Account Coordinator, PBM

Capital Rx; Charlotte (NC); Hybrid; USD 58,000 - 72,000; Full time

Job summary

Judi Health is seeking a results-driven Account Coordinator, PBM to support PBM Commercial accounts with large clients in health system, employer, labor/union, and public sectors. You will partner with account teams to enhance client satisfaction and handle day-to-day tasks, collaborating with internal teams to meet client needs.

You will work across implementation, pricing, networks, and plan documentation while ensuring timely, accurate processing and QA.

Qualifications

• Undergraduate bachelor's degree with strong academic performance or equivalent experience.
• 1+ years of PBM/health plan experience or health benefits background.
• Proven ability to build trusted internal and external relationships.
• Experience leading cross-functional initiatives and meeting deadlines.
• Experience working with structured and unstructured data.
• Proficiency in Microsoft Office; SQL is a plus.
• Ability to juggle multiple complex projects and priorities.
• Strong written and verbal communication; highly organized.

Responsibilities

• Support PBM account teams for large and jumbo commercial clients.
• Assist with day-to-day client requirements and implementations.
• Process benefit requests, eligibility changes, and demos support.
• Analyze client requests and coordinate with internal/external teams.
• Support new plan implementations, pricing, and networks.
• Contribute to QA/testing to ensure coding accuracy.
• Participate in claim reviews and resolve discrepancies proactively.
• Address sponsor and member issues and escalate when needed.
• Research and respond to claims processing and system questions.
• Coordinate integration of data inputs into client processes.

Skills

PBM experience

Relationship building

Cross-functional leadership

Data handling

Project management

Communication skills

Detail oriented

Education

Bachelor's degree

Tools

SQL

Microsoft Office

Job description

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 Judi Health replaces fragmented, outdated systems with the industry's first Unified Claims Processing architecture, seamlessly consolidating pharmacy and medical benefit administration on a single,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

Location

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

Position Summary

Judi Health is looking for a results-driven Account Coordinator, PBM to support the PBM Commercial account teams with large and jumbo commercial clients in the health system, employer, labor/union, and public sectors. 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 a variety of clients and account management teams to ensure best in class service and superior service levels are achieved
• Support implementation and client management teams with all day-to-day client requirements
• Responsible fortimelyandaccuratemanagement and execution ofassignedclient benefit requests, including benefit changes, eligibility changes,override requests, demosupportand new implementationsupport
• 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
• Participate inpre- and post-implementation quality assurance and testing tovalidatecoding accuracy
• Participate inclaim reviews to proactivelyidentifydiscrepancies 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, asrequired
• Responsible for adherence to the Judi Health Code of Conduct, including reporting of noncompliance.

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, healthcarepreferred
• Track recordof building trusting internal and external relationships
• Track recordof 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 deliveringhigh qualitywork product

New York, NY Salary Range: $69,200—$86,500 USD

Denver, CO Salary Range: $63,200—$79,000 USD

Charlotte, NC Salary Range: $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 athttps://www.judi.health/legal/privacy-policy.