Senior Coordinator, Client Audits

🔥 5 minutes ago

🥔 Idaho – Remote

🥔 Idaho – Remote

💵 $51.4k - $61.2k / year

⏰ Full Time

🟠 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

• Provides client audit administration support and coordination for audit activities. • Serves as point of contact to account management when client audit requests are received. • Accountable for coordination and/or facilitation of deliverables including schedules, identifying client demographics and IDs for data gathering, preparing templates, updating policy and procedures, and internal communications. • Administer all Service Requests and serve as initial point of contact for inquiries by analytics for all data extractions. • Accountable for validating accuracy of data criteria and reporting formats, per audit requirements. • Prepares audit deliverables and performs initial quality review ensuring deliverables comply with audit criteria. • Accountable for administering the SharePoint site used for inventory, tracking, and recording audit related activities. • Supports Manager, Client Audits, account management, and organizational SMEs with coordination of schedules, deliverables, communications, inventory, and reporting. • Serve as a SME to support and/or respond to client inquiries. • Must be able to interact with clients and/or auditors as directed by the Manager, Client Services. • Develops knowledge in Navitus audit practices to better understand upstream and downstream processes. • Administers end to end audit activities and processes with precision and accuracy. • Responsibilities also include managing detailed work instructions related to assigned responsibilities and/or support of the client audit activities. • Identifies potential process improvements and works closely with the Manager, Client Audits to modify, test, inform, and/or implement. • Assist the Manager, Client Services in subsequent Corrective Action activities if/when applicable. • Directly accountable for tracking progress, updating documentation, and ensuring all monitoring activities ensue, per the CAP specifications. • Participates in internal audit meetings to support in taking minutes, documentation, and other tasks as assigned. • Other duties as assigned.

🎯 Requirements

• Associate or bachelor’s degree, preferably in Business, Accounting, or Finance OR 5 or more years equivalent experience • Intermediate Microsoft Office (Word, Excel, Outlook, PowerPoint) knowledge is required • Advanced Microsoft Office tools recommended or preferable • 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!