to proactively identify discrepancies or inaccuracies and develop solutions to address
• Handle and resolve sponsor and member issues, escalating as needed
• Research and respond to claims processing and system configuration inquiries
• Coordinate integration of other data inputs into client management processes
• Collaborate cross‑functionally to support general client operations, as required

Required Qualifications

• Undergraduate bachelor’s degree, with record of strong academic performance or equivalent job experience
• 1+ years of proven experience in PBM / health plan, benefits consulting, healthcare
• Track record of building trusting internal and external relationships
• Track record of leading cross‑functional initiatives, driving high performance, meeting deadlines, and executing on deliverables
• Experience working with structured and unstructured data
• Proficient in Microsoft Office, SQL a bonus
• Ability to balance multiple complex projects simultaneously
• Exceptional written and verbal communication skills
• Extremely flexible, highly organized, and able to shift priorities easily
• Attention to detail & commitment to delivering high quality work product

Salary Ranges

New York, NY: $69,200 — $86,500 USD

Denver, CO: $63,200 — $79,000 USD

Charlotte, NC: $57,600 — $72,000 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.