Judi Health
Healthcare
ClinicalProgramsSpecialist-Operations
Neural analysis suggests this role is
optimal for Mid+ candidates.
“Clinical Programs Specialist - Operations at Judi Health. Skills: clinical programs implementation, clinical programs operations, business analysis, project management, data analysis. Lead administrative and operational tasks to support the implementation and operations of clinical programs, including pharmacogenomics, MTM, adherence, opioid safety, concurrent and retrospective drug utilization review, and other initiatives as needed. Support clinical programs business development needs, includi”
Industry & Context.
analyze large data sets to monitor program quality and identify enhancement opportunities
What They're Looking For.
Must Have
2+ years of applicable experience in a clinical pharmacy setting, PBM, health plan, or related health care experience, 1+ years of prior experience in business analysis, project management, or related fields, Ability to manage multiple complex projects simultaneously with minimal direction, Proficient in Microsoft Office Suite with emphasis on Microsoft Excel and PowerPoint, Active, unrestricted pharmacy technician license
Nice to Have
Proficient in querying large data sets, and coding languages are a plus, Experience with Confluence, Jira, Tableau, Salesforce, Experience with specialty pharmacy, home infusion, and related care coordination services, Highly detail-oriented and analytical
What You'll Do.
Lead administrative and operational tasks to support the implementation and operations of clinical programs
including pharmacogenomics
concurrent and retrospective drug utilization review
and other initiatives as needed
Support clinical programs business development needs
including client contracting
preparation of opportunity analyses
and program sales support
Validate program identification and claim files
fax and letter communication proofs
and client invoices for accuracy on a reoccurring basis
Generate data outputs and analyze large data sets to monitor program quality and identify enhancement opportunities
Manage large scale projects to support business needs
Maintain drug lists to support operations of clinical programs including periodic drug list maintenance
weekly and quarterly list reviews
Ensure customer satisfaction
demonstrate genuine compassion and care
and provide professional customer service in a fast-paced environment
Uphold general business needs and operations as required
How You'll Work.
Process & Methodology
Manage large scale projects, Ability to manage multiple complex projects simultaneously with minimal direction
Full Job Description
About Judi Health Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Capital Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, Judi Health™, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and Judi®, the industry’s leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform. Together with our clients, we’re rebuilding trust in healthcare in the U. S. and deploying the infrastructure we need for the care we deserve. To learn more, visit www.judi.health. Position Responsibilities: Lead administrative and operational tasks to support the implementation and operations of clinical programs, including pharmacogenomics, MTM, adherence, opioid safety, concurrent and retrospective drug utilization review, and other initiatives as needed Support clinical programs business development needs, including client contracting, vendor management, preparation of opportunity analyses, and program sales support Validate program identification and claim files, fax and letter communication proofs, vendor invoices, and client invoices for accuracy on a reoccurring basis Generate data outputs and analyze large data sets to monitor program quality and identify enhancement opportunities Manage large scale projects to support business needs Maintain drug lists to support operations of clinical programs including periodic drug list maintenance, weekly and quarterly list reviews, and ad-hoc updates Ensure customer satisfaction, demonstrate genuine compassion and care, and provide professional customer service in a fast-paced environment. Uphold general business needs and operations as required Required Qualifications: 2+ years of applicable experience in a clinical pharmacy setting PBM, hea
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