
1001 - 5000 employees
Founded 2003
💼 Consulting
🛡️ Insurance
🏥 Healthcare
Consulting • Insurance • Healthcare
Navitus Health Solutions is a pharmacy benefit manager (PBM) that provides transparent, people-centered pharmacy benefit solutions to health plans, employers, government programs and other plan sponsors. The company operates a 100% pass-through, cost-plus model that emphasizes lowering medication costs, managing formularies, specialty drug management (including a cost-plus specialty pharmacy), claims adjudication, pharmacy network management, and member enablement and support services. Navitus positions itself as a fiduciary partner focused on affordability, compliance, clinical quality and improving health outcomes through tailored PBM services and digital health integrations.
🕒 September 30
🏈 Alabama, Arizona, +32 more states – Remote
💵 $60.2k - $72.5k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
⚙️ Operations
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1001 - 5000 employees
Founded 2003
💼 Consulting
🛡️ Insurance
🏥 Healthcare
Consulting • Insurance • Healthcare
Navitus Health Solutions is a pharmacy benefit manager (PBM) that provides transparent, people-centered pharmacy benefit solutions to health plans, employers, government programs and other plan sponsors. The company operates a 100% pass-through, cost-plus model that emphasizes lowering medication costs, managing formularies, specialty drug management (including a cost-plus specialty pharmacy), claims adjudication, pharmacy network management, and member enablement and support services. Navitus positions itself as a fiduciary partner focused on affordability, compliance, clinical quality and improving health outcomes through tailored PBM services and digital health integrations.
• Understand plan formulary design and rebate potentials for client-specific setups • Analyze claims data to ensure accuracy of GPO rebate processing and direct pharmaceutical manufacturer contracts • Establish recommendations to clients for rebate optimization • Provide sales and RFP support for prospective clients, client renewals, and market checks • Work with Finance and Underwriting teams to evaluate rebates and manage pricing risk • Support contract review, data entry, evaluation, and reconciliation of client rebate financial guarantees • Facilitate delivery of information for decision-making • Serve as direct contact for Client Services on client-specific rebate reporting, guarantee questions, and data analysis • Coordinate with Analytics on maintenance of Navitus 3D Rebate reporting environments • Assist with new rebate program initiatives and expansion of rebate forecasting • Serve as subject matter expert for internal, external, manufacturer, client, and regulatory audits • Lead and coordinate government-related or regulated reporting • Collaborate with IRC Contractors and Rebate Operations team members • Maintain understanding of pharmaceutical manufacturer rebate contracts, submissions, and deliverables • Review GPO strategy and manufacturer contracts to configure rebate processing parameters and allocate rebate payments • Perform other duties as assigned
• Bachelor’s degree or equivalent work experience required • Pharmacy technician license preferred • 3-5 years of managed care/pharmacy benefits management or pharmaceutical experience required • Pharmacy technician, trade, Industry Relations, and/or analytical experience preferred • Participate in, adhere to, and support compliance program objectives • The ability to consistently interact cooperatively and respectfully with other employees • Residents must be located in one of the eligible US jurisdictions listed by Navitus for remote work • M-F 8am to 5pm schedule
• 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!
Apply Now🕒 September 30
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