Capital Rx jobs

About Us: JUDI Health is a health technology company offering a wide range of benefits administration solutions for employers and health plans. This includes Capital Rx, a public benefit corporation that provides full-service pharmacy benefit management (PBM) solutions to self-insured employers; JUDI Health™, which offers comprehensive health benefit management solutions for employers, TPAs, and health plans; and JUDI , the industry's leading proprietary Enterprise Health Platform. To learn more, visit **************** Location: NYC Office (3 days/week required) Position Summary: The IT Help Desk Technician assists in managing our ticketing system, MDM software, and AWS platform while overseeing the onboarding and off boarding IT activities associated with employee profiles. Position Responsibilities: Research end user issues independently, when needed, and document/develop a solution per company standards Develop additional MDM automation to facilitate user onboarding Identify MDM related company needs and create, configure, test and deploy management of user systems via MDM Software. Collaborate with internal partner teams to identify compliance, best practice, or other IT related policy needs within the cross functional existing processes and workflows; identify and present enhancements and deploy solutions to the business. Responsible for all onboarding and offboarding related IT activities, including system-wide access, purchasing and retrieving of equipment, upgrades, asset tagging, etc. Create Exchange rules to address spam/phishing emails as needed. Collaborate with the IT Engineering team to drive systemic improvements to email filtering system. Promptly respond to user requests via ticketing system/phone calls/IM Assist users with access/system issues Write and update documentation for user reference Help build and establish procedures for newly established team Participate in a Help Desk OnCall schedule (tentatively will be 1 week/month, with potential higher volume at onset as the team grows). Responsible for adherence to the Capital Rx Code of Conduct, including reporting of noncompliance. Minimum Qualifications: 2+ Years experience in a Help Desk role (preferably in a medium or larger company) A customer-oriented approach to problem resolution Experience supporting Mac hardware/OSX in a Help Desk environment Experience supporting remote users in a distributed environment Experience with Jira Service desk or a similar ticketing system Experience with Office 365 suite Ability to lift 30 lbs. regularly and up to 50 lbs. occasionally (for NYT “future onsite” roles only) Salary Range$24-$28 USD All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. JUDIHealth values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at *********************************************

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 **************** Position Summary: The Formulary Operations Manager is responsible for providing operational support for the evaluation, implementation, and maintenance of our standard and custom Commercial and Exchange formularies and utilization management. This individual supports the creation and maintenance of formulary, clinical adjudication list, and utilization management lists, preparation of Exchange JSON formulary submission files and member formulary drug lists, preparation and review of updates for implementation, and other formulary and utilization management related tasks and processes. The role requires strong cross functional collaboration and communication skills, and an understanding of formulary operations processes. Position Responsibilities: Define, configure, and maintain standard and custom formularies for the Commercial and Health Information Marketplace/Exchange lines of business Provide client-facing strategic and operational support for the configuration, implementation, maintenance, and quality control of custom formularies, drug lists, custom formulary marketing materials, clinical adjudication lists, and utilization management edits Evaluate appropriateness and operationalize custom client formulary and benefit requests within the formulary / adjudication platform Collaborates with teams in a cross-functional environment including, but not limited to; benefit administration, rebate administration, client account management, analytics, software development/product, regulatory/compliance, government programs, member experience, prior authorization operations, and marketing Develop weekly drug product review and formulary recommendations by assessing drug use trends, new drug releases, and review of primary literature Analyze pharmacy cost of care, clinical updates, and coordinate the development of appropriate formulary management programs and utilization management edits Set criteria for medication analysis and coordinate methodology for client requested and regulatory formulary reporting requirements Evaluate drugs/drug classes and make formulary positioning and utilization management recommendations and formulary management strategies and associated adjudication requirements to operationalize Provide cross functional support for claim troubleshooting within the adjudication platform Support comprehensive testing of client formulary and benefit elections Support formulary change processes within URAC/NCQA/SOC guidelines and requirements Support client formulary requests, as required Support quality improvement projects, as required Support the Capital Rx pharmaceutical pipeline, as needed Support Request for Information (RFI) and Request for Proposal (RFP) submissions, as needed Support general business needs and operations, as required Responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance Minimum Qualifications: Doctor of Pharmacy (PharmD) Degree from an accredited institution, with record of strong academic performance Current, unrestricted registered pharmacist license(s) Residency/fellowship preferred 2-3 years of formulary experience working for a health plan or PBM preferred 2-3 years of Medicare experience preferred Knowledge of formulary development and maintenance processes Knowledge of highly managed specialty medications/strategy Knowledge of rebate and financial implications of formulary strategies Experience working with large datasets preferred Ability to independently identify, research, and resolve issues Ability to balance multiple complex projects simultaneously Ability to work extended hours, weekends, and holidays consistent with industry demands Exceptional written and verbal communication skills Extremely flexible, highly organized, and able to shift priorities easily Attention to detail & commitment to delivering high quality work product Microsoft office suite with emphasis on Microsoft excel proficiency required This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Salary Range$135,000-$145,000 USD All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at *********************************************

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 **************** Position Overview: The Account Executive/Strategic Account Executive - PBA Services is responsible for managing the planning, execution, growth & retention and client satisfaction of assigned clients in the Pharmacy Benefit Administration (PBA) market segment including Health Plans, Third Party Administrators (TPAs), and other Platform services. Additionally, this position will lead and collaborate through the broader Account Management team and with internal Capital Rx teams/departments as the client voice and advocate to ensure ongoing client satisfaction and to achieve client priorities and contractual obligations. This position acts as the quarterback and leader of the broader Account Management team who are aligned in support of our clients. This position reports to the Senior Account Executive/Senior Director, PBA Client Services. Position Responsibilities: Provide oversight and direction to the broader Account Management team with a focus on member and client satisfaction, trend management, client growth & retention, and regulatory compliance to meet client specific objectives, client priorities and service model deliverables Lead and develop the client relationship strategy and the strategic business planning process across the clients in your portfolio while incorporating other internal staff where and when needed to build and foster relationships with influencers and decision makers. Maintain thorough knowledge and tracking of contractual obligations on assigned book of business, including financials, performance guarantees, terms, and reporting/compliance Manage and facilitate the Account renewal and contracting process with a focus on client retention and the client financial/PNL management Serve as the relationship lead on assigned book of business, incorporating other internal staff where and when needed to the relationship; build and foster relationships with influencers and decision makers at the client Anticipates customer needs and proactively identifies new opportunities within assigned accounts. Develop and maintain comprehensive knowledge of our business, including products and services to field questions from the client side and to answer timely & accurately Collaborate with internal teams to customize offerings and solutions, aligning with Health Plan/TPA Account needs and market demands - assemble internal resources to overcomes challenges. Analyze and interpret current pharmacy and healthcare trends, competitor activities, and industry regulations to inform strategic decisions, provide proactive recommendations for plan management and enhance the company's positioning within the PBA Services segment Lead, coach and support the Account Team on the effective positioning of the Capital Rx value proposition, our suite of Capital Rx Products and Solutions and JUDI capabilities available to our PBA clients Partner with our Business Development, Underwriting Teams & Senior Account Executives to support our PBA Account level growth and retention efforts by providing with Capital Rx sales support and market differentiator positioning, including RFP support, Broker/Consultant engagement and Best & Final support for prospective, existing and new and client business development needs Provide ongoing direction, coordination and coaching to the broader Account Team to align the Account Team understanding of the assigned client(s) business lines, strategies, key stakeholders & decision makers and priorities Serve as the content expert for Health Plan/TPA clients & opportunities Identify and help contribute to process improvement efforts Be accountable & own the client end-to end, inclusive of service model deliverables, contractual negotiations, client escalations and PNL management. All employees are responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance. Required Qualifications: Bachelor's or advanced degree in health administration, business, or relevant professional experience. Bachelor of Pharmacy (B.S. Pharmacy) or Doctor of Pharmacy (PharmD) degree from an accredited institution is a plus Relevant professional experience for at least five (5) years in pharmacy - working within a health plan, managed care, or pharmacy benefits management (PBM) focused on Health Plans and Payer Commercial (Insured, Self-Funded, Exchange) and Government Program (Medicare & Medicaid) business lines. Health plan industry experience highly preferred Market and operational knowledge of Medicare Part D, Medicaid and Health Exchange pharmacy is required along with experience in supporting highly regulated business lines Track record of building trust in internal and external relationships Solution-focused problem solving and client positioning skills Exceptional written and verbal communication skills Ability to work with and influence peers in a team effort; leading cross-functional initiatives, meeting deadlines, and executing on deliverables while building strong internal relationships A decisive individual with sound technical skills, analytical ability, good judgement, and strong operational focus and detail-oriented perspective Flexible, highly organized, and able to shift priorities easily and work independently to meet deadlines Ability to effectively work with peers in a team effort Proficient in Microsoft Office Suite with emphasis on Microsoft Excel and large data sets and other industry software programs Ability to travel and present to small and large groups; travel is estimated to be up to 25% and be variable by season and business cycle. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. #LI-BC1 Salary Range$120,000-$175,000 USD All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at *********************************************

About Us: JUDI Health is a health technology company offering a wide range of benefits administration solutions for employers and health plans. This includes Capital Rx, a public benefit corporation that provides full-service pharmacy benefit management (PBM) solutions to self-insured employers; JUDI Health™, which offers comprehensive health benefit management solutions for employers, TPAs, and health plans; and JUDI , the industry's leading proprietary Enterprise Health Platform. To learn more, visit **************** Location: Remote (For Non-Local) or Hybrid (Local to NYC area) Position Summary: As a member of the Enterprise Solutions team, you will play a critical role in contributing to the success of Capital Rx's customers leveraging Judi, our Enterprise Health Platform, to service their own pharmacy administrative needs. The Enterprise Solutions team seeks individuals who are passionate to change the landscape of claims processing while providing superior service. This individual will hold responsibility for the setup and ongoing maintenance of accumulator, claims and override data in Judi. Position Responsibilities: Accountable for configuration, load, and maintenance of data from previous adjudication systems into Judi. Provide customers with subject matter expertise in Judi's capabilities, ensuring successful migration to the adjudication platform, with parity of all logic and initiatives. Devise a repeatable process for implementing data in Judi, establishing key milestones, and maintaining up to date project plan. Build and maintain trusting relationships with customers through superior customer service, meeting or exceeded service level metrics. Perform QA and claims testing to validate that data loads yield appropriate adjudication results. Partner with Analytics colleagues to author automated/manual test cases and monitoring processes for configurations and data loads. Proactively identify execution risks around build status and defects, partnering with internal Product teams and clients to surface mitigation strategies. Contribute to playbooks/templates that scale configurations for future client onboardings. Take charge of critical issues or problems to key stakeholders, ensuring swift resolution and communication within service level agreements. Certain times of year may require meeting participation, travel, service support or other requirements outside of standard business hours, including weekends. Responsible for adherence to the Capital Rx Code of Conduct, including reporting of noncompliance. Minimum Qualifications: 1+ years of experience in an Analyst role, Software Engineering role or related work experience 1+ year of PBM or Health Plan operations experience handling adjudication configurations. Experience performing complex analyses on large sets of data Knowledge of data management, statistics, modeling Experience working with structured and unstructured data Proficient in SQL, JSON, Java, R, Excel, and other data visualization tools Track record of leading cross-functional initiatives, driving high performance, meeting deadlines, and executing on deliverables. Exceptional project / time management, prioritization, and organizational skills to ensure customer satisfaction. Ability to shift between competing priorities and meet organizational goals. Excellent verbal, written, interpersonal and presentation skills. Ability to work effectively with virtual teams. Ability to travel 5-10%. Preferred Qualifications: Bachelor's Degree preferred, or equivalent combination of education, training, and experience. Experience working with AWS Redshift Salary Range$85,000-$100,000 USD All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. JUDIHealth values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at *********************************************

About Us: Judi Health is a health technology company offering a wide range of benefits administration solutions for employers and health plans. This includes Capital Rx, a public benefit corporation that provides full-service pharmacy benefit management (PBM) solutions to self-insured employers; Judi Health™, which offers comprehensive health benefit management solutions for employers, TPAs, and health plans; and Judi , the industry's leading proprietary Enterprise Health Platform. To learn more, visit **************** Position Summary: Join our mission to infuse cutting-edge AI/ML/GenAI into healthcare as a Senior Applied AI/ML Scientist. We are seeking Artificial Intelligence (AI) Applied Scientists to join our team and contribute to the development of Large Language Models (LLMs) aimed at advancing state-of-the-art for AI-based automation for Healthcare. As an Applied Scientist, you will play a crucial role in developing, improving, and exploring the capabilities of multimodal LLMs to solve complex real-world problems geared towards building Conversational AI products enabling increased productivity and magical experiences for our customers. The ideal candidate should be passionate about applying AI/ML concepts to difficult problems and develop scalable customized solutions. We want people who like working in a collaborative team environment and enjoy creating practical, efficient, and high-performance software that leverages Large Language Models (LLM), Multimodal Language Models(MLM), and other ML models and techniques to build amazing capabilities for our customers, partners, and employees. Most importantly, we are a mission-oriented, high-growth startup and we are looking for folks that are excited to be part of our journey to make lasting impact towards transforming healthcare. Responsibilities: Investigate the latest LLM MLM models and evaluate and compare accuracy and efficiency for our in-domain use cases Develop tools and processes to create data pipelines for ML training and customization Finetune LLMs for the healthcare domain Help develop and productionize machine learning (ML) solutions leveraging our customized models in the fields of Document understanding, Search and QnA, GenAI, Virtual Agents, etc. Work across the complete lifecycle of ML model development, including problem definition, data exploration, feature engineering, model training, validation, and deployment. Participate in code reviews, testing, and quality assurance processes. Troubleshoot and resolve technical issues related to AI model, integration, deployment and backend services. Document and communicate research and development processes, and architectural decisions. Ensure the security and compliance of healthcare data, adhering to HIPAA regulations. All employees are responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance. Required Qualifications: Bachelor's or Master's degree in Computer Science, Machine Learning, or a related quantitative field. Minimum 4 years of experience in industry with a strong focus on applied AI/ML research and development Strong grasp of OOP, Design Patterns, efficient algorithms, and quality software development. Solid understanding of Machine Learning fundamentals such as Deep Neural Networks, Transformer-based LLM and MLMs, Boosted or standard decision trees, RAG, etc. Strong proficiency in Python and familiarity with ML libraries such as PyTorch. Experience with training (pre-training / fine-tuning / RLHF / post-training) autoregressive language models like LLaMA, GPT-x, Mistral etc. Experience with open-source LLM platforms and training stack (e.g., HuggingFace, Deepspeed etc.). Experience with ML platforms such as AWS Sagemaker, Azure ML, Databricks etc. Excellent problem-solving skills, attention to detail, and a strong capacity for logical thinking. Passion for customer, innovation, product quality The ability to work collaboratively across multiple disciplines in an extremely fast-paced, startup environment. Good written communication skills that enable collaboration in a remote environment. Experience in healthcare or life sciences is a plus. Salary Range$150,000-$190,000 USD This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

About Us: JUDI Health is a health technology company offering a wide range of benefits administration solutions for employers and health plans. This includes Capital Rx, a public benefit corporation that provides full-service pharmacy benefit management (PBM) solutions to self-insured employers; JUDI Health™, which offers comprehensive health benefit management solutions for employers, TPAs, and health plans; and JUDI , the industry's leading proprietary Enterprise Health Platform. To learn more, visit **************** Position Summary: The Clinical Care Pharmacist plays a vital role in promoting safe, effective, and appropriate medication use. This position is responsible for reviewing prior authorization requests, supporting clinical programs, and providing expert guidance to members, providers, and pharmacies. The role combines clinical decision-making with a strong focus on service excellence in a fast-paced, collaborative environment. Position Responsibilities: Review and make timely, evidence-based decisions on prior authorizations, appeals, and override requests using clinical guidelines and benefit criteria. Ensure compliance with federal, state, and internal regulations across Commercial, Exchange, Medicare, and Medicaid plans. Accurately document clinical decisions and maintain thorough records in accordance with regulatory and accreditation (URAC/NCQA) utilization review standards. Provide clear, empathetic support to members, prescribers, and pharmacies by responding to clinical inquiries via phone, demonstrating professionalism, active listening, and a patient-centered approach. Stay current with clinical prescribing guidelines, internal policies, and regulatory changes, and apply them to daily responsibilities. Follow all internal procedures, job aids, and HIPAA guidelines to protect patient privacy and data security. Identify and report potential fraud, waste, and abuse. Support training and development of new and existing team members as needed. Assist leadership with special projects, process improvements, and operational initiatives Minimum Qualifications: Active, unrestricted, pharmacist license Bachelor's or Doctor of Pharmacy degree Minimum of 2 years of pharmacy practice experience Experience in managed care or pharmacy benefit management (PBM) Strong communication, writing, and organizational skills Ability to manage multiple priorities in a high-volume, metric-driven environment Availability to work after hours, weekends, and holidays on a rotating schedule Preferred Qualifications: Prior authorization experience Call center experience This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Salary Range$125,000-$125,000 USD All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. JUDIHealth values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at *********************************************

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 **************** Applications Due January 5th, 2026 Position Summary: The PGY1 Managed Care Resident helps to ensure safe and cost-effective medication therapy for our members, supports initiatives to maintain the drug benefit for commercial, Medicare, Medicaid, and health insurance marketplace clients, and plays an active role in the development and maintenance of formularies and clinical programs as part of their learning experience. 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 creates 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 This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Salary Range$50,000-$50,000 USD All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at *********************************************

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 **************** Location: Preferably Hybrid (Local to NYC area) or Remote (For Non-Local) About the team The Platform team at Capital Rx is made up of a set of passionate, motivated, and driven individuals who are not only experts in technologies but are great problems solvers and brings high energy and inspiration every day. The team always works a sense of ownership and urgency delivering highest quality of work ensuring seamless operations and fostering collaboration across the software engineering department. We own the architecture, framework & standards, infrastructure and CI/CD pipelines which development teams utilize to deliver code to Captial Rx's Judi platform. The team is also responsible for the production environment which requires knowledge with monitoring, alerting and on-call practices. The Platform team performs many functions whether that is tactical operations, providing general solutions for the enterprise or giving guidance or recommendations for individual product teams. Position Summary: We are a rapidly growing late-stage health tech company helping millions of lives through our innovative product Judi. We're seeking a highly skilled and experienced Platform Developer to join our platform team. This pivotal role will be instrumental in building, scaling, and maintain the robust and secure infrastructure that powers our mission-critical platform. You will be a force multiplier, enabling our development teams to deliver features faster and more reliably. You will champion infrastructure-as-code principles, contribute code to platform scalability, drive automation across the entire software development lifecycle, and ensure our platform meets the highest standards of scalability, performance, and security. Position Responsibilities: Develop and support highly available, scalable, and secure platform & infrastructure Develop and maintain robust automation pipelines for continuous delivery (CI/CD), and infrastructure provisioning tools like GoCD, Harness, and Terraform Write clean, efficient, and well-tested Python code for automation, tooling and service development. Manage and optimize relational or in-memory databases, including PostgreSQL, Redshift and Redis, ensuring high performance, reliability, and data integrity. Administer and finetune container orchestration platforms such EKS and ECS. Implement and manage serverless architectures leveraging AWS Lambda for various platform functionalities. Collaborate closely with development teams to ensure infrastructure aligns with application requirements and best practices. Contribute to defining and enforcing security best practices across the platform, including adherence to HIPAA standards, FISMA, SOC II, and FedRAMP compliance standards. Monitor systems performance, identify bottlenecks, and implement proactive solutions to ensure optimal operation and scalability. Participate in on-call rotations to provide operational support and incident response. Adopt Agile/Scrum methodologies, actively participating in sprint planning, stand-ups, and retrospectives. Evaluate and recommend new technologies and tools to enhance platform capabilities and efficiency. Develop internal tooling and automation scripts using Python and work with SQL to support operational workflows. Implement observability (monitoring/logging/alerting) best practices for highly available SaaS services. Requirements 5+ years of experience as a Platform Engineer, DevOps Engineer, or Site Reliability Engineer. Strong expertise in AWS infrastructure and services including but not limited to EC2, Lambda, ECS, EKS, RDS, S3, VPC, CloudWatch, SQS, SNS, IAM, Kinesis Excellent proficiency with Terraform, Python, SQL, and automation tooling. Extensive experience with Docker and container orchestration (Kubernetes/EKS). Solid understanding and hands-on experience with SQL, database administration (PostgreSQL preferred), and performance tuning Experience with CI/CD systems (e.g., GoCD, GitHub Actions, Harness). Proven experience in automating Observability & Monitoring (Grafana, Kibana, Prometheus), standardizing incident response for alerts to maintain SLAs and SLOs Hands-on experience in environments compliant with FISMA, SOC 2, and/or FedRAMP. Background in building highly scalable, performant SaaS platforms. Excellent communication, collaboration and problem-solving skills. Ability to work effectively with cross-functional teams, including developers, IT security & compliance, product manager, and scrum masters. Strong experience in production on call rotations and responding to alerts. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Salary Range$130,000-$180,000 USD All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at *********************************************

About Us: Judi Health is a health technology company offering a wide range of benefits administration solutions for employers and health plans. This includes Capital Rx, a public benefit corporation that provides full-service pharmacy benefit management (PBM) solutions to self-insured employers; Judi Health™, which offers comprehensive health benefit management solutions for employers, TPAs, and health plans; and Judi , the industry's leading proprietary Enterprise Health Platform. To learn more, visit **************** Location: Remote (For Non-Local) or Hybrid (Local to NYC area) Position Summary: Join our mission to infuse cutting-edge AI/ML/GenAI into pharmacy benefits as a Senior Machine Learning Engineer. We are looking for an experienced software engineer with machine learning expertise to join us in expanding our AI capabilities, enabling increased productivity and magical experiences in our products and services. In this role you will be expected to design and implement complex AI systems that leverage ML models for NLP, NLG, multimodal data analysis, chatbots, and RAG-based QnA. The ideal candidate should be passionate about applying AI/ML concepts to difficult problems and develop scalable solutions. We want people who like working in a collaborative team environment and enjoy creating practical, efficient, and high-performance software that leverages Large Language Models (LLM), Multimodal Language Models(MLM), and other ML models and techniques to build amazing capabilities for our customers, partners, and employees. Most importantly, we are a mission-oriented, high-growth startup and we are looking for folks that are excited to be part of our journey to make lasting impact towards transforming healthcare. Responsibilities: Design, develop, and productionize machine learning (ML) solutions in the fields of Document understanding, Search and QnA, GenAI, Virtual Agents, etc. Develop and maintain backend services using Python, focusing on AI-driven applications. Design and implement APIs for seamless integration with AI models and services. Work across the complete lifecycle of ML model development, including problem definition, data exploration, feature engineering, model training, validation, and deployment. Participate in code reviews, testing, and quality assurance processes. Troubleshoot and resolve technical issues related to AI model, integration, deployment and backend services. Implement system telemetry, A/B testing and other statistical methods to validate the effectiveness of AI models. Ensure the integrity and robustness of ML solutions by developing automated testing and validation processes. Document and communicate development processes, system designs, and architectural decisions. Ensure the security and compliance of healthcare data, adhering to HIPAA regulations. Responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance. Required Qualifications: Bachelor's or Master's degree in Computer Science, Machine Learning, or a related quantitative field. Minimum 2 years of experience in industry with a strong focus on ML solutions development and production deployment. Strong grasp of OOP, Design Patterns, efficient algorithms, and quality software development. Strong proficiency in Python in modern Python frameworks such as FastAPI and LangGraph. Experience working with voice AI technologies and conversational AI. Deepgram, PlayHT, ElevenLabs Telephony technologies, such as Twilio is a big plus Familiarity with cloud platforms such as AWS or Azure. Excellent problem-solving skills, attention to detail, and a strong capacity for logical thinking. Passion for customer, innovation, product quality, service excellence, and test engineering The ability to work collaboratively across multiple disciplines in an extremely fast-paced, startup environment. Experience working with microservices/an API-based application paradigm. Good written communication skills that enable collaboration in a remote environment. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Salary Range$150,000-$180,000 USD This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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 **************** Location: Remote (For Non-Local) or Hybrid (Local to NYC area or Denver) Position Summary: The Provider Relations Specialist serves as a key liaison between the Capital Rx and its pharmacy network providers. This role is responsible for managing provider relationships, maintaining contract integrity, resolving pharmacy inquiries, and supporting network operations. The specialist ensures smooth communication and operational efficiency across all stakeholders. Position Responsibilities: * Manage the account for a designated group of pharmacy providers including chain pharmacies and independent pharmacies which shall include: * serving as the day-to-day contact for an assigned group of pharmacy providers, * answering relevant emails and phone calls, * executing pharmacy network reporting requests, and * escalating issues as needed to the Manager. * Manage applicable contract routing and dissemination, standard contract and amendment creation, and maintain and update the contract databases. * Manage the ongoing/consistent outreach to pharmacy providers as necessary to finalize contracts to ensure the department is executing on its goals to close out the agreements. * Manage the communication of pertinent information such as drug recalls and payer sheet information to pharmacies. * Act as the first point of contact for the call center help desk regarding pharmacy contractual issues and escalate the issues as needed to the Manager. * Works closely with the Manager, Provider Relations to execute on the departmental and organizational goals. * Responsible for adherence to the Capital Rx Code of Conduct, including reporting of noncompliance. Minimum Qualifications: * Bachelor's degree. * 2+ yrs of PBM experience in provider/network relations, contracting or other relevant experience. * Strong communication and project management skills with the ability to develop effective working relationships with providers and internal and external stakeholders. * Intermediate level of proficiency with Microsoft Excel, Word, PowerPoint. * Highly organized and self-directed with minimal supervision required. Preferred Qualifications: * Certification in pharmacy technician or related field is a plus. Salary Range $55,000-$75,000 USD All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at *********************************************

About Us: JUDI Health is a health technology company offering a wide range of benefits administration solutions for employers and health plans. This includes Capital Rx, a public benefit corporation that provides full-service pharmacy benefit management (PBM) solutions to self-insured employers; JUDI Health™, which offers comprehensive health benefit management solutions for employers, TPAs, and health plans; and JUDI , the industry's leading proprietary Enterprise Health Platform. To learn more, visit **************** **Contract with potential to convert** Location: Remote (For Non-Local) or Hybrid (Local to NYC area or Denver, CO) Position Summary: We're looking for an experienced and driven Technical Sourcing Recruiter to join our growing team. In this role, you'll be responsible for full-cycle recruitment across the technology org. You'll work on identifying, attracting, and hiring top-tier technical talent. You will bring strong experience building talent pipelines from scratch. You'll play a crucial role in building our teams, partnering closely with hiring managers, and ensuring a positive candidate experience from initial outreach to offer acceptance. Why You'll Love Working Here We're in build mode: you'll have the opportunity to see your impact at scale. You will make a tangible impact on society. We're a mission-based tech company that is making a difference in healthcare space. We are a late-stage startup with stability. We have startup energy with a focus on delivery, but healthy processes with a strong financial outlook that provides a sense of security. Position Responsibilities: Manage the full-cycle recruiting process to meet hiring needs across the company including sourcing, interviewing, coordinating feedback, managing candidate expectations, and extending offers. Build robust pipelines for the technology org, including software engineering, data science, machine learning, and product teams. Develop and execute effective sourcing strategies to identify and engage passive technical candidates through various channels, including LinkedIn Recruiter, GitHub, internal databases, networking, etc. Deliver consistent high-quality candidate experience. Collaborate effectively and act as a trusted strategic partner with technical leaders across the business, working closely with hiring managers on job description creation, identifying ideal candidate profiles, interview processes, and hiring recommendations. Track and report on pipeline health metrics and recruiting performance. Participate in continuous strategic process improvement initiatives. Responsible for adherence to the Capital Rx Code of Conduct, including reporting of noncompliance. Minimum Qualifications: Bachelor's degree or equivalent practical experience. 2+ proven experience as a full-cycle Technical Sourcing Recruiter or related experience in a fast-paced environment. Prior startup experience strongly preferred - understanding of the fast-paced, resource-constrained environment and ability to wear multiple hats. Strong understanding of engineering principles with ability to communicate technical requirements effectively Proven expertise in utilizing various sourcing tools and platforms to build technical pipelines from scratch (e.g., LinkedIn Recruiter, specialized tech forums, etc.). Experience working in Greenhouse, strongly preferred. Strong problem-solving skills, adaptability, organizational skills, and ability to handle shifting priorities. Exceptional written and verbal communication skills with a high level of attention to detail. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Salary Range$40-$50 USD All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. JUDIHealth values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at *********************************************

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 **************** Position Summary: Join our mission to infuse cutting-edge AI/ML/GenAI into pharmacy benefits as a Machine Learning Engineering Manager. We are looking for an experienced software engineer with machine learning expertise to join us in expanding our AI capabilities, enabling increased productivity and magical experiences in our products and services. In this role you will be expected to lead the design and implementation of complex AI systems that leverage ML models for NLP, NLG, multimodal data analysis, chatbots, and RAG-based QnA. We want people who like leading and working in a collaborative team environment and enjoy creating practical, efficient, and high-performance software that leverages Large Language Models (LLM), Multimodal Language Models(MLM), and other ML models and techniques to build amazing capabilities for our customers, partners, and employees. Most importantly, we are a mission-oriented, high-growth startup and we are looking for folks that are excited to be part of our journey to make lasting impact towards transforming healthcare. Responsibilities: Lead and oversee ML projects from planning to delivery, ensuring timely and budget-friendly completion. Conduct performance reviews, provide feedback, and support professional growth of your team members. Manage a team and also contribute towards operationalizing machine learning (ML) solutions in the fields of Document understanding, Search and QnA, GenAI, Virtual Agents, etc. Oversee the design and implementation of APIs for seamless integration with AI models and services. Work across the complete lifecycle of ML model development, including problem definition, data exploration, feature engineering, model training, validation, and deployment. Participate in code reviews, testing, and quality assurance processes. Troubleshoot and resolve technical issues related to AI model, integration, deployment and backend services. Document and communicate development processes, system designs, and architectural decisions. Ensure the security and compliance of healthcare data, adhering to HIPAA regulations. All employees are responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance. Required Qualifications: Bachelor's or Master's degree in Computer Science, Machine Learning, or a related quantitative field. Minimum 6 years (4 years with Masters degree) of experience in industry with a strong focus on ML solutions development and production deployment. At least 2 years of experience in Engineering Management with teams of 4 or more engineers Strong grasp of OOP, Design Patterns, efficient algorithms, and quality software development. Strong proficiency in Python and familiarity with ML libraries such as PyTorch. Familiarity with cloud platforms such as AWS or Azure. Familiarity with GenAI services such as OpenAI GPT, Anthropic Claude, Google Gemma etc. Experience developing and fine-tuning prompts on any of the GenAI services Passion for customer, innovation, product quality, service excellence, and test engineering The ability to work collaboratively across multiple disciplines in an extremely fast-paced, startup environment. Good written and communication skills that enable collaboration in a remote environment. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Salary Range$200,000-$230,000 USD All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at *********************************************

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 **************** Location: Remote (For Non-Local) or Hybrid (Local to NYC area) Position Summary: We are seeking a highly motivated and detail-oriented Data Quality Engineer to join our team. In this critical role, you will be the guardian of our data's integrity, ensuring the accuracy, reliability, and robustness of the systems that power our operations and analytics. You will be instrumental in building trust in our data and empowering the organization to make confident, data-driven decisions that drive positive healthcare outcomes. Position Responsibilities: Technical Issue Identification & Root Cause Analysis: Identify, investigate, and triage technical issues within the data engineering tech stack (specifically focusing on [Specify Key Technologies - e.g., Python, SQL, Airflow, dbt]). Conduct thorough root cause analysis, utilizing logs, database queries, and system monitoring data to pinpoint the source of problems. Log Analysis & Monitoring: Monitor and analyze system logs (e.g., using CloudWatch to validate application functionality, identify performance bottlenecks, and proactively detect anomalies. Develop and maintain dashboards to visualize key system metrics. Database Querying & Analysis: Utilize SQL to query and analyze data within the Snowflake data warehouse. Develop and execute complex queries to investigate data discrepancies, identify trends, and support troubleshooting efforts. Familiarity with SQLAlchemy is a plus. AWS Service Support: Collaborate with the engineering team on the support and monitoring of AWS services utilized within data engineering (g., EC2, S3). Assist with troubleshooting issues related to these services. Collaboration & Requirements Translation: Collaborate with Product Managers and engineers to understand business requirements and translate them into actionable test requirements and test plans. Participate in sprint planning and daily stand-ups. QA Execution: Conduct thorough QA tasks, including ticket review, refinement, testing (manual and potentially exploratory), and bug identification. Scrum Team Support: Partner with the scrum team to manage backlogs, refine tickets, and support roadmap development. UAT Support: Assist with UAT testing, stakeholder communication, and documentation to align team efforts with business goals. Compliance & Reporting: Ensure adherence to company policies, including timely reporting of noncompliance. Code of Conduct: Responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance. Minimum Qualifications: Bachelor's degree strongly preferred in Computer Science, Information Technology, or a related field. 3+ years of experience in a QA Analyst, Data Engineer, Business Analyst, or related role. Proficiency in Python Strong SQL experience; familiarity with Snowflake preferred. Familiarity with Agile methodologies and workflows. Experience with GitHub or similar source control repositories. Excellent communication and collaboration skills, with the ability to translate between technical and non-technical audiences both verbally and in writing. Strong analytical and problem-solving skills with attention to detail and QA principles A meticulous, detail-oriented mindset with a passion for ensuring data accuracy. Preferred Qualifications: Experience in the healthcare or PBM sector. Hands-on experience with modern data stack tools like Airflow, dbt, and Snowflake. Experience with CI/CD pipelines. Understanding of data warehousing concepts. Familiarity with automated testing frameworks and data validation tools. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Salary Range$85,000-$100,000 USD All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at *********************************************

About Us: Judi Health is a health technology company offering a wide range of benefits administration solutions for employers and health plans. This includes Capital Rx, a public benefit corporation that provides full-service pharmacy benefit management (PBM) solutions to self-insured employers; Judi Health™, which offers comprehensive health benefit management solutions for employers, TPAs, and health plans; and Judi , the industry's leading proprietary Enterprise Health Platform. To learn more, visit **************** Position Summary: Capital Rx 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 you're passionate about delivering exceptional service 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 clients, 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 teams to support sales initiatives, requests for information (RFI), requests for proposal (RFP), and prospect presentations. Actively attend and contribute to sales meetings and client presentations with a focus on clinical operations and clinical account management. Lead key internal clinical operations initiatives and general business needs/operations, as required. Identify and contribute to clinical process improvement efforts. Certain times of year may require meeting participation, testing, claims review, or other requirements outside of standard business hours, including weekends. Responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance. Required Qualifications: Doctor of Pharmacy (PharmD) degree from an accredited institution Current, unrestricted registered pharmacist license(s) Relevant experience of 3-5 years in a health plan or pharmacy benefits management (PBM) Direct account management experience supporting clients across multiple lines of business Proficient in Microsoft Office Suite with emphasis on Microsoft Excel Experience working with large datasets and analyzing raw data in Excel Ability to balance multiple complex projects simultaneously Exceptional written and verbal communication skills Flexible, highly organized, and able to shift priorities easily Attention to detail & commitment to delivering high quality work product Ability to travel and present to small and large groups Preferred Qualifications: Completion of managed care residency, preferred Prior account management experience of at least three (3) years, preferred Prior experience with Medicare line of business, preferred This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Salary Range$145,000-$165,000 USD This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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 **************** Position Description: This Manager role is a critical position for Client Financial Operations and will partner with other internal departments. This role will be an instrumental team player that will drive process improvement with our invoicing (drug spend and ancillary) and reconciliations. The individual must have a strong financial and accounting background, preferably in PBM or Health care. The individual must be comfortable with all aspects of billing, collections, and revenue recognition, and experience leading a team of analysts. Position Responsibilities: Oversee client invoicing, ensuring contractual alignment, accuracy, and timeliness Submit journal entries, accruals, and adjustments as required Track outstanding payments, follow up on overdue accounts, and implement collection strategies Manage team of billing analysts, set performance goals, and ensure efficient workflows Develop and refine billing procedures to enhance efficiency and reduce errors Address client billing inquiries, resolve disputes, and improve client satisfaction Work with finance, sales, and account management teams to align billing with overall business operations Responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance Required Qualifications: Undergraduate bachelor's degree in business, Finance, or related field, or 10+ years' experience At least 3 years in billing, accounts receivable, or finance, with leadership experience PBM/Health care experience (preferred) Strong Excel and SQL skills for frequent data mining and/or manipulation of large data sets Proficiency in billing software (SAP, QuickBooks, etc.) Ability to challenge and improve existing processes through automation and redesign Motivated team player with the ability to work in a fast-paced, forward-moving environment Attention to detail & commitment to delivering high quality work Ability to communicate internally and externally across multiple departments and at all corporate levels Ability to define problems, collect data, establish facts, solve problems, make recommendations, and draw valid conclusions in a timely and accurate manner Salary Range$95,000-$105,000 USD All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at *********************************************

About Us: Judi Health is a health technology company offering a wide range of benefits administration solutions for employers and health plans. This includes Capital Rx, a public benefit corporation that provides full-service pharmacy benefit management (PBM) solutions to self-insured employers; Judi Health™, which offers comprehensive health benefit management solutions for employers, TPAs, and health plans; and Judi , the industry's leading proprietary Enterprise Health Platform. To learn more, visit **************** Location: Remote (For Non-Local) or Hybrid (Local to NYC area) Position Summary: Join our mission to transform pharmacy benefits as a Senior Full-stack Software Developer (Rust). In this role you will assist in leading large projects from design to conclusion, help product managers and designers flesh out requirements, collaborate with developers to establish consistent APIs across our services, and employ best practices for interactions with our API from the frontend. Position Responsibilities: Lead large projects from design to production. Work with product managers and designers to refine requirements before implementation. Demonstrate technical leadership over product features. Represent product features technically to stakeholders. Demonstrate ownership and responsibility for large projects throughout their production lifecycles. Interact with operations teams as needed to support correct product operation. Build backend applications in Rust on AWS Lambda, API Gateway, SMS, ECS, etc. Develop code in a stateful web application framework (React/TypeScript). Collaborate with developers to establish consistent APIs across our services. Employ best practices for API interactions with frontend web applications. Implement backend code in a serverless, cloud application paradigm (Flask/AWS Lambda/ECS). Make strong architectural choices through careful evaluation and prior experience. Work in an Agile/Scrum environment to continually deliver features to stakeholders and clients. Responsible for adhering to the Capital Rx Code of Conduct Qualifications: 5+ years of related job experience with a broad range of technical skills. Desire to work in a health technology company. Experience working with Rust required. Experience working with Tokio. Git code management skills with experience working in a mono repository preferred. Proficiency working in Linux using Bash, Zsh, Python, Node.js and similar tools. Python (Flask/SQLAlchemy) and TypeScript (React) experience preferred. Advanced PostgreSQL database knowledge, e.g. common table expressions, windowing functions, views, stored procedures, full-text or geospatial indexing techniques. Proficiency targeting infrastructure as code with a security mindset (AWS, Terraform). A history of delivering complex web applications to the cloud. Strong knowledge of unit testing across multiple paradigms. Knowledge of integration testing using Playwright or a similar framework. Experience working with microservices/an API-based application paradigm. Previous Pharmacy Benefits Manager (PBM) experience preferred. Good written communication skills that enable collaboration in a remote environment. Ability to work autonomously driving proactive collaboration to deliver results. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Salary Range$150,000-$180,000 USD This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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 **************** Location: New York, NY - Hybrid (Local to NYC area only) Position Summary: We're seeking a driven and collaborative Associate Product Manager to help shape the future of JUDI, Capital Rx's enterprise health platform. This role is ideal for someone who thrives in a fast-paced environment, is intellectually curious, and is passionate about delivering impactful healthcare technology solutions. Position Responsibilities: Collaborate with other PMs, engineers, UX designers, and other stakeholders to ensure on-time delivery of product features. Effectively manage and meet stakeholders' priorities and expectations while assuming the role of a subject matter expert through deep intellectual curiosity and drive to learn. Partner with go-to-market and client-facing teams to identify key value-add opportunities. Analyze product data to derive insights to assist in the prioritization and post release optimization of the products. Work with design team to conduct user experience testing and research. Collect and act on feedback from internal stakeholders and external clients to ideate and anticipate new products. Create and maintain team specific 15 month rolling product roadmap. Develop business requirements and specification documents. Perform backlog refinement, epic planning, and other scrum events. Conduct user testing prior to and post release of functionality to the customer. Publish value driven release notes and user guides. Present roadmap updates and product delivery risks to senior leadership. Manage and execute day-to-day project management functions with regards to the specific products under development. Support general business needs, as required. Responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance. Minimum Qualifications: Bachelor's degree in relevant field. 2+ years of experience in a Product Management role, Software Engineering role or related work experience . Experience with pharmacy benefit management, health plans or other health care companies. Ability to conceptualize and translate complex problems into viable solutions. Ability to manage conflicting priorities in a deadline driven environment. Highly analytical; demonstratable knowledge of SQL, Excel, or other data visualization tools. Excellent communication and collaboration skills with ability to translate between technical and not technical audiences both verbally and in writing. Strong attention to detail and project management skills. Intellectual and professional curiosity. Comfort or experience in a fast-paced, growth-oriented environment. Experience with agile framework; certified Scrum Product Owner preferred. Experience with Github or similar source code repositories preferred. Demonstratable knowledge of the Python programming language preferred Salary Range$80,000-$110,000 USD All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at *********************************************

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 **************** Location: Remote (For Non-Local) or Hybrid (Local to NYC area) Position Summary: We are seeking a skilled and passionate Scrum Master to support the development teams in applying agile practices effectively, with a focus on the Scrum framework. This role will foster a culture of continuous improvement, collaboration, and transparency, while guiding teams through agile maturity and delivering high-quality outcomes. Position Responsibilities: Agile Coaching & Facilitation Facilitate Scrum events and coach teams to self-organize and continuously improve. Design and lead retrospectives tailored to team needs. Conduct quarterly team health checks and maturity assessments. Guide teams in applying lean and agile principles to improve delivery. Team & Stakeholder Engagement Foster collaboration between Scrum Teams and stakeholders. Mediate conflicts and support team dynamics to ensure a healthy team environment. Support onboarding and agile adoption for new team members and teams. Process Improvement & Metrics Identify and remove impediments to team progress. Leverage empirical data to drive continuous improvement. Prepare and present sprint reports including velocity, capacity, and predictability metrics. Build and maintain workflows and automation to enhance team efficiency. Product & Planning Support Collaborate with product teams on backlog management and empirical planning. Assist in roadmap development and release forecasting using agile metrics. Promote best practices in lean, iterative software delivery. A Successful Contributor has: Practical experience with multiple agile frameworks and their effective application. Strong facilitation and conflict resolution skills. Experience teaching and mentoring on Scrum and agile principles. Understanding of business strategy techniques like Lean Startup and Design Thinking. Experience with forecasting and release planning using agile metrics. Knowledge of CI/CD and emergent architecture in iterative development. Ability to build simple automation to support Scrum practices. Strong communication skills grounded in commitment, courage, focus, openness, and respect. Qualifications: Bachelor's Degree in business, information technology, or 3 years' work experience in related field required. 3 years working in Scrum Master role or on a Scrum Team. Certified Scrum Master (CSM) or equivalent certification preferred. Base Salary: $95,000 - $120,000 This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Salary Range$95,000-$120,000 USD All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at *********************************************

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 **************** Location: Remote (For Non-Local) or Hybrid (Local to NYC area) Position Responsibilities: Oversee a dynamic team of pharmacy technicians engaged in the prior authorization process. Analyze available data to provide prior authorization staffing, workflow, and system enhancement recommendations to maximize team agility and performance. Actively participate in the prior authorization technician metric and quality goal setting process. Generate and deliver comprehensive reports on prior authorization technician metrics to both internal and external stakeholders. Assist the talent acquisition team in the hiring, evaluation, training, and onboarding of new employees. Investigate/resolve escalated issues or problems from team members, clients, and other internal teams. Key stakeholder in ensuring the prior authorization review platform is optimized for technician functions. Maintain relationships with external Independent Review Organizations and clinical resource vendors. Support the training and growth of both new and existing staff members in adherence to proper procedures. Collaborate with prior authorization leadership to develop process improvements and support long-term business needs, recommend new approaches, policies, and procedures to influence continuous improvements in department's efficiency and help establish best practices for conflict resolution while actively participating in problem identification and coordinate resolutions between appropriate parties. Assists with in other responsibilities, projects, implementations, and initiatives as needed in accordance with the policies and procedures established within the department. Prepare prior authorization requests received by validating prescriber and member information, level of review, and appropriate clinical guidelines. Maintain compliance with local, state, and federal laws, in addition to established organizational standards. Proactively obtains clinical information from prescribers, referral coordinators, and appropriate staff to ensure all aspects of clinical guidelines are addressed for pharmacist review. Triage phone calls from members, pharmacy personnel, and providers by asking applicable drug and client specific clinical questions. Follow all internal Standard Operating Procedures and adhere to HIPAA guidelines and Company policies Required Qualifications: Active, unrestricted, National Certified Pharmacy Technician (CPhT) license required Bachelor's or Associate's degree is preferred 4+ years of PBM or Managed Care pharmacy experience required Proficient in Microsoft Office Suite with emphasis on Microsoft Excel and PowerPoint Strong clinical background required Excellent communication, writing, and organizational skills Ability to multi-task and collaborate in a team with shifting priorities Preferred Qualifications: 2+ years of regulated market prior authorization operations experience or knowledge of how to operationalize regulated market requirements Previous prior authorization operations leadership experience Salary Range$80,000-$90,000 USD All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at *********************************************