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 to support the PBA account teams, supporting Health Plan, TPA, and copay card clients. 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 achievedย ย
- Support implementation and client management teams with all day-to-day client requirementsย
- Responsible forย timelyย andย accurateย management and execution ofย assignedย client benefit requests, including benefit changes, eligibility changes,ย override requests, demoย supportย and new implementationย supportย
- Analyze incoming client requests and work with internal and external teams to complete required plan documentationย
- Support implementation of new plans, pricing, and networks, consistent with strategic or administrative intentย
- Participate inย pre- and post-implementation quality assurance and testing toย validateย coding accuracyย
- Participate inย claim reviews to proactivelyย identifyย discrepancies or inaccuracies and develop solutions to addressย
- Handle and resolve sponsor and member issues, escalating as neededย
- Research and respond to claims processing and system configuration inquiriesย
- Coordinate integration of other data inputs into client management processesย
- Collaborate cross functionally to support general client operations, asย requiredย
- Responsible for adherence to the Capital Rx Code of Conduct, including reporting of noncompliance.ย
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Required Qualifications:ย
- Undergraduate bachelor's degree, with record of strong academic performanceย or equivalent job experienceย
- 1+ย years of proven experience in PBM / health plan, benefits consulting, healthcareย preferredย
- Track recordย of building trusting internal and external relationshipsย
- Track recordย of leading cross-functional initiatives, driving high performance, meeting deadlines, and executing on deliverablesย
- Experience working with structured and unstructured dataย
- Proficient in Microsoft Office, SQL a bonusย
- Ability to balance multiple complex projects simultaneouslyย
- Exceptional written and verbal communication skillsย
- Extremely flexible, highly organized, and able to shift priorities easilyย
- Attention to detail & commitment to deliveringย high qualityย work productย