Judi Rx delivers transparent, member-focused PBM solutions, while Judi Care provides medical, vision, and dental benefits through Judi®, supporting millions of plan members across employers, unions, health systems, and government programs. Backed by General Catalyst.
About the role
The Government Programs Enrollment Manager is responsible for the implementation, overall management, oversight and continuous improvement of Medicare enrollment and eligibility operations for the Health Plan EGWP line of business. The role will be responsible for daily management and ongoing oversight of highly vulnerable activities with the Medicare part D Prescription Drug Plan (PDP) Employer Group Waiver Plan (EGWP).
What they're looking for
- Minimum of HS diploma/GED or equivalent experience
- 5+ years of Medicare Enrollment operations experience
- Deep knowledge of Medicare enrollment regulations and CMS processing guidelines
- Experience working within CMS systems, including but not limited to HPMS and MARx
- Experience working in a delegated and highly matrixed organization
- Health Plan Medicare Part D and/or EGWPs
More about this role
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 Judi Health replaces fragmented, outdated systems with the industry's first Unified Claims Processing™ architecture, seamlessly consolidating pharmacy and medical benefit administration on a single,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 .
The Government Programs Enrollment Manager is responsible for the implementation, overall management, oversight and continuous improvement of Medicare enrollment and eligibility operations for the Health Plan EGWP line of business. The role will be responsible for daily management and ongoing oversight of highly vulnerable...
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