Judi Health is a health technology company providing benefit administration solutions to employers, unions, health plans, and government entities. Judi Health replaces fragmented, outdated systems with the industry's first Unified Claims Processing™ architecture, seamlessly consolidating pharmacy and medical benefit administration on a single, secure platform. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels.
At Judi Health, we're deploying the infrastructure our country needs to deliver the healthcare we all deserve. We are the intelligence platform powering benefits plans for millions of Americans and proudly leading the next generation of care. To learn more, visit www.judi.health.
Location: Hybrid (Local to NYC, Denver, or Charlotte area)
Position Responsibilities:
Team Leadership & Development
- Lead, coach, and develop a team of Clinical Account Consultants.
- Provide guidance and oversight on clinical analyses, recommendations, presentations, and client interactions.
- Support onboarding, training, performance management, and workload prioritization across the team.
- Promote consistency in clinical consulting approaches, tools, and deliverables.
Clinical Strategy & Client Support
- Oversee development of clinical recommendations related to formulary management, utilization management, specialty pharmacy, and pharmacy trend opportunities.
- Serve as a senior resource and escalation point for complex clinical questions and client situations.
- Partner with Account Executives and Sales to support strategic client planning, reviews, renewals, finalist presentations, and key client discussions.
- Ensure client-facing clinical content is accurate, strategic, and aligned with organizational standards.
Operational Execution & Continuous Improvement
- Collaborate with operations, analytics, product, implementation, and account teams to ensure successful execution of clinical initiatives.
- Support implementation activities, disruption reviews, and post-go-live evaluations.
- Identify opportunities to improve processes, scalability, quality, and consistency across the Clinical Client Management function.
- Assist in developing standardized tools, templates, and best practices.
Required Qualifications:
- PharmD degree from an accredited institution.
- Active pharmacist license, or ability to obtain/maintain licensure as required.
- 6+ years of experience in PBM, managed care, or health plan environments.
- Demonstrated experience leading projects, mentoring others, or managing clinical teams.
- Strong knowledge of formulary management, utilization management, specialty pharmacy, and pharmacy trend analysis.
- Experience translating complex clinical and claims data into actionable recommendations.
- Strong communication, presentation, and relationship management skills.
- Ability to work effectively in a fast-paced, cross-functional environment.
- Ability to travel up to 25%.
Preferred Qualifications
- Experience managing client-facing clinical teams within the PBM industry.
- Experience supporting complex or large-market clients.
- Experience developing clinical consulting standards, tools, or best practices.
- Experience working in a highly collaborative, matrixed environment.
All employees are responsible for adherence to the Judi Health Code of Conduct including the reporting of non-compliance. 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.
We 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.
By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at https://www.judi.health/legal/privacy-policy.
Skills Required
- PharmD degree from an accredited institution
- Active pharmacist license, or ability to obtain and maintain licensure as required
- 6+ years of experience in PBM, managed care, or health plan environments
- Experience leading projects, mentoring others, or managing clinical teams
- Strong knowledge of formulary management, utilization management, specialty pharmacy, and pharmacy trend analysis
- Experience translating complex clinical and claims data into actionable recommendations
- Strong communication, presentation, and relationship management skills
- Ability to work effectively in a fast-paced, cross-functional environment
- Ability to travel up to 25%
- Experience managing client-facing clinical teams within the PBM industry
- Experience supporting complex or large-market clients
- Experience developing clinical consulting standards, tools, or best practices
- Experience working in a highly collaborative, matrixed environment
What We Do
Judi Health is a 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™: full-service health benefit management for employers, TPAs, and health plans - Judi®: a single, scalable SaaS solution that health plans can utilize to manage all their claim workflows Through these solutions, Judi Health is executing on its mission to give our country the infrastructure it needs for the healthcare we deserve. To learn more, visit www.judi.health.
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