Role Description - Prepare prior authorization requests received by validating prescriber and member information, level of review, and appropriate clinical guidelines. - Make outbound calls to providers to obtain additional clinical information to ensure substantial clinical information exists to reach a clinical determination for pharmacist review. - Proactively obtain clinical information from prescribers, referral coordinators, and appropriate staff to ensure all aspects of clinical guidelines are addressed for pharmacist review. - Review and analyze pharmacy claims data for proactive outreach and intervention. - Identify, document, and escalate provider concerns to the appropriate internal team including various members of the Prior Authorization Team. - Triage phone calls from members, pharmacy personnel, and providers by asking applicable drug and client specific clinical questions. - Effectively communicate issues and resolutions to members, pharmacy staff, providers, and appropriate internal stakeholders. - Follow all internal Standard Operating Procedures and adhere to HIPAA guidelines and Company policies. - Ensure customer satisfaction, extraordinary customer care, and quality resolution with genuine compassion in a fast-paced, startup environment. Qualifications - 2+ years of pharmacy technician experience in a PBM, health plan, or in another clinical pharmacy setting. - Experience handling prior authorization requests/understanding of prior authorization requirements required. - National Certified Pharmacy Technician (CPhT) license, required. - High school diploma or the equivalent; Associate’s or bachelor’s degree is preferred. - Excellent communication, writing, and organizational skills. - Ability to work independently with minimal supervision, stay productive in a remote, high-volume, metric driven call center environment. - Ability to multi-task and collaborate in a team with shifting priorities. Requirements - This range represents the low and high end of the anticipated base salary range. The actual base salary will depend on several factors such as: experience, knowledge, skills, and location of the job. - Remote, US Salary Range: $50,000 — $60,000 USD. Benefits - 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. - We 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 https://www.judi.health/legal/privacy-policy .

• Realizar atendimentos remotos (Telemedicina Eletiva) com foco em queixas clínicas e seguimento. • Solicitar e avaliar exames, prescrever medicamentos e emitir atestados digitais. • Garantir conduta ética e sigilo profissional durante os atendimentos.

• Serve as Task Order Project Manager (TOPM), providing end-to-end oversight for all contract activities; coordinate staffing, deliverables, and performance across all task areas and report status to the COR. • Develop and deliver Monthly Activity Reports detailing actions accomplished and status of open items. • Develop and maintain program schedules, track milestones, manage risk, and produce status reports aligned with DoW and Marine Corps performance requirements. • Monitor mandated monthly and semi-annual audit reviews using Insights on Demand; identify program risk, ensure internal controls are effective, and draft Corrective Action Plans for HQ-level audit findings. • Analyze GCPC metrics and produce reports on certification, payments, transactions, financials, delinquencies, and audit completions to support the Level 3 Agency Program Coordinator (APC). • Assess and provide recommendations on system issues across DoW e-business platforms including DAI, US Bank Access Online, Insights on Demand, Navy ERP, and PIEE; represent stakeholder interests in integration meetings. • Research DoW, DoN, and Marine Corps regulations and policy to improve GCPC program operations, advise Government personnel, and develop training materials for program participants. • Maintain Internal Operating Procedures and user resource materials reflecting changes to financial and payment systems affecting cardholder and Approving Official responsibilities.

• Reviewing borrower concerns, conducting detailed research, and providing proactive outreach • Analyzing written borrower complaints received through regulatory agencies, clients, and executive escalation channels • Initiating proactive outreach to borrowers to acknowledge concerns and gather additional information • Utilizing effective de-escalation techniques to manage emotionally charged interactions • Conducting ongoing communications, including callbacks, to confirm research status and resolution • Maintaining accurate and comprehensive documentation of all customer interactions • Ensuring compliance with applicable federal, state, investor, and company guidelines • Protecting sensitive customer information by adhering to confidentiality requirements and data security protocols.