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 $77,545.00 - USD $95,148.00 /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.

Due to growth, we are adding a Lead, Medicaid Audits to our Government Programs department. 

 

This position will have responsibility to establish centralized administration processes for external Medicaid regulatory audits. The Lead, Medicaid Audits (LCA) directs the audit activities necessary to support Federal, State, Delegation or other types of audits as needed. The LCA will be required to serve as an organizational SME with regards to how audits are facilitated and coordinated across Navitus. The LCA will be responsible for interfacing with clients and external auditors and will coordinate all audit activities supporting Plan Sponsor Audit requirements. The LCA will conduct quality assurance review on all audit responses prior to delivery to the clients. The LCA will lead various projects focused on enhancements to the overall audit process and as needed, internal process improvements for services that don’t meet regulatory requirements. This position ensures that the appropriate processes, procedures, and software are implemented to meet audit requirements. The LCA also provides support to the Sales and Client Services departments, including RFP responses.

 

Is this you? Find out more below!

How do I make an impact on my team? 

• Facilitate and/or lead client audit activities, including internal notification and status, educating Navitus staff on audit requirements; coaching or otherwise assisting in interview preparations, when applicable, oversight of the processes that extract data needed for audits; and coordinate all audit activities
• Develop, implement, and maintain an audit tracking and documentation system
• Continuously communicate the message of audit compliance in all interactions with others. Assist in audit/compliance awareness, training, and education initiatives by contributing to the Compliance Department newsletter, participating in educational activities and events, and other activities as requested or developed
• Assess capacity and capabilities for managing new client’s audits. Collaborate with department leads ensuring that resources are trained and available for audits
• Take part in the coordination of audit assignments and ensure good interactions with the administrators, staff, external auditors, and law enforcement agencies
• Oversee audit planning and reporting activities according to established policies
• Assist in risk assessment and mitigation activities
• Discuss with management audit observations, recommendations, and actions to be taken including resolution of issues that may have been identified through audit findings
• Other duties as assigned

What our team expects from you?

• Bachelor’s degree in Accounting, Finance, or Business required
• Demonstrated experience with Internal Audit methodology, regulatory requirements, and processes required
• Knowledge of PBM or health care industry required
• Prior experience as a Public Accounting Manager preferred
• 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! 

 

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US