Navitus Health Solutions, LLC

Sr. Coordinator, Medicaid and Exchange

Location US-
ID 2025-4105
Category
unsure
Position Type
Full-Time
Remote
Yes

Company

Navitus

About Us

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.

Pay Range

USD $49,911.00 - USD $59,418.00 /Yr.

Work Schedule Description (e.g. M-F 8am to 5pm)

M-F 8am to 5pm

Remote Work Notification

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.

Overview

Due to growth, we are adding a Sr. Coordinator, Medicaid and Exchange to our Government Programs department 

 

The Sr. Coordinator, Medicaid and Exchange is responsible for providing administrative, technical and process support for Medicaid and Exchange functions. The Sr. Coordinator works closely with the Product Managers to ensure that deliverables are completed according to project plans.   This role requires analytical skills, strong attention to detail, technical writing skills, and basic knowledge of Medicaid/Exchange rules and regulations. 

 

Is this you? Find out more below!  

Responsibilities

How do I make an impact on my team?   

  • Provides Medicaid/Exchange SME support and coordination for annual re-implementations and new client implementations.  This includes document creation, status report compilation, and document posting. 
  • Prepare and deliver regulatory reporting and performs initial quality review and compliance check against State, CMS and client requirements 
  • Supports Medicaid/Exchange Product Managers and Associate Product Managers related to various Medicaid/Exchange client requests, including creation of client-facing information 
  • Supports the System Incident Request (SIR) process by tracking all Medicaid and Exchange SIRs from start to finish.  Ensures SIR Impact Reports completed and processes pharmacy/member outreach if applicable. Maintains monthly reporting of inventory for leadership review. 
  • Lead role in Compass website administration/maintenance for Medicaid and Exchange 
  • Develops knowledge in Medicaid and Exchange to better understand upstream and downstream processes 
  • Administers end to end Medicaid/Exchange processes with precision and accuracy Responsibilities also include managing detailed work instructions related to assigned responsibilities and/or support of the Product Management staff 
  • Identifies potential process improvements and works closely with the Product Managers to modify, test and implement 
  • Other duties as assigned 

Qualifications

What our team expects from you?  

  • High school diploma or equivalent required. College degree preferred.   
  • 2-3 years’ relevant experience required 
  • 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! 

#LI-Remote

Location : Address

Remote

Location : Country

US

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