
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.
🕒 6 days ago
🐻 Alaska, Connecticut, +18 more states – Remote
💵 $152.1k - $190.1k / year
⏰ Full Time
🔴 Lead
⚙️ Operations
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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.
• Conduct operational redesign and develop and execute business strategies that increase service levels, operational capabilities, and efficiencies. • Direct and oversee Patient Services and Specialty Programs staffing requirements by analyzing trends, developing forecasts, researching business requirements, and analyzing workflows, in conjunction with WFM function • Collaborate with IT leadership to ensure necessary systems and applications are in place to support fulfillment operations and that all operational systems are continuously evaluated for proper operation, efficiency, and tracking/reporting capabilities • Develop and implement strategic plans for the operational infrastructure of systems, processes and personnel designed to accommodate the growth objectives and new service offerings of the organization • Develop and implement continuous operational improvements focused on enhancing the level of patient care while optimizing the customer experience • Collaborate with leaders from across the organization to optimize processes to improve efficiency, safety, and patient experience. • Ongoing monitoring, evaluation, and reporting of pharmacy service KPIs to other Pharmacy Managers and Executive Leaders • Assist in the creation and reporting of ongoing Quality Improvement Projects, as well as actively participating and contributing to the Quality Oversight Review Committee • Investigate, present, and create business cases around new technology solutions and/or processes to aid in either more efficient pharmacy fulfillment operations or enhanced patient experience • Develop and oversee an efficient, cost effective, safe, and patient-centric fulfillment strategy across all fulfillment locations, encompassing fulfillment process, packaging, shipping, and service delivery and recovery • Other duties as assigned
• Graduate of ACPE Accreditation School of Pharmacy with a B.S. Pharmacy or Pharm.D, degree with current, unrestricted license required • Current resident Pharmacist license with current, unrestricted license; must continually maintain education credits to maintain active licensure • Minimum of five years as a licensed pharmacist preferred • 4 – 5 years’ experience in specialty pharmacy preferred • Previous supervisory experience preferred • Managed care and/or PBM experience preferred • Participate in, adhere to, and support compliance program objectives • The ability to consistently interact cooperatively and respectfully with other employees.
• 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!
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