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
By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at https://www.judi.health/legal/privacy-policy . Found on 1752vc Careers, the job board for startup and VC roles.
What they're looking for
- Bachelor's degree in Business, Accounting, Healthcare Administration, or a related field preferred, or equivalent relevant experience
- Active pharmacy technician certification or registration required
- Four to six years of pharmacy or PBM auditing experience, including direct pharmacy audits and team lead experience
- Strong knowledge of pharmacy operations, billing, audit and documentation requirements, and pharmacy contracts
- Strong analytical, organizational, problem-solving, documentation, communication, and prioritization skills
- Proficiency in Microsoft Excel, Word, and applicable audit, workflow, and reporting tools
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 Judi Health replaces fragmented, outdated systems with the industry's first Unified Claims Processing™ architecture, seamlessly consolidating pharmacy and medical benefit administration on a single,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 .
Position Summary
The Pharmacy Audit Lead is a player-coach who performs pharmacy audits while leading the team’s daily work. The role assigns and monitors audit work, manages quality and escalations, supports disputes and recoveries, and maintains the reporting and administrative controls needed to meet client commitments and plan...
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