Account Manager - Pharmacy Benefit Administration
About the job
- An undergraduate bachelor's degree and a record of strong academic performance are required.
- At least 5 years of proven experience in PBM, health plans, benefits consulting, or healthcare is required.
- A track record of building trusting internal and external relationships is required.
- A track record of leading cross-functional initiatives, driving high performance, meeting deadlines, and executing deliverables is required.
- Experience working with structured and unstructured data is required.
- Proficiency in Microsoft Office is required.
- Ability to balance multiple complex projects simultaneously is required.
- Strong written and verbal communication skills are required.
- Ability to adapt priorities, remain organized, and work flexibly is required.
- Attention to detail and commitment to delivering high-quality work are required.
- Partner with the clinical account manager and account executive to manage clients through the full lifecycle, from implementation through go-live and renewal, for a designated book of business.
- Support implementation as a member of the client management team and handle day-to-day client requirements.
- Accurately and promptly manage and execute client benefit requests, including benefit changes, eligibility changes, override requests, demos, and new implementations.
- Analyze client requests and work with internal and external teams to complete required plan documentation.
- Support implementation of new plans, pricing, and networks in line with strategic or administrative intent.
- Lead pre- and post-implementation quality assurance and testing to validate coding accuracy.
- Lead claim reviews to identify discrepancies or inaccuracies and develop solutions.
- Travel as required, not to exceed 25%.
- Handle and resolve sponsor and member issues, escalating them as needed.
- Research and respond to claims-processing and system-configuration inquiries.
- Coordinate integration of other data inputs into client management processes.
- Collaborate cross-functionally to support general client operations as required.
- Manage client relationships, contribute to successful NPS and Account Management Survey results, and support retention.
- SQL is a bonus.
About the company
Judi Health is a health technology and benefits administrator that serves employers, unions, health plans, and government entities through three brands: Judi Rx (transparent pass-through PBM with flat fees), Judi Care (medical, dental, and vision benefit administration and care navigation), and Judi Cloud (licenses the platform to plans and TPAs). Its core product is Judi, a Unified Claims Processing platform that brings pharmacy and medical benefits and medical, dental, and vision claims onto a single cloud system with AI-enhanced workflows. This approach replaces fragmented legacy systems by offering end-to-end benefits administration on one platform, differentiating itself with price transparency and a non-opaque fee structure. The goal is to simplify and lower the cost of health benefits administration while scaling across commercial, Medicare, and Medicaid markets and expanding access through licensing and care navigation.
Company Size
501-1,000
Company Stage
Series F
Total Funding
$585M
Headquarters
New York City, New York
Founded
2017
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Simplify's Take
What believers are saying
- September 3, 2026 adds Color Health, WellTheory, and Cylinder to clinical ecosystem.
- August 11, 2026 Inc. 5000 ranking signals five straight years of growth.
- January 12, 2026 surpassed five million contracted PBM lives and 80 partnerships.
What critics are saying
- St. Luke’s-related fraud suit from 2023 persists, exposing contract and misrepresentation risk.
- CVS’s non-compete litigation shows talent and IP disputes with incumbents remain live.
- If unified claims adoption stalls, Judi becomes another niche PBM against CVS/Cigna.
What makes Judi Health unique
- Judi Health’s July 15, 2026 Unified Claims Processing merges pharmacy, medical, dental, vision.
- September 8, 2026 StarkRx with Employers Health offers modular cost-plus PBM flexibility.
- July 30, 2026 FedRAMP Ready status differentiates Judi for federal healthcare buyers.
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Benefits
- Health Insurance
- Remote Work Options
- Hybrid Work Options
- Wellness Program
- Mental Health Support
- Conference Attendance Budget
- Professional Development Budget