Judi Health
Healthcare
GovernmentProgramOperationsSpecialist
“Government Program Operations Specialist at Judi Health. Skills: Government Programs Operations, Medicare Part D, Medicaid, Exchange business, CMS disputes, PDE reconciliation. coordinating the day-to-day operations and activities of the Government Programs Operations team. Manage the Government Programs Operations team shared Outlook mailbox”
Industry & Context.
issue resolution; identifying discrepancies; identifying variances; proactively addressing discrepancies; critical thinking; root cause analysis
What They're Looking For.
Must Have
3+ years of experience in an equivalent role, High school diploma required, Organizational skills and a very keen eye for detail and accuracy., A positive and upbeat attitude, and excellent interpersonal communication skills., A commitment to delivering a high level of customer service, both internally and externally., Flexibility to respond to a range of different work situations., An ability to work under pressure and juggle multiple priorities at any given time., An ability to work well independently and be an effective collaborator within and across teams.
Nice to Have
Experience with Medicare Part D, Pharmacy Technician experience preferred, Experience working in high-growth, startup environments - an advantage.
What You'll Do.
coordinating the day-to-day operations and activities of the Government Programs Operations team
Manage the Government Programs Operations team shared Outlook mailbox
Lead and execute pharmacy outreach initiatives related to CMS disputes
Serve as a key contributor in the validation of system enhancements
and continuously improve structured documentation frameworks
Develop and optimize internal workflows and job aids
Oversee daily PDE reconciliation activities
Manage and resolve escalations arising from claims monitoring activities
Support strategic Government Programs Operations initiatives
How You'll Work.
Team & Collaboration
cross-functional collaboration; Collaborate closely with Government Programs Operations team members and business partners; effective collaborator within and across teams
Communication Scope
timely, accurate and complete responses; communication strategy; excellent interpersonal communication skills
Process & Methodology
Plan, coordinate, and facilitate cross-functional meetings to drive alignment, resolve issues, and advance operational objectives.
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