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 $82,558.70 - USD $101,333.00 /Yr.

M-F 7:30am-4:00pm, CST

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

Due to growth, we are adding Technical Operations Supervisor to our Government Programs Technical Operations department!  

 

The Supervisor Technical Operations is responsible for leading Technical Operations team members. This individual will interact with key operating departments related to Technical Operations business development and operational compliance and understands the roles and responsibilities of the business area and how it fits within the entire corporation. The Supervisor Technical Operations proactively reviews and develops an understanding of Government Programs regulations and related CMS and/or specific state guidance. The Supervisor Technical Operations assists in the review and analysis of special projects and may lead these projects as necessary, including help develop and execute test scenarios/plans, and coordinate user/system testing. The Supervisor Technical Operations will be proficient at data reporting and analysis using the standard tools for reporting at Navitus.

 

Is this you? Find out more below!

How do I make an impact on my team? 

• Leads a team responsible for monitoring compliance with regulatory requirements
• Understands Government Programs Technical Operations, with emphasis on processes assigned to the Supervisor’s team. This includes being the process subject matter expert and performing functions to support Government Programs processes and translating them into documented process steps
• As Process Owner, leads the Quality Oversight Meetings to ensure process compliance and reliability for all assigned processes. Is a self-directed leader ensuring appropriate action is taken for process defects, non-compliance, and/or inefficiencies for assigned processes
• Ensures technical processes supporting government programs have the appropriate controls, oversight and reporting on the end-to-end process. If process controls are absent, the expectation is to identify, define, and implement new ones as needed
• Develops and maintains clear and concise documentation for all assigned processes using proficient Technical Writing skills. Maintains process support documentation that other stakeholders may utilize to understand the complex processes performed by the team
• Establishes processes that are scalable and efficient and ensures smooth transition to operational maintenance by the Technical Operations Staff. Identifies key metrics to monitor the compliance and accuracy of the process establishing oversight methods that are operationally efficient and effective. Provide SME assistance when process metrics indicate possible risk to compliance or accuracy and lead any corrective action
• Seeks opportunities to initiate and manage projects to improve existing processes delivering enhanced quality and efficiency. Assists in review and analysis of special projects and may lead these projects as necessary
• Reviews and develop a working knowledge of all new and existing client plan designs
• Other duties as assigned

What our team expects from you?

• B.S. degree in Computer Science, Financial Recoveries, Healthcare Insurance, management, business, statistics or related field or equivalent experience
• Two+ years supervisory experience preferred
• Knowledge or experience in insurance processes and/or government programs such as Medicare or Medicaid will be an advantage
• 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.

Remote

US