Clinical Account Consultant, 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), and the Judi® Enterprise Health Platform, which consolidates all claim-administration workflows in one scalable, secure platform.

About the role

The Clinical Account Consultant (CAC) is a clinical subject-matter expert who drives pharmacy-benefit strategy for a portfolio of PBM clients. This role turns complex claims data, clinical guidelines, and market shifts into clear, data-driven recommendations and partners with Account Executives and internal teams to improve member outcomes and benefit performance across the client lifecycle.

Responsibilities

• Analyze pharmacy claims, utilization, and drug-trend data to surface insights and build evidence-based recommendations across formulary, utilization management, specialty, and clinical programs.
• Translate treatment guidelines, pipeline developments, and market trends into client strategy and assess clinical impact.
• Operationalize approved recommendations with internal teams to ensure clinical intent is accurately reflected in formulary changes, utilization-management initiatives, and other benefit enhancements.
• Review disruption analyses, clinical-readiness materials, and post-go-live outputs to support accurate execution and a strong client/member experience.
• Create client-ready clinical content for quarterly business reviews, strategic reviews, renewals, finalist presentations, and other client needs; present findings and field clinical questions directly.
• Partner with Account Executives, analytics, operations, product, and other internal teams to align clinical strategy with operational execution and platform capabilities.
• Contribute to the development of standardized clinical tools, templates, and best practices that raise quality, efficiency, and consistency across the team.
• Support general business and team needs, including occasional off-hours or weekend participation in meetings, testing, or claims review.

Requirements

• Doctor of Pharmacy (PharmD) degree from an accredited institution.
• Active pharmacist license, or ability to obtain/maintain licensure as required.
• 3–5 years of experience in PBM, managed care, or health-plan environments.
• Strong clinical knowledge of formulary management, utilization management, clinical programs, and pharmacy-trend analysis.
• Experience analyzing pharmacy claims data and translating findings into actionable clinical recommendations.
• Ability to explain complex clinical concepts clearly to both clinical and non-clinical audiences.
• Highly organized and able to manage multiple priorities in a fast-paced, cross-functional environment.
• Proficiency in Microsoft Office Suite, including Excel, and experience working with large data sets.
• Ability to travel and present to small and large groups (travel estimated not to exceed 25%).

Preferred Qualifications

• Experience supporting formulary strategies, utilization-management programs, or specialty-pharmacy initiatives.
• Experience contributing to client-facing clinical presentations and strategic recommendations.
• Familiarity with implementation support related to formulary strategy, disruption review, or clinically driven benefit setup.
• Experience working in a highly collaborative, matrixed environment.

Pay

• New York, NY: $140,000 – $160,000 USD
• Denver, CO: $140,000 – $160,000 USD
• Charlotte, NC: $140,000 – $160,000 USD