
Healthcare Insurance • Pharmaceuticals • B2B
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.
1001 - 5000 employees
Founded 2003
⚕️ Healthcare Insurance
💊 Pharmaceuticals
🤝 B2B
Yesterday

Healthcare Insurance • Pharmaceuticals • B2B
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.
1001 - 5000 employees
Founded 2003
⚕️ Healthcare Insurance
💊 Pharmaceuticals
🤝 B2B
• Reviews CMS regulations, guidance, and system changes related to Medicare Part D processes. • Develops deep process understanding using knowledge in Medicare Part D to better understand upstream and downstream processes. • Administers end to end Medicare processes with precision and accuracy. • Responsibilities also include managing detailed work instructions related to assigned responsibilities and/or support of the Product Management staff. • Aids in various projects focused on enhancements to the overall Medicare Part D product domain in support of changing CMS requirements. • Supports Medicare Part D Product Managers related to various Med D client requests, including creation of client-facing information. • Performs quality assurance checks for regulatory and other client reporting for both internal and external customers. • Identifies potential process improvements and works closely with the Product Managers to modify, test and implement. • Employs a "hands on" approach to issue identification and resolution. • Utilizes various tools to proactively monitor data quality. • Maintains open lines of communication and an environment of collaboration with other functional areas/departments. • Recommends modifications and improvements to document business processes and policies. • Other duties as assigned.
• Bachelor’s degree or equivalent work experience required. • 3-5 years’ relevant work experience preferred. • Intermediate Microsoft Office knowledge required. • Advanced Microsoft Office tools preferred. • Participate in, adhere to, and support compliance program objectives. • The ability to consistently interact cooperatively and respectfully with other employees.
• STAR Bonus % (At Risk Maximum) 5.00
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