Account Coordinator, PBM

Capital Rx; New York (NY); Hybrid; USD 60,000 - 86,500; Full time

Job summary

Judi Health is seeking a results-driven Account Coordinator, PBM to support the PBM Commercial account teams with large and jumbo commercial clients in health system, employer, labor/union, and public sectors. 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 client needs and their members. Responsibilities include coordinating client requests, processing benefit changes, eligibility updates,

Qualifications

• Undergraduate bachelor's degree or equivalent experience.
• 1+ years of PBM/health plan experience preferred.

Responsibilities

• Support PBM Commercial account teams for large and jumbo clients.
• Collaborate with cross-functional teams to meet client and member needs.
• Process client benefit changes, eligibility updates, and override requests.
• Assist with new plan implementations and pricing analyses.
• Participate in QA and testing to validate coding accuracy.
• Address sponsor and member issues and escalate when needed.
• Coordinate data inputs into client management processes.
• Adhere to the Capital Rx Code of Conduct.

Skills

Cross-functional collaboration

Prioritization

Communication

Data analysis

PBM/health plan experience

Attention to detail

Education

Bachelor's degree

Tools

SQL

Microsoft Office

Job description

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. 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 of assigned client benefit requests, including benefit changes, eligibility changes, override requests, demosupport and 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 in pre- and post-implementation quality assurance and testing to validate coding accuracy
• Participate in 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
• Responsible for adherence to the Capital Rx 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, healthcare preferred
• 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

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 at https://www.judi.health/legal/privacy-policy.