Account Coordinator, PBM

Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including Judi Rx (a public-benefit PBM for self-insured employers), Judi Health™ (full-service health-benefit management for employers, TPAs, and health plans), and the Judi® Enterprise Health Platform (EHP), which consolidates all claim-administration workflows in one scalable, secure platform. Together with our clients, we’re rebuilding trust in U.S. healthcare.

About the role

We are looking for a results-driven Account Coordinator, PBM to support the PBM Commercial account teams with large and jumbo commercial clients in the health system, employer, labor/union, and public sectors. In this role, you will partner with account teams to enhance client satisfaction and assist with day-to-day tasks, collaborating across internal teams to meet the needs of our clients and their members.

Responsibilities

• Support implementation and client-management teams with all day-to-day client requirements.
• Manage and execute timely, accurate client-benefit requests, including benefit changes, eligibility changes, and new implementations.
• Analyze incoming client requests and work with internal and external teams to complete required plan documentation.
• Support implementation of new plans, pricing, and networks, consistent with strategic or administrative intent.
• Lead pre- and post-implementation quality assurance and testing to validate coding accuracy.
• Conduct claim reviews to proactively identify discrepancies or inaccuracies and develop solutions.
• Handle and resolve sponsor and member issues, escalating as needed.
• Research and respond to claims-processing and system-configuration inquiries.
• Coordinate integration of other data inputs into client-management processes.
• Collaborate cross-functionally to support general client operations.
• Adhere to the Capital Rx Code of Conduct, including reporting noncompliance.

Requirements

• Undergraduate bachelor’s degree with strong academic performance or equivalent job experience.
• 1+ years of proven experience in PBM, health plan, benefits consulting, or healthcare.
• Track record of building trusting internal and external relationships.
• Experience leading cross-functional initiatives, driving high performance, meeting deadlines, and executing deliverables.
• Experience working with structured and unstructured data.
• Proficient in Microsoft Office; SQL is a bonus.
• Ability to balance multiple complex projects simultaneously.
• Exceptional written and verbal communication skills.
• Extremely flexible, highly organized, and able to shift priorities easily.
• Strong attention to detail and commitment to delivering high-quality work.

Location

Hybrid (3 days in-office) with offices in NYC, Denver, CO, and the Charlotte, NC area.

Pay

• New York, NY: $69,200 – $86,500 USD
• Denver, CO: $63,200 – $79,000 USD
• Charlotte, NC: $57,600 – $72,000 USD