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 $65,686.20 - USD $79,140.00 /Yr.

M-F 8am to 5pm

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.

Navitus Health Solutions is seeking a Business Analyst, Government Programs, Med-D to join our Government Programs Technical Operations department!

 

The Business Analyst provides business analysis support for development, implementation, and maintenance of all products within the Technical Operations Department. The Business Analyst interacts with key operating departments related to Technical Operations business development and operational compliance. The Business Analyst also understands the roles and responsibilities of the business area and how it fits within the entire corporation. This individual develops an understanding of Government Programs regulations and related CMS and/or state-specific guidance, and is responsible for proactive review of all CMS and/or state regulations and guidance. The Business Analyst helps develop and execute test scenarios/plans, coordinates the user/system testing, and may be responsible for quality assurance. The Business Analyst is proficient in data reporting and data manipulation for analysis, as well as using standard tools for reporting at Navitus. These tools include, but are not limited to, Microsoft Excel and QlikView.

 

Is this you? Find out more below!

How do I make an impact on my team? 

• Identifies and manages changes to existing Technical Operations processes; this includes scope definition, business requirements, user acceptance testing, and implementation
• Establishes processes that are scalable and efficient, and ensures smooth transition to operational maintenance by the Technical Operations Analysts
• Develops project plans to ensure the quality and timeliness of project deliverables
• Ensures technical processes supporting government programs have the appropriate controls, oversight, and reporting, and are compliant with regulatory requirements from end to end
• Identifies key metrics to monitor the compliance and accuracy of the process, establishing oversight methods that are operationally efficient and effective
• Provides SME assistance when process metrics indicate a possible risk to compliance or accuracy, and leads any corrective action required following root cause analysis
• Reviews regulatory guidance, and identifies changes needed to existing Technical Operations processes and/or new processes which need to be established to remain compliant
• Performs data analysis using SQL or business intelligence software
• Develops a solid working knowledge of Navitus’ claims processing system
• Other duties as assigned

What our team expects from you?

• Bachelor’s degree in business-related field, or equivalent combination of education and experience
• 3+ years’ Analyst experience with writing requirements, developing solutions, implementing process improvements, and conducting testing in a business environment preferred
• Participate in, adhere to, and support compliance program objectives
• The ability to consistently interact cooperatively and respectfully with other employees

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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