About Judi Health

• Capital Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers,
• Judi Health3, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and
• Judi4, the industry9s leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform.

Position Summary

Position Responsibilities

• Support initiatives to maintain the drug benefit for commercial, Medicare, Medicaid, and health insurance marketplace clients
• Play an active role in the development and maintenance of formularies for multiple lines of business
• Analyze pharmacy cost of care, trends, and coordinate the development of appropriate utilization management edits including step therapy, prior authorization, and quantity limits
• Design pharmacy benefits for populations of patients based on client-specific elections
• Create pharmaceutical pipeline newsletters, publications, presentations
• Provide clinical resource including support of the prior authorization unit and clinical call center
• Analyze utilization data and create reports for group plan sponsors (i.e., employers, labor unions, etc.)
• Participate in the development and maintenance of clinical programs such as drug utilization review, medication therapy management, adherence, and disease management programs
• Evaluate industry data to improve existing clinical programs and make recommendations with a focus on clinical offerings and value proposition
• Support the clinical client management team, as needed
• Observe and participate in committee activities related to the pharmacy program
• Design, manage, and complete a clinical residency project for presentation at a conference with the intent to publish research findings
• Supervise pharmacy students and further develop the student program, including coordination with preceptors as needed
• Support quality improvement projects, as needed
• Support request for information and request for proposal submissions, as needed
• Support general business needs and operations, as required
• All employees are responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance.

Minimum Qualifications

• Doctor of Pharmacy (PharmD) Degree from an accredited School of Pharmacy completed prior to start of residency program
• Strong academic performance with a minimum of 2.8 GPA and successful completion of all APPE rotations
• Licensed Pharmacist or eligible for licensure (must be licensed by September 30th of the residency year)
• Proficient in Microsoft Office Suite with emphasis on Microsoft Excel
• Ability to balance multiple complex projects simultaneously
• Excellent communication and interpersonal skills, and ability to work with team members, executive management, and business partners in a polished and professional manner
• Ability to work independently, virtually, and in a team environment to produce solutions from concept to final deliverables required
• Familiarity working with large data sets
• Exceptional written and verbal communication skills
• Extremely flexible, highly organized, and able to shift priorities easily
• Attention to detail and commitment to delivering high quality work product

Salary Range