Clicking Apply Now takes you to AutoApply where you can tailor your resume and apply.
Unlock Your Potential
Generate Job-Optimized Resume
One Click And Our AI Optimizes Your Resume to Match The Job Description.
Is Your Resume Optimized For This Role?
Find Out If You're Highlighting The Right Skills And Fix What's Missing
Experience Level
Experience
Qualifications
Position Summary:As a key member of the Enterprise Solutions team, you will significantly contribute to the success of Judi Health’s clients by leveraging our Enterprise Health Platform, Judi, to manage their pharmacy administrative requirements. We are looking for passionate individuals eager to transform the claims processing landscape while providing exceptional service. You will be responsible for the setup and ongoing maintenance of accumulator, claims, and override data within Judi.Position Responsibilities:Oversee the configuration, loading, and maintenance of data from previous adjudication systems into Judi.Offer customers expert guidance on Judi’s capabilities, ensuring a seamless migration to the adjudication platform with complete parity of all logic and initiatives.Develop a standardized process for data implementation in Judi, identifying key milestones and maintaining an updated project plan.Foster and maintain trusting relationships with clients through outstanding customer service, consistently meeting or surpassing service level metrics.Conduct quality assurance and claims testing to ensure that data loads produce accurate adjudication outcomes.Collaborate with Analytics teams to create automated/manual test cases and monitoring processes for configurations and data loads.Proactively identify potential execution risks surrounding build status and defects, working closely with internal Product teams and clients to implement effective mitigation strategies.
About the job
About Judi Health
Judi Health is a pioneering enterprise health technology organization dedicated to delivering a robust suite of solutions tailored for employers and health plans. Our offerings include:
Capital Rx, a public benefit corporation that provides comprehensive pharmacy benefit management (PBM) solutions designed for self-insured employers,
Judi Health™, which delivers full-service health benefit management solutions to employers, third-party administrators (TPAs), and health plans, and
Judi®, an industry-leading proprietary Enterprise Health Platform (EHP) that integrates all claim administration-related workflows into one scalable and secure platform.
Together with our clients, we are on a mission to rebuild trust in the U.S. healthcare system while establishing the infrastructure required for the quality care we all deserve. Discover more at www.judi.health.
Location: Remote (For Non-Local) or Hybrid (Local to NYC area)
About Judi Health
Judi Health is at the forefront of health technology innovation, striving to enhance healthcare delivery and administration through superior solutions that empower employers and health plans. Our commitment to transparency and excellence helps restore confidence in healthcare systems across the United States.
Clicking Apply Now takes you to AutoApply where you can tailor your resume and apply.
Unlock Your Potential
Generate Job-Optimized Resume
One Click And Our AI Optimizes Your Resume to Match The Job Description.
Is Your Resume Optimized For This Role?
Find Out If You're Highlighting The Right Skills And Fix What's Missing
Experience Level
Experience
Qualifications
Position Summary:As a key member of the Enterprise Solutions team, you will significantly contribute to the success of Judi Health’s clients by leveraging our Enterprise Health Platform, Judi, to manage their pharmacy administrative requirements. We are looking for passionate individuals eager to transform the claims processing landscape while providing exceptional service. You will be responsible for the setup and ongoing maintenance of accumulator, claims, and override data within Judi.Position Responsibilities:Oversee the configuration, loading, and maintenance of data from previous adjudication systems into Judi.Offer customers expert guidance on Judi’s capabilities, ensuring a seamless migration to the adjudication platform with complete parity of all logic and initiatives.Develop a standardized process for data implementation in Judi, identifying key milestones and maintaining an updated project plan.Foster and maintain trusting relationships with clients through outstanding customer service, consistently meeting or surpassing service level metrics.Conduct quality assurance and claims testing to ensure that data loads produce accurate adjudication outcomes.Collaborate with Analytics teams to create automated/manual test cases and monitoring processes for configurations and data loads.Proactively identify potential execution risks surrounding build status and defects, working closely with internal Product teams and clients to implement effective mitigation strategies.
About the job
About Judi Health
Judi Health is a pioneering enterprise health technology organization dedicated to delivering a robust suite of solutions tailored for employers and health plans. Our offerings include:
Capital Rx, a public benefit corporation that provides comprehensive pharmacy benefit management (PBM) solutions designed for self-insured employers,
Judi Health™, which delivers full-service health benefit management solutions to employers, third-party administrators (TPAs), and health plans, and
Judi®, an industry-leading proprietary Enterprise Health Platform (EHP) that integrates all claim administration-related workflows into one scalable and secure platform.
Together with our clients, we are on a mission to rebuild trust in the U.S. healthcare system while establishing the infrastructure required for the quality care we all deserve. Discover more at www.judi.health.
Location: Remote (For Non-Local) or Hybrid (Local to NYC area)
About Judi Health
Judi Health is at the forefront of health technology innovation, striving to enhance healthcare delivery and administration through superior solutions that empower employers and health plans. Our commitment to transparency and excellence helps restore confidence in healthcare systems across the United States.