
1001 - 5000 employees
Founded 2003
💼 Consulting
🛡️ Insurance
🏥 Healthcare
Consulting • Insurance • Healthcare
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.
🔥 15 hours ago
🇺🇸 United States – Remote
💵 $124.1k - $155.2k / year
⏰ Full Time
🟠 Senior
🔴 Lead
💻 Solutions Engineer
👻 Ghost score 0%
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1001 - 5000 employees
Founded 2003
💼 Consulting
🛡️ Insurance
🏥 Healthcare
Consulting • Insurance • Healthcare
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.
• Own and maintain the functional solution architecture and roadmap for Oracle Fusion Cloud ERP and ORMB • Lead discovery, requirements analysis, fit-gap assessment, future-state process design, solution option evaluation, and functional design decisions • Translate business requirements into process flows, solution blueprints, functional specifications, configuration decisions, integration requirements, reporting requirements, controls, and test scenarios • Prioritize delivered Oracle capabilities and recommend extensions or customization only when justified by business value, risk, and supportability • Assess cross-platform impacts across billing, receivables, payables, cash management, general ledger, financial reporting, master data, security, and related processes • Develop architecture standards, decision records, design documentation, configuration rationale, and reusable solution patterns • Provide functional architecture leadership for Oracle Fusion Cloud ERP financial modules, including General Ledger, Accounts Payable, Accounts Receivable, Cash Management, and Fixed Assets • Partner with Finance on accounting, reconciliation, close, reporting, audit, and internal-control requirements • Evaluate enhancement requests to improve financial process effectiveness, data quality, controls, usability, and platform sustainability • Assess Oracle updates and release impacts; direct configuration review, business readiness, regression testing, and capability adoption • Provide functional architecture leadership across ORMB customer and account structures, pricing, billing, receivables, payments, adjustments, collections, delinquency, financial interfaces, and revenue-management functions • Lead ORMB fit-gap analysis and recommend product-based, configurable, and supportable approaches • Apply working knowledge of ORMB architecture and the Oracle Utilities Application Framework to evaluate functional options, dependencies, upgrade impacts, and approved extensions • Partner with business owners and technical teams on ORMB integrations, conversions, reports, invoice outputs, batch processing, and exception handling • Provide functional oversight for integrations connecting Oracle Fusion Cloud ERP and ORMB with Oracle Integration Cloud, enterprise data platforms, financial institutions, reporting solutions, and approved systems • Define and validate functional requirements for interfaces, APIs, files, batch processes, sequencing, error handling, monitoring, reconciliation, and recovery • Ensure financial, billing, operational, and reconciliation reporting requirements are included in end-to-end solution designs • Perform other duties as assigned
• Bachelor's degree in Finance, Accounting, Information Systems, Computer Science, Business Administration, or a related field, or equivalent work experience, required • Oracle certification in Fusion Cloud ERP, ORMB, or related Oracle capability preferred • 10+ years of relevant enterprise application experience, including progressively responsible functional design, implementation, or solution architecture responsibilities required • 10+ years of Oracle Financials, Oracle Fusion Cloud ERP, ORMB, or related enterprise financial application experience preferred • Demonstrated functional experience with Oracle Fusion Cloud ERP Financials and Oracle Revenue Management and Billing required • Experience leading a full implementation, major transformation, or comparable lifecycle across discovery, fit-gap, design, configuration, integration, testing, deployment, and stabilization required • Strong knowledge of finance, accounting, billing, receivables, revenue-management, reconciliation, financial-control, and enterprise-reporting processes required • Experience setting application strategy and providing architecture recommendations for scaling, enhancing, and sustaining enterprise systems required • Experience designing solutions that span multiple applications, integrations, data flows, scheduled processes, reports, and business functions required • Knowledge of ITIL service-management concepts and application lifecycle governance required • Strong knowledge of ORMB billing and receivables and working knowledge of the Oracle Utilities Application Framework preferred • Experience with Oracle Integration Cloud and functional design of APIs, services, file-based integrations, and scheduled processes preferred • Experience in healthcare, pharmacy benefit management, insurance, financial services, utilities, or another complex billing environment preferred • Experience with Oracle update and upgrade management, regression-test strategy, test automation, and managed-service support models preferred • Knowledge of applicable data privacy, security, audit, and regulatory requirements preferred • Participate in, adhere to, and support compliance program objectives • 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! • STAR Bonus % (At Risk Maximum): 5.00
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