Client Requirements Specialist

🔥 0 minutes ago

🐻 Alaska, Hawaii, +11 more states – Remote

🐻 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

💵 $54.2k - $64.6k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

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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

• Builds client requirements utilizing CRM/Dynamics 365, eZBenefits and SharePoint based on business sold and outlined in RFP and contract. • Reviews and translates client plan documents and captures all requirements in the standard documents. • Identifies, captures and maintains all client benefits requirements throughout the lifecycle of the client contract. • End-to-end accountability for the overall timeliness and success of the client requirements for projects supported or led. • Collaborates with cross-functional teams to ensure data requirement accuracy. • Performs quality validation on all requirements prior to handoff. • Responsible for tool standardization, appropriate resolution to technical issues, and data integrity. • Identifies and presents opportunities to improve efficiencies and standardization through enhanced processes and tools. • Adheres to department and company policy and procedures. • Travels to onsite meetings as needed. • Other duties as assigned.

🎯 Requirements

• Bachelor's degree or equivalent work experience required • Knowledge of PBM or health care industry preferred • Proficiency with Project/Smartsheet, Excel, Visio, PowerPoint, SharePoint, Customer Relationship Management (CRM) required • Experience with CRM and various reporting tools are a plus • 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!