
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.
🔥 0 minutes ago
🏈 Alabama, Arizona, +25 more states – Remote
💵 $54.2k - $64.6k / year
⏰ Full Time
🟢 Junior
🟡 Mid-level
🚫👨🎓 No degree required
👻 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 0 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 day-to-day leadership and support to Patient Care Assistant staff • Ensure daily workload standards and workflow/scheduling goals are met • Identify and remove barriers preventing goals from being achieved • Review client transitions and volume changes; ensure scripting and resources are clear • Communicate information impacting staff in a timely and appropriate manner • Ensure staff comprehension through feedback and observation • Set and enforce appropriate quality metrics • Perform periodic quality monitoring • Facilitate individual and departmental training and development • Manage the disciplinary process according to department/company policies • Document and retain records of training, reviews, and feedback • Coach, motivate, and develop staff • Coordinate with hiring and temporary agencies • Act as an escalation resource for calls, department issues, and supervisor calls • Triage service and technical issues to resolution and educate staff on causes and resolutions • Triage issues to pharmacist staff members when appropriate • Maintain current and clear staff resources • Maintain technical knowledge of pharmacy processing software, claims processing software, phone systems, quality monitoring and tracking tools, scheduling software, reporting suite, knowledge management applications, and other applicable tools • Perform other duties as assigned
• High school diploma or GED required • Associate or Bachelor’s degree preferred • CPhT preferred • 2 years’ experience in a managed care, specialty pharmacy, customer service, or PBM environment required • Experience in a call center environment preferred • Direct leadership or coaching / mentoring experience preferred • Pharmacy Claim / benefit experience preferred • Knowledge of industry practices, HIPAA, and applicable data privacy practices preferred • Participate in, adhere to, and support compliance program objectives • Ability to consistently interact cooperatively and respectfully with other employees • Ability to travel 5% of the time • Remote work available only to residents of Arizona, Alabama, Arkansas, California, Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Louisiana, Maryland, Michigan, Minnesota, Missouri, Nebraska, Nevada, New Jersey, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Tennessee, Texas, Utah, Virginia, Washington, or Wisconsin • M-F 8am to 5pm work schedule
• 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): 10.00 • Remote work arrangement
Apply NowImprove your chances of getting an interview by checking your resume score before you apply.
🕒 September 23
Patient Care Specialist supporting Orthofix’s medical technologies through patient education, device fittings, and order support. Traveling approximately 90% throughout Northern Ohio.