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Capital Rx — New York New York
About Judi Health Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Judi 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. S. and deploying the infrastructure we need for the care we deserve.
health .
Benefits
Manager position is responsible for the day-to-day operations of the Judi Health group
programs. This position provides excellent customer service, assists with benefit and claims navigation and works directly with vendors.
Manager continually investigates new
programs, improves existing programs, and supervises and monitors
administration.
and leave programs adhere to applicable laws. Performs regular financial reviews of benefit carrier billing to ensure the accuracy of invoices and enrollment compared to change files, vendor systems, inputs, and payroll.
support, assisting employees in navigating their
needs.
enrollments in the HRIS to provide vendors with accurate eligibility information. Leads new-hire orientation benefit sessions.
-related data.
plans and stop loss. Manage, review, validate and process life status changes.
inquiries from employees on plan provisions,
enrollments, status changes and other general questions. Oversees leave-of-absence and disability requests. Effectively interprets FMLA, ADA and state leave implications as they relate to leaves of absences/disabilities.
Manages the open enrollment process. Provides necessary reports for allocation/billing charges.
processes. Prepares special reports by collecting, analyzing and summarizing information and trends.
vendors on company intranet.
and wellness initiatives.
data, making necessary corrections and updates. Stay informed about changes in benefit trends, laws and regulations, ensuring ongoing compliance and timely adjustments to policies.
administration experience 5+ years managing leave of absence in a multi-state environment Strong knowledge of federal/state
) Experience with vendor/broker management Proficiency in Microsoft Office Suite Excellent organizational, communication, and time management skills Proven ability to analyze data, identify issues, and implement solutions independently.
Responsibilities
: Ensures state and federal regulatory compliance filings and government regulations, ensuring
Required Qualifications
: Bachelor’s degree in HR, Business, Finance, or related field (or equivalent experience) Relevant certifications (e.g., CEBS, SHRM-CP) preferred 5+ years of