Supervisor, Utilization Management Pharmacist

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 Judi Health replaces fragmented, outdated systems with the industry’s first Unified Claims Processing™ architecture, seamlessly consolidating pharmacy and medical benefit administration on a single,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.

About the role

Join a mission-driven team where your leadership directly enhances patient care. In this role, you’ll oversee a group of clinical pharmacists, support key clinical programs, and stay engaged in hands-on clinical work like prior authorizations and provider outreach. You’ll also play a vital role in mentoring staff, optimizing workflows, and collaborating across teams. This is a great opportunity for pharmacists looking to grow their careers while making a meaningful impact—all in a fully remote, high-performing, and collaborative environment.

Responsibilities

• Supervise a group of clinical pharmacists handling phone escalations from members, prescribers, and pharmacists, prior authorization reviews, and clinical programs outreach.
• Participate in the goal-setting process and regularly review performance of direct reports, providing coaching when needed.
• Support ongoing training of current staff and onboarding new clinical pharmacists, including developing and maintaining job aids and/or policies and procedures.
• Work in conjunction with other leadership in analyzing available data and provide staffing, workflow, and system enhancement recommendations.
• Identify and apply career development opportunities for employees.
• Perform day-to-day clinical pharmacy functions including prior authorization and appeal reviews, override requests, and inbound and outbound member and provider education or peer-to-peer calls.
• Meet or exceed performance metrics while maintaining quality and providing superior customer service to all stakeholders.
• Provide support for clinical programs as needed, including triaging incoming clinical calls and conducting outreach calls to prescribers, pharmacies, and members.
• Provide on-call support as needed for after-hours pharmacist/clinical programs/emergent calls on a rotating schedule that includes nights, weekends, and holidays.
• Work collaboratively with internal business and clinical partners to support initiatives including clinical interventions, clinical programs, data and claims review, and onboarding of new clients, as required.
• Support Manager, Utilization Management with additional duties as assigned.

Requirements

• Active, unrestricted pharmacist license.
• Bachelor’s or Doctor of Pharmacy Degree with 2+ years of pharmacy practice experience.
• Experience in customer service, call center, and prior authorization.
• Excellent communication, writing, and organizational skills.
• Ability to work independently with minimal supervision, stay productive in a remote, high-volume, metric-driven call center environment.
• Self-motivated and detail-oriented problem solver.
• Ability to handle multiple competing priorities in a dynamic environment and collaborate in a team.
• Designated workspace (an office, spare bedroom, etc.) that is visibly secure from others during work hours (closed door) and is protected from noise that could disrupt conversations.
• Internet connectivity: DSL, cable modem, or fiber with a wired connection to device (wi-fi not allowed). Internet speed of one gigabyte (940bps) is required.
• Working knowledge of MS Office.
• 2+ years of experience as a clinical pharmacist in a Pharmacy Benefit Management (PBM) setting.

Pay

• New York, NY: $128,000 USD – $160,000 USD
• Denver, CO: $117,600 USD – $147,000 USD
• Charlotte, NC: $106,800 USD – $133,500 USD