# Pharmacy Pricing Appeals Analyst at Judi Health

- Company: Judi Health
- What the company does: 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.
- Company website: https://www.judi.health/
- Type: Startups
- Level: Analyst
- Location: Charlotte, North Carolina, United States; Denver, Colorado, United States; New York, New York, United States
- Work setup: On-site
- Posted: 2026-09-10
- Apply by: 2026-10-25
- Apply: https://job-boards.greenhouse.io/judihealth/jobs/5410480008
- Page: https://www.1752.vc/careers/jobs/judi-health-pharmacy-pricing-appeals-analyst/

## About the role

The Pharmacy Pricing Appeals Analyst is responsible for the end-to-end intake, review, investigation, documentation, and processing of pharmacy pricing appeals. This role supports timely and accurate appeal resolution by validating pharmacy appeal requests, researching PBM and pharmacy claims, reviewing invoices and acquisition cost documentation, analyzing reimbursement outcomes, documenting appeal decisions, and maintaining appeal records in tracking systems and workflow tools.

## What they're looking for

- Minimum 2 to 4 years of PBM, pharmacy operations, pharmacy claims, pharmacy reimbursement, network operations, or healthcare claims experience
- Associates Degree preferred, equivalent combination of education and pharmacy/PBM experience may be considered
- Direct experience researching, validating, or resolving pharmacy claims
- Experience in reviewing pharmacy claim data, adjudication results, Rx numbers, NDC’s and pharmacy identifiers, invoice documentation, and operational records with strong accuracy
- Experience working with claims tracking tools, workflow tickets, spreadsheets, and operational documentation
- Working knowledge of pharmacy reimbursement concepts and PBM claims processes

Tags: Operations