
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.
🔥 7 minutes ago
🏈 Alabama, Arizona, +25 more states – Remote
💵 $32 - $39 / hour
⏰ Full Time
🟢 Junior
🟡 Mid-level
🏥 Clinical Operations
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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.
• Conduct clinical assessments and provide disease- and therapy-specific education to patients and caregivers • Identify and address needs related to therapy use, adherence, persistence, adverse effects, and disease-state concerns • Triage patients to pharmacists and/or notify treating providers when clinically appropriate • Document clinical assessments, interventions, care coordination activities, and clinical notes • Support planning, implementation, and maintenance of clinical programs and projects • Complete adverse event forms and program-specific documentation • Collaborate with pharmacists, clinical team members, manufacturer and client partners, provider offices, and clinics • Assist with order creation and setup, payment methods, copay assistance, order details, and shipment coordination • Maintain clinical competency across supported treatments, disease states, protocols, and specialty pharmacy services • Ensure compliance with accreditation standards, pharmacy policies, HIPAA, and applicable regulations • Perform other duties as assigned
• Associate Degree in Nursing (ADN) required • Current, unrestricted licensure as a Registered Nurse in the state of residence required • Ability to obtain additional single-state nursing licenses as needed • Unrestricted multi-state compact nursing license preferred • 2 years of patient-centered care or disease management nursing experience preferred • Participate in, adhere to, and support compliance program objectives • Ability to consistently interact cooperatively and respectfully with other employees
• STAR Bonus % (At Risk Maximum): 7.50% • Remote work arrangement • Monday-Friday schedule with 5 x 4-hour shifts per week
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