Associate Care Navigator

🕒 Yesterday

🌾 Nebraska – Remote

🌾 Nebraska – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Liviniti

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2011

🏥 Healthcare

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Healthcare • Healthcare Insurance • Pharmaceuticals

Liviniti is a pass-through pharmacy benefit manager (PBM) that helps employers and health systems reduce prescription drug costs through transparent pricing, clinical programs, and drug sourcing. The company offers 100% rebate pass-through, a flat administrative fee, access to claims and rebate details for full visibility, customizable formularies and networks, prior authorization focused on lowest net cost, and specialized solutions like LivLite for managing GLP‑1 weight-loss drugs. Liviniti emphasizes B2B service, clinical value, and continuous innovation to lower pharmacy spend while maintaining member support and service.

📋 Description

• Conduct case management on behalf of clients and Southern Scripts to manage specialty drug spending and generate savings • Identify lowest-cost drug solutions while maintaining a high-touch, member-centric relationship • Provide targeted, personalized service based on members’ benefits, health information, and engagement • Coordinate site-of-service transitions and other RxCompass cost-saving methods • Engage members and providers by telephone, written correspondence, fax, or app • Consult and educate members and providers through individualized programs • Help members understand claims, accumulators, usage, balances, and cost sharing • Develop, present, and implement member-centric solutions that reduce specialty medication costs • Handle referrals within required turnaround times • Support client expectations for efficiency, service levels, privacy, and decision quality • Maintain compliance with ERISA, HIPAA, and client-specific requirements • Collaborate with medical and pharmacy providers, hospitals, members, home infusion providers, and other vendors • Report HIPAA violations to the Compliance Officer and/or Human Resources • Work as part of the team to meet business-unit objectives and adapt to change

🎯 Requirements

• High School degree, some college preferred or equivalent experience • 1-2 years’ experience with member engagement with PBM and Medical background • 1-2 years’ Specialty Pharmacy or PBM experience • 1-2 years’ CRM platform experience • 1-2 years’ experience collaborating with Clinical, Prior Authorization, sales, account management, senior executive, and various external client-facing relationships • Availability during core work hours of 8:00 AM to 5:00 PM CT • Ability to adjust work times to cover meetings in all time zones • Ability to work extended hours, weekends, and holidays as needed • Ability to travel overnight from remote location • Ability to deal with a diverse customer base in a friendly manner • Empathy and effective listening skills • Proven background in medical/pharmacy benefits, particularly specialty medications • Ability to balance compassion, integrity, discretion, and sound judgment • Compliance with HIPAA, ERISA, and client-specific requirements • Attendance, completion, and demonstrated competency in required HIPAA training

🏖️ Benefits

• Full-time hourly/non-exempt position • Some flexibility in hours • Remote work arrangement • Equal employment opportunity and nondiscrimination protections