Navitus

Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new ideas and share a passion for excellent service to our customers and each other.

USD $19.60 - USD $21.26 /Hr.

M-F 8am-5pm, CST

Navitus Health Solutions is seeking a Benefit Configuration Analyst to join our team! 

 

The Analyst, Benefit Configuration position is responsible for analysis, interpretation, integration and business decisions with regards to hierarchy, pharmacy network rates and Navitus’ formulary configuration designs.   This position requires knowledge of both the technical and operational sides of the business utilizing Navitus’ adjudication system (NaviClaimRx) and/or other applications which includes software updates and enhancements. This position may include after-hour and/or weekend hours with other eligible team members depending on workload. 

 

Is this you? Find out more below!  

How do I make an impact on my team?   

• Completes scheduled and urgent benefit additions, terminations, and changes timely and accurately to prevent member access to care issues, missed performance guarantees and potential liquidated damages.
• Acquires and maintains a basic level of knowledge and interpretation of multiple adjudication system screens and functions on a field-by-field level to design both standard and custom configurations to meet client expectations.
• Complies with standards set forth regarding benefit design and configuration including HIPAA, NCPDP and Navitus internal business standards.
• Performs quality assurance peer reviews and uses sound business judgment and expertise to contribute toward the creation of root cause analysis of issues. 
• Uses departmental workflow management, issue resolution and reporting tools for troubleshooting and responding to general customer questions and issue resolution requests.
• Supports internal customers by participating in client meetings, audits and new program implementations with other areas of the company, answering benefit setup questions and providing guidance to other areas and roles on the benefit configuration process.
• Adapts to industry changes and evolving technology, maintaining a basic level of understanding of both legacy and emerging products and systems.
• Other duties as assigned 

What our team expects from you?  

• Associate degree or equivalent work experience
• Basic experience with Microsoft Office, specifically Word and Excel
• Participate in, adhere to, and support compliance program objectives 
• The ability to consistently interact cooperatively and respectfully with other employees 

What can you expect from Navitus? 

• Top of the industry benefits for Health, Dental, and Vision insurance
• 20 days paid time off
• 4 weeks paid parental leave
• 9 paid holidays
• 401K company match of up to 5% - No vesting requirement
• Adoption Assistance Program
• Flexible Spending Account

 

#LI-Remote

 

 

We are unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming.