Capital Rx
Overview
Judi Health is a health technology company offering a wide range of benefits administration solutions for employers and health plans. This includes Capital Rx, a public benefit corporation that provides full-service pharmacy benefit management (PBM) solutions to self-insured employers; Judi Health™, which offers comprehensive health benefit management solutions for employers, TPAs, and health plans; and Judi®, the industry’s leading proprietary Enterprise Health Platform. To learn more, visit www.judi.health.
Responsibilities
Lead administrative and operational tasks to support the implementation and operations of clinical programs, including pharmacogenomics, MTM, adherence, opioid safety, concurrent and retrospective drug utilization review, and other initiatives as needed
Support clinical programs business development needs, including client contracting, vendor management, preparation of opportunity analyses, and program sales support
Validate program identification and claim files, fax and letter communication proofs, vendor invoices, and client invoices for accuracy on a recurring basis
Generate data outputs and analyze large data sets to monitor program quality and identify enhancement opportunities
Manage large scale projects to support business needs
Maintain drug lists to support operations of clinical programs including periodic drug list maintenance, weekly and quarterly list reviews, and ad-hoc updates
Ensure customer satisfaction, demonstrate genuine compassion and care, and provide professional customer service in a fast-paced environment.
Uphold general business needs and operations as required
Required Qualifications
2+ years of applicable experience in a clinical pharmacy setting PBM, health plan, or related health care experience
1+ years of prior experience in business analysis, project management, or related fields
Ability to manage multiple complex projects simultaneously with minimal direction
Proficient in Microsoft Office Suite with emphasis on Microsoft Excel and PowerPoint
Preferred Qualifications
Active, unrestricted pharmacy technician license
Proficient in querying large data sets, and coding languages are a plus
Experience with Confluence, Jira, Tableau, Salesforce
Experience with specialty pharmacy, home infusion, and related care coordination services
Highly detail-oriented and analytical
Salary Range
$60,000—$74,000 USD
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.
Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to 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.
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Responsibilities
Lead administrative and operational tasks to support the implementation and operations of clinical programs, including pharmacogenomics, MTM, adherence, opioid safety, concurrent and retrospective drug utilization review, and other initiatives as needed
Support clinical programs business development needs, including client contracting, vendor management, preparation of opportunity analyses, and program sales support
Validate program identification and claim files, fax and letter communication proofs, vendor invoices, and client invoices for accuracy on a recurring basis
Generate data outputs and analyze large data sets to monitor program quality and identify enhancement opportunities
Manage large scale projects to support business needs
Maintain drug lists to support operations of clinical programs including periodic drug list maintenance, weekly and quarterly list reviews, and ad-hoc updates
Ensure customer satisfaction, demonstrate genuine compassion and care, and provide professional customer service in a fast-paced environment.
Uphold general business needs and operations as required
Required Qualifications
2+ years of applicable experience in a clinical pharmacy setting PBM, health plan, or related health care experience
1+ years of prior experience in business analysis, project management, or related fields
Ability to manage multiple complex projects simultaneously with minimal direction
Proficient in Microsoft Office Suite with emphasis on Microsoft Excel and PowerPoint
Preferred Qualifications
Active, unrestricted pharmacy technician license
Proficient in querying large data sets, and coding languages are a plus
Experience with Confluence, Jira, Tableau, Salesforce
Experience with specialty pharmacy, home infusion, and related care coordination services
Highly detail-oriented and analytical
Salary Range
$60,000—$74,000 USD
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.
Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to 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.
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