Navitus Health Solutions, LLC

Product Manager, Encounter Data

Navitus Health Solutions, LLC · Full Time · 3 days ago

🌎 United States 💵 $85064 - $104K per year ⭐ 2-5 yrs exp 💼 Product

The Product Manager is responsible for ensuring compliance with state-specific Encounter Data submission requirements and leading new implementation projects. They will also oversee system enhancements, conduct root cause analysis, and monitor performance metrics to ensure data accuracy.

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Supervisor, CEC Operations

Navitus Health Solutions, LLC · Full Time · 4 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $54236 - $64567 per year ⭐ 5-10 yrs exp 💼 Others

The Supervisor will oversee daily operations of the Clinical Engagement Center, managing a team of associates to ensure effective delivery of clinical interventions and MTM services. Responsibilities include auditing performance, providing coaching, and ensuring compliance with HIPAA and CMS regulations.

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Sr. Analyst, Benefit Configuration

Navitus Health Solutions, LLC · Full Time · 4 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $63827 - $76900 per year ⭐ 2-5 yrs exp 💼 Others

The Sr. Analyst configures benefits in the claim adjudication system to ensure accurate and timely claim processing for clients and members. They also lead process improvement initiatives, conduct quality assurance reviews, and provide subject matter expertise during client meetings and audits.

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VP, PBM Trade Relations

Navitus Health Solutions, LLC · Full Time · 4 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $199K - $249K per year ⭐ 10+ yrs exp 💼 Others

The VP of Trade Relations leads the enterprise rebate strategy, GPO management, and pharmaceutical manufacturer engagement to ensure lowest net cost outcomes. This role also provides executive oversight for formulary governance and represents the company in industry forums and negotiations.

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Pharmacy Technician, Telehealth

Navitus Health Solutions, LLC · Full Time · 5 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $20 - $21.54 per hour ⭐ 0-2 yrs exp 💼 Healthcare

The Telehealth Pharmacy Technician will perform clinical interventions and Medication Therapy Management (MTM) services through telephonic and video outreach to members. They will also coordinate care with prescribers and pharmacy providers while ensuring compliance with HIPAA and CMS regulations.

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Sr. Specialist, Provider Services Support

Navitus Health Solutions, LLC · Full Time · 5 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $60214 - $72547 per year ⭐ 2-5 yrs exp 💼 Support

The Sr. Specialist serves as the primary subject matter expert for pharmacy network RFP responses and content management. They also research and resolve pharmacy network service requests while coordinating with cross-functional teams to ensure accurate and timely support.

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Lead Analyst, IT Governance (Service Management)

Navitus Health Solutions, LLC · Full Time · 5 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $74997 - $92021 per year ⭐ 5-10 yrs exp 💼 Others

The Lead Analyst is responsible for developing and maintaining IT policies, procedures, and standards in alignment with ITIL best practices. They will oversee governance committees and manage service level agreements to ensure optimal system performance and regulatory compliance.

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Supervisor, Claim Adjudication Operations

Navitus Health Solutions, LLC · Full Time · 5 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $63927.28 - $76900.12 per year ⭐ 2-5 yrs exp 💼 Others

The supervisor oversees claim adjudication operations to ensure accurate benefit administration and efficient data transfers. They are responsible for managing team resources, identifying process improvements, and providing mentorship to staff.

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Supervisor, IDN Clinic Relations

Navitus Health Solutions, LLC · Full Time · 6 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $54236.41 - $64600 per year ⭐ 2-5 yrs exp 💼 Others

The Supervisor will coordinate patient care experiences between Lumicera and IDN health systems while managing a team of Clinical Liaisons. They are responsible for integrating workflows, managing clinical and administrative relationships, and ensuring compliance with all applicable laws.

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Specialist, Customer Care Reporting

Navitus Health Solutions, LLC · Full Time · 7 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $54236 - $64567 per year ⭐ 2-5 yrs exp 💼 Support

The Specialist supports analytical operations for the Customer Care department by creating reports and performing analyses to drive business decisions. They are responsible for tracking call trends, forecasting staffing needs, and maintaining performance data.

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Reimbursement Analyst, Pharmacy Network

Navitus Health Solutions, LLC · Full Time · 7 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $54236 - $64567 per year ⭐ 0-2 yrs exp 💼 Healthcare

The Analyst supports and evaluates pharmacy provider agreements and the Maximum Allowable Cost (MAC) program through financial modeling and reporting. They are responsible for managing pharmacy pricing inquiries and ensuring compliance with state MAC requirements.

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Software Engineer

Navitus Health Solutions, LLC · Full Time · 7 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $101K - $126K per year ⭐ 5-10 yrs exp 💼 Software Development

The Software Engineer will collaborate with cross-functional teams to design, develop, and document software applications and enhancements. They are responsible for writing code, performing performance tests, and maintaining technical documentation to support business objectives.

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Specialist, Content and Social Media

Navitus Health Solutions, LLC · Full Time · 9 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $60214 - $72547 per year ⭐ 2-5 yrs exp 💼 Marketing

The role is responsible for executing digital content and social media strategies, including content creation and publishing across enterprise channels. It also involves managing online communities and monitoring social media sentiment to improve brand visibility and reputation.

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Analyst, Tech. Operations Government Programs

Navitus Health Solutions, LLC · Full Time · 10 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $43780 - $52119 per year ⭐ 0-2 yrs exp 💼 Others

The analyst is responsible for executing Government Programs processes in compliance with CMS regulations, including enrollment administration and financial reporting. They must manage process schedules, update documentation, and coordinate with internal and external stakeholders to resolve issues.

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Director, Financial Reporting & Consolidation

Navitus Health Solutions, LLC · Full Time · 10 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $142K - $177K per year ⭐ 10+ yrs exp 💼 Finance

The Director is responsible for enterprise general ledger accounting, including financial, management, and government reporting. They lead the month and year-end close processes and coordinate the annual business plan and financial audits.

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Project Manager, Implementation HP Strat. Cli

Navitus Health Solutions, LLC · Full Time · 10 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $96481.66 - $118K per year ⭐ 2-5 yrs exp 💼 Product

Manage the transition of health plans and strategic employer clients to Navitus, including implementing new services and programs. Build trust with clients and coordinate with internal subject matter experts to ensure seamless implementation and go-live support.

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Advisor, Finance Systems & Process Automation

Navitus Health Solutions, LLC · Full Time · 12 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $108K - $135K per year ⭐ 10+ yrs exp 💼 Finance

Drive finance transformation and automation by optimizing workflows and strengthening controls across financial systems and PBM processes. Oversee end-to-end pharmacy payment operations, including 835 file generation, validation, and reconciliation.

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Analyst, Contract Operations

Navitus Health Solutions, LLC · Full Time · 12 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $60214.3 - $72547.34 per year ⭐ 2-5 yrs exp 💼 Others

The Analyst manages operational aspects of discount programs, including contract compliance, reconciliation, and reporting for pharmaceutical manufacturers. They provide critical support for RFPs, client operations, and internal/external audits to optimize contract performance.

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Supervisor, Account Mgmt Training & Enablement

Navitus Health Solutions, LLC · Full Time · 12 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $67657.28 - $81514.71 per year ⭐ 5-10 yrs exp 💼 Others

Lead the design and execution of training programs to support onboarding and operational excellence for the Account Management team. Manage a team of trainers while partnering cross-functionally to ensure consistency and high-quality client outcomes.

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Sr. Software Developer - Navitus

Navitus Health Solutions, LLC · Full Time · 13 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $85064 - $104K per year ⭐ 2-5 yrs exp 💼 Software Development

The Sr. Software Developer is responsible for defining, designing, developing, and maintaining applications to meet business requirements. This includes coding, testing, performing code reviews, and mentoring junior development staff.

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Client Services Executive

Navitus Health Solutions, LLC · Full Time · 13 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $74997 - $92021 per year ⭐ 5-10 yrs exp 💼 Support

Manage existing Pharmacy Benefit Management clients by co-developing long-term account strategies and identifying expansion opportunities. Responsible for client retention, solving contract and reporting issues, and delivering facts-based performance presentations.

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Advisor, Government Relations & Advocacy

Navitus Health Solutions, LLC · Full Time · 13 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $90593 - $111K per year ⭐ 5-10 yrs exp 💼 Others

The Advisor monitors policy developments in the PBM and drug supply chain sectors to create actionable advocacy strategies and communication materials. They serve as a primary liaison for internal and external partners to drive rapid response messaging and maintain the organization's industry leadership positioning.

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Network Contracting Manager

Navitus Health Solutions, LLC · Full Time · 17 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $101K - $126K per year ⭐ 2-5 yrs exp 💼 Others

Manage retail, specialty, and mail order pharmacy contracting and network strategy to support organizational objectives. Negotiate reimbursement and execute performance-based contracts while ensuring compliance with state and federal regulations.

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Manager, Accounting - Archimedes

Navitus Health Solutions, LLC · Full Time · 17 days ago

Navitus Health Solutions, LLC

🌎 United States ⭐ 2-5 yrs exp 💼 Finance

Oversee day-to-day billing and accounts payable operations for trade vendors and members. Lead the accounting team in maintaining data quality, developing internal controls, and managing financial reporting and audits.

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Specialist, Client Requirements

Navitus Health Solutions, LLC · Full Time · 17 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $54236 - $64567 per year ⭐ 2-5 yrs exp 💼 Others

The Specialist captures and maintains client requirements using CRM/Dynamics 365 and eZBenefits to ensure a successful client experience. They collaborate with cross-functional teams to translate plan documents into standard requirements and perform quality validation.

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Pharmacist, Clinical Consultation

Navitus Health Solutions, LLC · Full Time · 18 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $101K - $122K per year ⭐ 2-5 yrs exp 💼 Healthcare

Perform telephonic consultations with patients to manage specialty medications and disease states while providing education on side effects and administration. Collaborate with prescribers to clarify prescriptions and ensure therapeutic appropriateness and regulatory compliance.

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Specialist I, Prior Authorization-Lumicera

Navitus Health Solutions, LLC · Full Time · 18 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $18.67 - $21.96 per hour ⭐ 2-5 yrs exp 💼 Others

The role involves triaging prior authorizations by contacting providers and insurance companies to facilitate patient approvals. Responsibilities include managing workflow queues and documenting patient demographics, medication history, and payer information.

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Telehealth Pharmacy Technician

Navitus Health Solutions, LLC · Full Time · 19 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $20 - $21.54 per hour ⭐ 2-5 yrs exp 💼 Healthcare

The Telehealth Pharmacy Technician performs clinical interventions and Medication Therapy Management (MTM) services via phone and video chat. They are responsible for conducting medication interviews, coordinating care with providers, and supporting Star adherence programs.

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Assistant General Counsel, Archimedes

Navitus Health Solutions, LLC · Full Time · 19 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $162K - $203K per year ⭐ 5-10 yrs exp 💼 Legal

Manage a team of attorneys and paralegals to provide day-to-day legal support for Archimedes. Responsibilities include drafting and negotiating complex contracts and ensuring compliance with laws and regulations.

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Specialist, Workforce Management

Navitus Health Solutions, LLC · Full Time · 21 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $24.72 - $29.42 per hour ⭐ 2-5 yrs exp 💼 Recruitment

The Specialist is responsible for workforce management setup, including forecasting, scheduling, and analysis to ensure service level commitments are met. They monitor real-time volume demand and create agent schedules to optimize contact center performance.

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Client Services Executive

Navitus Health Solutions, LLC · Full Time · 25 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $74997.43 - $92021.38 per year ⭐ 5-10 yrs exp 💼 Support

The Client Services Executive is responsible for co-developing long-term account strategies and managing complex Pharmacy Benefit Management clients to ensure retention and satisfaction. This includes identifying expansion opportunities, delivering data-driven presentations, and resolving escalated client issues.

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Director, Clinical Strategy (RPh)

Navitus Health Solutions, LLC · Full Time · 25 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $152K - $190K per year ⭐ 10+ yrs exp 💼 Healthcare

The Director of Clinical Strategy is responsible for owning the enterprise formulary strategy and clinical business development to improve patient outcomes and cost management. This role involves leading clinical governance forums and designing clinical criteria for medication use and prior authorizations.

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Specialty Market Strategy and Product Development

Navitus Health Solutions, LLC · Full Time · 25 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $132K - $166K per year ⭐ 10+ yrs exp 💼 Product

Lead the strategic direction and execution of product design, development, and go-to-market initiatives to drive growth and market differentiation. Orchestrate cross-functional collaboration to manage the product portfolio from ideation through to launch and sunsetting.

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