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 $21.56 - USD $25.66 /Hr.

M-F 8:30am to 5:00pm CST

This is an onsite position working in office at our Appleton, WI campus located at 1025 West Navitus Dr. Appleton, WI 54913.

 

Navitus Health Solutions is seeking a Coordinator I, Audit to join our Pharmacy Audit department!

 

The Coordinator I, Audit will assist the Manager, Pharmacy Audit and Audit Team in the execution and maintenance of the Navitus pharmacy audit program, pharmacy correspondence, and audit support. The Coordinator I, Audit will initiate audit documentation outreach, data entry into online tools and documents, compile reporting and claims data, and other audit activity tracking. In addition, Coordinator I, Audit will facilitate audit correspondence, respond to initial pharmacies inquiries and support performance guarantee monitoring along with ad hoc audit needs. Coordinator I, Audit will follow through on deliverables and assignments timely with limited prompting, monitoring, and maintaining auditing and credentialing inventory, and adhere to document organization structure. The role requires good knowledge of pharmacy claims, billing, and payment.

 

Is this you? Find out more below!

How do I make an impact on my team? 

• Assist Audit Manager and Audit Team with the execution and maintenance of the Navitus pharmacy audit program, controls, and guidance.
• Collect information used for analysis. Extract information from data resources, reports, and observations made at work sites. Document and organize information according to the audit work plan
• Follow HIPAA regulations and confidentiality requirements when handling and providing documents
• Draft selected report materials in pre-approved formats that include recommendations, procedures, manual references, and proposed policy changes
• Receive and assemble working papers to comply with industry auditing standards
• Communicate routinely with the Audit Manager regarding audit progress, issues, other departmental work timelines, priorities, etc.
• Learn basic functions in claims processing and audit software to assist team activities
• Assist in generating pharmacy correspondence associated with audit program, tracking, and reporting responsibilities of team
• Track hours worked, assists in preparing work-in-progress reports, monitors key deadlines and/or timelines for projects, and work activities
• Identify Audit processes that can be improved and suggest ways to improve, including collaboration with other departments, as necessary. Suggest plans of action to achieve those process improvements. Lead efforts to implement the improvements, where applicable

What our team expects from you?

• High school diploma or equivalent required. An associate’s degree in health-related business field strongly desired. A combination of education and relevant work experience may substitute the educational requirement
• A minimum of two years’ experience in pharmacy and/or healthcare claims business processes is highly desired
• Other business office organizational or audit experience may substitute for pharmacy and/or healthcare knowledge
• Experience supporting a team unit is also desired
• 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 
• Educational Assistance Plan and Professional Membership assistance 
• Referral Bonus Program – up to $750! 

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.

 

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