Case Development Specialist
Judi Health(18 days ago)
About this role
The Case Development Specialist at Judi Health supports Pharmacy Audit and Fraud, Waste & Abuse (FWA) investigation teams by managing case intake, triage, and tracking. The role ensures data integrity, performs initial analysis and risk assessment, and prepares documentation and materials required for audits and investigations. It operates as the operational backbone from case initiation through closure, supporting cross-team communication and reporting.
Required Skills
- Case Management
- Microsoft Excel
- Data Management
- Risk Assessment
- Data Validation
- Case Tracking
- Documentation
- Communication
- Claims Analysis
- Confidentiality
Qualifications
- Associate Degree
- Bachelor's Degree
About Judi Health
judi.healthJudi Health and Capital Rx deliver unified pharmacy and medical benefit management for employers, unions, health systems, and government programs. Capital Rx provides transparent, member-focused PBM solutions while Judi Health’s Judi® platform integrates pharmacy, medical, vision, and dental benefits into a single coordinated system. Together they support millions of plan members, aiming to simplify benefit administration, improve member experience, and control costs.
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