Prior Authorization Systems Pharmacist
![]() | |
![]() | |
![]() United States | |
![]() | |
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 www.judi.health. Position Summary: We are seeking a licensed pharmacist to support the development and maintenance of clinical criteria and prior authorization system configurations. This role is responsible for writing utilization management policies, building decision trees, mapping letter templates, and creating template language for member-friendly communications. The ideal candidate will bring a detail-oriented mindset, excellent writing skills, and a deep understanding of prior authorization workflows to support efficient and accurate processes. Position Responsibilities:
Qualifications:
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 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. Capital Rx 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. |