Reporting Specialist, Pharmacy Network

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $44.8k - $53.4k / year

⏰ Full Time

🟢 Junior

💊 Pharmacist

👻 Ghost score 0%

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Navitus Health Solutions

WebsiteLinkedInAll Job Openings

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.

📋 Description

• Complete reports and projects, including detailed Geo Access and Member Disruption reports, in a timely manner • Understand intermediate data relationship concepts and transform data into actionable information • Create pharmacy directories for clients and members identifying available pharmacy services and locations • Deliver weekly, monthly, quarterly, or annual reports and directories as required by government-sponsored health plans and other clients • Perform quality assurance to ensure reports are accurate and compliant with regulations and requirements • Provide periodic and detailed reporting of activities and opportunities to the Provider Services team and cross-functional leadership • Identify, advocate for, and implement process improvements to maximize quality and efficiency • Assist with internal department and corporate projects • Coordinate task completion within the department and across functions • Solve moderately complex problems • Participate in and support compliance program objectives • Perform other related duties as assigned or required

🎯 Requirements

• Associate’s degree required; Bachelor’s degree preferred • Emphasis in business, information systems, economics, or statistics preferred • Minimum of 1 year of work experience in a business setting • PC Skills: Microsoft Excess, Access, and other applications as required • Participate in, adhere to, and support compliance program objectives • Ability to consistently interact cooperatively and respectfully with other employees • Must be a resident of an eligible U.S. state; Navitus cannot offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, or Wyoming • Availability to work M-F 8am-5pm CT

🏖️ 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! • Remote work • STAR Bonus % (At Risk Maximum): 5.00