
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.
🔥 2 minutes ago
🏈 Alabama, Arizona, +33 more states – Remote
💵 $51.4k - $61.2k / year
⏰ Full Time
🟠 Senior
👻 Ghost score 0%
Where this job comes from
Posted on Navitus Health Solutions's careers page, not through a job board
First seen by Remote Rocketship 2 minutes ago

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.
• Provide client audit administration support and coordinate audit activities • Serve as point of contact to account management for client audit requests • Coordinate schedules, client demographics and IDs for data gathering, templates, policy and procedure updates, and internal communications • Administer Service Requests and serve as initial point of contact for analytics data extraction inquiries • Validate data criteria and reporting formats according to audit requirements • Prepare audit deliverables and perform initial quality reviews • Administer the SharePoint site for audit inventory, tracking, and activity records • Support the Manager, Client Audits, account management, and organizational subject matter experts with schedules, deliverables, communications, inventory, and reporting • Interact with clients and auditors as directed • Develop knowledge of Navitus audit practices and upstream/downstream processes • Administer end-to-end audit activities and processes • Manage detailed work instructions related to assigned responsibilities and client audit activities • Identify and implement process improvements with the Manager, Client Audits • Assist with corrective action activities by tracking progress, updating documentation, and ensuring monitoring activities follow CAP specifications • Participate in internal audit meetings, including minutes and documentation • Perform other duties as assigned
• 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 • Knowledge of standard audit practices • Analytical skills • Strong attention to detail • Spreadsheet administration skills • Ability to participate in, adhere to, and support compliance program objectives • Ability to consistently interact cooperatively and respectfully with other employees • Must reside in one of the listed eligible states: Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Montana, Nebraska, Nevada, New Jersey, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Tennessee, Texas, Utah, Vermont, Virginia, Washington, Washington DC, or Wisconsin
• 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): 7.50
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