Navitus Health Solutions is seeking a Med-D Audit Oversight Analyst to join our team!
This position is an Analyst, Med-D Audit Oversight SME directly responsible for conducting internal and external audits and monitoring activities for the PBM Employer Group Waiver Program (EGWP) and MA-PD/MMP Health Plan audits. The Med D Compliance Oversight Analyst (COA) will conduct quality assurance review on all audit and monitoring results. The COA will be responsible for providing monthly/quarterly audit and monitoring reports to the internal audit review committee, the Medicare Part D Oversight Committee, and business partners/clients. The COA will coordinate Process Improvement/Remediation Plans as needed. The COA will be primarily responsible for interfacing with the Government Programs Regulatory Adherence and Auditing Manager to coordinate delivery of the monthly/quarterly oversight reports, as outlined in the Audit and Monitoring work plan for EGWP. This COA will also interface with various functional teams throughout Navitus. This role requires strong analytical and auditing skills, exceptional attention to detail, strong Excel skills and deep knowledge of Medicare Part D rules, regulations, and protocols.
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