Clinical Account Consultant, PBA

About Judi Health Judi Health is a health technology company providing benefit administration solutions to employers, unions, health plans, and government entities. Judi Health replaces fragmented, outdated systems with the industry's first Unified Claims Processing™ architecture, seamlessly consolidating pharmacy and medical benefit administration on a single, secure platform. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels. At Judi Health, we're deploying the infrastructure our country needs to deliver the healthcare we all deserve. We are the intelligence platform powering benefits plans for millions of Americans and proudly leading the next generation of care. To learn more, visit www.judi.health. Position Summary: Judi Health is seeking a strategic, client-focused Clinical Account Consultant to support all aspects of clinical functions to service client clinical needs. In this role, you'll ensure client satisfaction, retention, and trend management, while providing clinical support to clients across all lines of business. You’ll collaborate directly with clients to develop and implement formulary and clinical strategies, support contract renewals, and contribute to clinical process improvements. If yo [... source excerpt omitted ...] with a focus on clinical excellence and driving healthcare innovation, we’d love to hear from you! Position Responsibilities: Support clinical aspects of implementation for new clients, plans, plan changes, and other clinical plan set-up requirements. This may include gathering client clinical intent and plan requirements, building/coding plans and formularies, conducting peer-review quality control, and reviewing testing and claims output. Actively address all clients’ clinical needs including the management and implementation of custom formularies, clinical criteria, and clinical strategies. Comprehend and effectively explain formulary, benefit, and clinical programs to [... source excerpt omitted ...] , including intervention components, member and plan experience, book of business experience, and regulatory requirements as it directly pertains to clinical functions. Meet with clients to discuss clinical trends, review relevant pharmacy data, and provide recommendations with supportive rationale for formulary, clinical and plan management strategies. Analyze and interpret pharmacy claims data to identify clinical and plan trends and to offer insights for individual clients and across multiple clients. Communicate drug information to clients and respond to plan-specific clinical inquiries; support resolution of member-specific inquiries. Collaborate with cross-functional