Business Analyst, Government Programs, Med-D

🔥 16 hours ago

🥔 Idaho – Remote

🥔 Idaho – Remote

💵 $67.7k - $81.5k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Business Analyst

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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

• Identifies and manages changes to existing Technical Operations processes; this includes scope definition, business requirements, user acceptance testing, and implementation • Establishes processes that are scalable and efficient, and ensures smooth transition to operational maintenance by the Technical Operations Analysts • Develops project plans to ensure the quality and timeliness of project deliverables • Ensures technical processes supporting government programs have the appropriate controls, oversight, and reporting, and are compliant with regulatory requirements from end to end • Identifies key metrics to monitor the compliance and accuracy of the process, establishing oversight methods that are operationally efficient and effective • Provides SME assistance when process metrics indicate a possible risk to compliance or accuracy, and leads any corrective action required following root cause analysis • Reviews regulatory guidance, and identifies changes needed to existing Technical Operations processes and/or new processes which need to be established to remain compliant • Performs data analysis using SQL or business intelligence software • Develops a solid working knowledge of Navitus’ claims processing system • Other duties as assigned

🎯 Requirements

• Bachelor’s degree in business-related field, or equivalent combination of education and experience • 3+ years’ Analyst experience with writing requirements, developing solutions, implementing process improvements, and conducting testing in a business environment 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!