Analyst, Technology Operations, Government Programs

🕒 6 days ago

🥔 Idaho – Remote

🥔 Idaho – Remote

💵 $43.8k - $52.1k / year

⏰ Full Time

🟢 Junior

⚙️ Operations

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Navitus Health Solutions

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2003

⚕️ Healthcare Insurance

💊 Pharmaceuticals

🤝 B2B

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.

📋 Description

• Execute Government Programs processes accurately, efficiently, and in compliance with CMS regulations • Assignments may include one or more of the following: Employer Group Waiver Plan (EGWP) enrollment administration and oversight, financial information reporting, coordination of benefits, prescription drug event error management, etc. • Oversee schedules for processes assigned, adjust as necessary to ensure deadlines are met • Assist subject matter experts in defining and documenting process steps • Review and research errors, prioritize reconciliation efforts • Communicate effectively with various stakeholders to manage expectations and ensure timely issue resolution • Other duties as assigned.

🎯 Requirements

• Bachelor/Associate Degree in business related field; or equivalent of an associate degree and 2 years of work experience, or 4 years of work experience and a high school diploma or equivalent • 1+ years’ work experience • Experience in pharmaceutical claims adjudication systems, retail pharmacy, or in a health plan organization is 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!