PBM Account Manager — Hybrid, Data-Driven Health Tech

Judi Health; Charlotte (NC); Hybrid; USD 84,000 - 105,000; Full time

Job summary

Judi Health is seeking an Account Manager, PBM to oversee timely and accurate management of client benefit requests, support implementation of new plans and networks, and drive successful client engagements across a designated book of business.

You will collaborate with CAMs and AEs, lead QA and testing, and ensure smooth go-lives and renewals while maintaining high client satisfaction metrics. Hybrid work with travel up to 25% is expected.

Qualifications

• Undergraduate bachelor’s degree, with record of strong academic performance.
• 5+ 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

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

Relationship management

Cross-functional leadership

Communication skills

Attention to detail

Data analysis

Education

Bachelor's degree

Tools

SQL

Microsoft Excel

Job description

Judi Health is seeking an Account Manager, PBM to oversee timely and accurate management of client benefit requests, support implementation of new plans and networks, and drive successful client engagements across a designated book of business.

You will collaborate with CAMs and AEs, lead QA and testing, and ensure smooth go-lives and renewals while maintaining high client satisfaction metrics. Hybrid work with travel up to 25% is expected.