Account Manager, PBM

Account Manager, PBMCharlotte, North Carolina, United States; Denver, Colorado, United States; New York, New York, United States; RemoteAbout Judi HealthJudi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including:Capital Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers,Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, andJudi, the industry's leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform.Together with our clients, we're rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve.Location: Remote (For Non-Local) or Hybrid (Local to NYC, Denver, or Charlotte)Position Summary:The Account Manager, PBM is responsible for timely and accurate management and execution of all client benefit requests, including benefit changes, eligibility changes, and new implementations. Support implementation of new plans, pricing, and networks, consistent with strategic or administrative intent.Position 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 businessSupport implementation as a critical member of the client management teams with all day-to-day client requirementsResponsible for timely and accurate management and execution of all client benefit requests, including benefit changes, eligibility changes, override requests, demos and new implementationsAnalyze incoming client requests and work with internal and external teams to complete required plan documentationSupport implementation of new plans, pricing, and networks, consistent with strategic or administrative intentLead pre- and post-implementation quality assurance and testing to validate coding accuracyLead claim reviews to proactively identify discrepancies or inaccuracies and develop solutions to addressTravel requirements not to exceed 25%Handle and resolve sponsor and member issues, escalating as neededResearch and respond to claims processing and system configuration inquiriesCoordinate integration of other data inputs into client management processesCollaborate cross functionally to support general client operations, as requiredResponsible for relationship management and contribution to successful NPS and Account Management Survey results, along with retention supportResponsible for adherence to the Capital Rx Code of Conduct, including reporting of noncompliance.Qualifications:Undergraduate bachelor's degree, with record of strong academic performance5+ years of proven experience in PBM / health plan, benefits consulting, healthcareTrack record of building trusting internal and external relationshipsTrack record of leading cross-functional initiatives, driving high performance, meeting deadlines, and executing on deliverablesExperience working with structured and unstructured dataProficient in Microsoft Office, SQL a bonusAbility to balance multiple complex projects simultaneouslyExceptional written and verbal communication skillsExtremely flexible, highly organized, and able to shift priorities easilyAttention to detail & commitment to delivering high quality work productRemote, US Salary Range$80,000 - $100,000 USDJudi 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.