PBM Account Manager - Client Success & Implementations

Judi Health, LLC; New York (NY); Hybrid; USD 100,000 - 126,000; Full time

Benefits offered by this job

Health insurance

Paid time off

Hybrid work location

401(k) matching

Job summary

Judi Health, LLC is seeking an Account Manager, PBM to manage client benefit requests, implement new plans, and support pricing and networks. You will collaborate with CAM and AE across the client lifecycle from implementation through renewal, ensuring accurate plan documentation and timely responses.

The role requires 5+ years in PBM/health plans, strong relationships, data handling skills, and excellent communication.

Qualifications

• Undergraduate bachelor’s degree with strong academic performance.
• 5+ years of proven PBM/health plan or benefits consulting experience.
• Track record of building 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 and delivering high quality work.

Responsibilities

• Partner with clinical account manager (CAM) and account executive (AE) to manage clients through the entire lifecycle from implementation through go-live and renewal on a designated book of business.
• Support implementation as a critical member of the 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, override requests, demos 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.
• Travel requirements not to exceed 25%.
• 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 relationship management and contribution to successful NPS and Account Management Survey results, along with retention support.
• Responsible for adherence to the Judi Health Code of Conduct, including reporting of noncompliance.

Skills

PBM experience

Relationship building

Cross-functional leadership

Data analysis

SQL

Project management

Communication skills

Education

Bachelor's degree

Tools

MS Excel

CRM systems

Job description

Judi Health, LLC is seeking an Account Manager, PBM to manage client benefit requests, implement new plans, and support pricing and networks. You will collaborate with CAM and AE across the client lifecycle from implementation through renewal, ensuring accurate plan documentation and timely responses.

The role requires 5+ years in PBM/health plans, strong relationships, data handling skills, and excellent communication.