Remote Clinical Programs Operations Specialist

Capital Rx; United States; Remote; USD 65,000 - 70,000; Full time

Job summary

Judi Health is seeking a Clinical Programs Administration Specialist to support clinical program operations, triage calls, and outreach to members, prescribers, and pharmacies. This contract role may convert to full-time based on business needs and performance.

Responsibilities include program administration, cost-containment initiatives, and ensuring a high-quality member experience while maintaining HIPAA compliance and accurate documentation in our systems.

Qualifications

• Active, unrestricted pharmacy technician license.
• 1+ year of experience in a clinical pharmacy setting, PBM, health plan, or related healthcare setting.
• 1+ year of customer service experience with strong communication skills.
• Must have a secure, dedicated workspace and reliable wired internet at home.

Responsibilities

• Triage clinical program calls and schedule consultations.
• Conduct outreach to members, prescribers, and pharmacies.
• Support administration and execution of clinical programs and cost-containment initiatives.
• Document outreach, case activities, interventions, and follow-ups in applicable systems.
• Collaborate with internal and external stakeholders to ensure continuity of care.

Skills

Active listening

Customer service

Written communication

Verbal communication

Detail oriented

Education

Pharmacy technician license

Tools

Microsoft Excel

PowerPoint

Confluence

Jira

Tableau

Salesforce

Job description

Judi Health is seeking a Clinical Programs Administration Specialist to support clinical program operations, triage calls, and outreach to members, prescribers, and pharmacies. This contract role may convert to full-time based on business needs and performance.

Responsibilities include program administration, cost-containment initiatives, and ensuring a high-quality member experience while maintaining HIPAA compliance and accurate documentation in our systems.