Operations Manager, Medicare Part D

August 27

🐻 Alaska – Remote

Although this job is listed in Alaska, this company may be open to hiring remote in other states.

🌺 Hawaii – Remote

Although this job is listed in Hawaii, this company may be open to hiring remote in other states.

+11 more states

🐻 Alaska – Remote 🌺 Hawaii – Remote 🦞 Maine – Remote 🗻 New Hampshire – Remote 🌶️ New Mexico – Remote 🌾 North Dakota – Remote 🎸 Mississippi – Remote ⚓ Rhode Island – Remote 🌴 South Carolina – Remote 🗿 South Dakota – Remote ⚔️ Virginia – Remote ⛰️ West Virginia – Remote 🦬 Wyoming – Remote

💵 $93.7k - $114.9k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

⚙️ Operations

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Navitus Health Solutions

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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

📋 Description

• Responsible for establishing meaningful objectives for the team while clearly defining roles & responsibilities for each team member. • Delegate necessary authority to team members for them to be able to achieve their objectives. • Follow up with team members on work delegated to them. • Provide ongoing coaching and professional development opportunities for team members to enhance their skills, knowledge, and career growth. • Ensure team members have a clear understanding of their performance. • Conduct performance assessments that are used constructively to improve performance. • Partner with other departments to grow, develop, and enhance EGWP programs and opportunities. • Responsible for all projects led by the team. • Develops a matrix of operational processes to assigned resources. • Manages workload of team members and continually balances priorities with available resources. • Actively participates in the largest annual project led by the team, the annual member materials project. • Develops and maintains knowledge of Medicare Part D requirements for operational functions to facilitate identification of requirements for development and assures compliant business operations. • Oversees EGWP product management operational support activities. • Resolves escalated issues arising from operations and coordination with other departments. • Identifies key metrics to monitor the compliance and accuracy of the processes, establishing oversight methods that are operationally efficient and effective. • Provides SME support to Navitus Sales Team and Proposal Team for functions supported by the team. • Participates in, adheres to and supports compliance and diversity, equity, and inclusion program objectives. • Other duties as assigned.

🎯 Requirements

• Bachelor’s Degree required. • 5+ years of management experience required, defined as prior experience supervising or managing people and indirectly leading teams. • 3+ years of experience in project management required. • Experience with interfacing with external clients required. • Project portfolio management experience preferred. • Medicare Part D experience preferred. • Experience in interpreting and articulating regulatory requirements preferred. • Participate in, adhere to, and support compliance program objectives • The ability to consistently interact cooperatively and respectfully with other employees

🏖️ Benefits

• 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!