Judi Health is an enterprise health technology company that provides solutions for employers, TPAs, and health plans through its pharmacy benefit management services, health benefit management platform, and proprietary Enterprise Health Platform.
This role supports the accurate configuration, testing, and maintenance of medical claims processing rules within Judi’s platform. The position requires strong knowledge of medical coding, health plan operations, and claims adjudication, along with the ability to translate client requirements into scalable system configurations.
The role is hybrid and local to the Charlotte, NC; Denver, CO; or New York, NY area.
Bachelor’s degree strongly preferred.
AAPC Medical Coding & Billing Certification, such as CPC, required.
5+ years of experience with a health plan, payer, or third-party administrator (TPA).
Strong understanding of CPT, ICD-10, HCPCS, revenue codes, bill type codes, place of service codes, and taxonomy codes.
Medicare and Medicaid experience preferred.
Ability to learn and apply new technologies.
Strong project management, time management, prioritization, and organizational skills.
Ability to manage multiple priorities in a fast-paced environment.
Proficiency with Microsoft Office Suite.
Strong verbal, written, presentation, and interpersonal communication skills.
Ability to collaborate effectively with cross-functional and virtual teams.
Preferred qualifications include an analytical mindset, customer-focused approach, independent work style, experience supporting regulatory audits, and experience developing processes or training team members.
Location
New York, New York, US
Employment Type
Full-time
Experience Level
Senior
Salary Range
$70,000 - $85,000
Remote work allowed
Yes
Posted
3 weeks ago