Clinical Programs Specialist at Judi Health in New York, NY

Job description

About Judi Health Judi Health is a health technology company providing benefit administration solutions to employers, unions, health plans, and government entities. Judi Health replaces fragmented, outdated systems with the industry's first Unified Claims Processing™ architecture, seamlessly consolidating pharmacy and medical benefit administration on a single, secure platform. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels. At Judi Health, we're deploying the infrastructure our country needs to deliver the healthcare we all deserve. We are the intelligence platform powering benefits plans for millions of Americans and proudly leading the next generation of care. To learn more, visit www.judi.health . Position Summary The Clinical Programs Specialist provides operational and administrative support for the day-to-day management of clinical programs and clinical vendor partnerships under the direction of the Clinical Programs Specialists Manager. This role coordinates program reporting, vendor invoices, and drug list maintenance. This role also maintains program workflows and documentation, supports program implementations, monitors recurring deliverables, supports stakeholder communications, and tracks issues through resolution. The Specialist helps ensure established program processes are executed consistently, accurately, and in accordance with contractual, regulatory, and organizational requirements. This role helps ensure programs are executed effectively and efficiently; stakeholders remain informed, and both clients and members receive timely, high-quality support involving clinical programs involving clinical vendor partners. Position Responsibilities: Vendor Clinical Program Administration Supports administration and operational activities for assigned clinical programs involving clinical vendor partners. Supports the maintenance of program workflows, standard operating procedures, job aids, process maps, reference materials, and other operational documentation. Monitor shared inboxes, work queues, pending activities, recurring deliverables, and escalations to support timely follow-up and continuity of program operations. Document vendor program activities, decisions, issues, interventions, and follow-up actions in applicable systems and tracking tools. Program Coordination & Workflow Management Apply established workflows and assist with updates when processes, systems, client requirements, or regulatory guidance change. Identify and support resolution of workflow gaps, document operational risks, and escalate recommendations to the Clinical Partnerships Lead. Balance multiple work-streams, prioritize time-sensitive activities, and meet established deadlines with minimal oversight. Maintain clinical program resources, including drug lists, through routine reviews, scheduled updates, and ad hoc changes. Clinical Vendor & Stakeholder Support Support the monitoring of vendor service-level commitments, reporting schedules, and required deliverables; escalate delays or performance concerns. Coordinate resolution of program inquiries and escalations while promoting a positive stakeholder and member experience. Support operations including vendor invoicing and reporting, custom client implementation requests, reporting requirements, claims monitoring, issue resolution, member communication proofs, and ongoing vendor program maintenance. Collaborate with internal and external stakeholders to ensure effective communication, coordination, a satisfactory client experience, and continuity of member care. Support the Clinical Programs Business Development needs, including client contracting, vendor management, preparation of opportunity analyses, and program sales support. Quality, Compliance & Operational Excellence Maintain compliance with all applicable federa