Skip to content
CV Rocket
Get started
How it worksThe enginePricingBlogContactSign in

Open nowPosted 8 days agoWe saw it 16 min after it went up

Senior Manager, Prior Authorization Systems Pharmacist

Judi Health108 open roles

Pay
$155,000 – $180,000 a year
Where
Charlotte, North Carolina, United States; Denver, Colorado, United States; New York, New York, United States
Get the CV for this job

From $25 per CV, paid once. No subscription.

Your applicationOpen nowSenior Manager, Prior Authorization Systems PharmacistJudi Health · Charlotte, North Carolina, United States; Denver, Colorado, United States; New York, New York, United States

  1. YouYes, apply to this one.

  2. CV RocketCV written for this posting.

  3. 25 readersRecruiter, hiring manager, skeptic. Round after round.

  4. CV RocketApplied on Judi Health's own form.

The reply lands in your private mailbox

3×more interviews than doing it yourself with ChatGPT.

The clock on this job

Early applications get read.

8.0% of postings close within 7 days. Measured by our own scanner across the market. Judi Health postings stay open a median of 33 days.

Share of postings closed within
  1. 1.6%1 day
  2. 3.5%3 days
  3. 8.0%7 days
  4. 15.0%14 days
  5. 34.1%30 days
This job: posted 8 days ago

Judi Health median: 33 days open

The posting

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 Judi Health replaces fragmented, outdated systems with the industry's first Unified Claims Processing™ architecture, seamlessly consolidating pharmacy and medical benefit administration on a single,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.

Location: Hybrid (Local to NYC area, Denver CO or Charlotte NC)

Position Summary:

We are seeking a licensed pharmacist with leadership experience to manage a team responsible for the development, implementation, and maintenance of clinical criteria and prior authorization (PA) system configurations. This role will oversee the creation of utilization management policies, decision tree logic, and member-facing communications to ensure compliance, efficiency, and clinical accuracy. The ideal candidate brings a strategic mindset, strong clinical knowledge, and a passion for leading high-performing teams in a dynamic environment.

Position Responsibilities:

  • Lead and mentor a team of pharmacists, technicians, and analysts responsible for PA criteria development, system configuration, and letter template management.
  • Oversee the creation and maintenance of clinical criteria and decision trees based on evidence-based guidelines and plan benefits.
  • Lead initiatives to improve member and provider communication through clear, compliant, and user-friendly denial and approval language.
  • Ensure timely and accurate implementation of formulary updates, new drug reviews, and regulatory changes across all lines of business.
  • Collaborate with cross-functional teams including Formulary, Benefits, Product/Development, Regulatory/Compliance, and Prior Authorization Operations to optimize workflows and ensure alignment.
  • Drive continuous improvement in PA system configuration, including automation, self-service tools, and turnaround time (TAT) compliance.
  • Monitor team performance, provide coaching and development, and ensure adherence to quality and compliance standards.
  • Serve as a subject matter expert for internal and external stakeholders regarding PA criteria, system capabilities, and regulatory requirements.
  • Review prior authorization, appeal, and override requests as needed.
  • Responsible for adherence to the Capital Rx Code of Conduct, including reporting of noncompliance.
  • Position is generally scheduled Monday through Friday during standard business hours. Flexibility is required to support evolving business needs, operational demands, and critical initiatives, which may include work outside of standard hours as necessary.

Qualifications:

  • Active, unrestricted pharmacist license (PharmD or BPharm required)
  • 5+ years of experience in prior authorization or utilization management, with at least 2 years in a leadership or supervisory role
  • Strong understanding of clinical criteria development, formulary management, and benefit design
  • Experience with PA system configuration and letter template mapping preferred
  • Excellent communication, writing, and organizational skills
  • Proficient in Microsoft Office Suite, especially Excel; experience with PA platforms and data visualization tools a plus

New York, NY Salary Range

$155,000—$180,000 USD

Denver, CO Salary Range

$155,000—$180,000 USD

Charlotte, NC Salary Range

$155,000—$180,000 USD

All employees are responsible for adherence to the Judi Health 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.

From $25, paid onceGet the CV for this job

What happens when you press

One press. We do the rest.

  1. A CV for this posting

    Written against Judi Health's own wording, from every piece of relevant proof in your profile.

  2. 25 readers review it

    Recruiter, hiring manager, skeptic and more read every draft, round after round. You get the best round.

    The review screen in CV Rocket: how each CV was read, round by round.

  3. We apply on Judi Health's form

    Our application engine gets through the hardest forms there are. Where a question needs you, AI suggests the best answer. Don't want us applying from our IP addresses? Use our Chrome extension: we apply straight from your own browser.

    An application in CV Rocket: every answer filled in on the employer's form.

  4. Every reply, sorted

    Judi Health's answer lands in your private mailbox, and we classify it on arrival: interview, question, rejection.

    The CV Rocket inbox: each employer reply classified as an interview, an action or a rejection.

  5. Reply with AI

    AI helps you write the email, checks it and sends it. We show you whether the recruiter read it.

  6. The interview in your calendar

    Full integration with your calendar. The invitation goes straight in.

    An interview invitation in the CV Rocket inbox, added to the candidate's calendar.
Get the CV for this job

From $25 per CV, paid once. No subscription.

Why it works

3×

more interviews than doing it yourself with ChatGPT.

ChatGPT writes a CV and never learns what happened to it. We see every reply. For each CV we know:

  • How it was written, and how the review scored it
  • When we applied, and how long after the posting went up
  • Which posting, which company, which city
  • Who got the interview, and who heard nothing

That is how we know which CVs get called.

Get the CV for this job

From $25 per CV, paid once. No subscription.

The numbers game

More applications. More interviews.

Every application goes out with its own CV, written for that posting and paid once. Send enough of them and the law of large numbers finds you the job.

Get the CV for this job
By hand5–10
With CV Rocket100
applications a day

Nearby

Live postings like this one

Same employer first, then the same role elsewhere.

Before you press

Straight answers

Get the CV for this job

From $25 per CV, paid once. No subscription.

What if my background isn't good enough?

We make the most of the background you have. The CV uses every piece of relevant proof your profile holds, and one of the 25 readers reads your whole profile and flags what the CV left out.

Do you really apply for me?

Yes, on the employer's own form, the hardest ones included. Where a question needs you, you answer it right there and AI suggests the best answer. Don't want us applying from our IP addresses? Use our Chrome extension: we apply straight from your own browser.

Is it a subscription?

No. You pay once per CV, from $25. Every application goes out with its own CV, written for that posting.

One job. One CV.
Paid once.

Pick the posting you want. We write for it, apply for you and catch the reply.

Get the CV for this job

From $25 per CV, paid once. No subscription.