WI3672977

1

Vocational Degree

Associate Degree

$41267 + yearly

Unspecified

40

JOB REQUIREMENTS: Putting People First in Pharmacy- Navitus was founded
as an alternative to traditional pharmacy benefit manager (PBM) models.
We are committed to removing cost from the drug supply chain to make
medications more affordable for the people who need them. At Navitus,
our team members work in an environment that celebrates diversity,
fosters creativity and encourages growth. We welcome new ideas and share
a passion for excellent service to our customers and each other. We are
unable to offer remote work to residents of Alaska, Hawaii, Maine,
Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island,
South Carolina, South Dakota, West Virginia, and Wyoming. The Analyst,
Technical Operations, Government Programs has responsibility for
executing Government Programs processes accurately, efficiently, and in
compliance with CMS regulations. Is this you? Find out more below! How
do I make an impact on my team? Understand and execute the end-to-end
Government Program technical processes that the Analyst is assigned.
Assignments may include one or more of the following: Employer Group
Waiver Plan (EGWP) enrollment administration and oversight
Retro-eligibility processes Financial Information Reporting (FIR) Plan
Finder Submission Coordination of Benefits (COB) Reject Management
Prescription Drug Event (PDE) error management and reconciliation
Medicaid Encounter Data Affordable Care Act (ACA) Claims Submission
Explanation of Benefits (EOB) Retiree Drug Subsidy (RDS) Oversee the
schedules for the processes assigned, adjust schedules when necessary to
ensure deadlines are met, and alert management when schedules are at
risk Complete tasks associated with the assigned processes, performing
appropriate oversight, coordinating the resolution of issues with both
internal and external stakeholders, using independent judgement to
determine the best resolution Ensure process documentation accurately
reflects the current process and update when necessary Assist subject
matter experts (SME) in defining and documenting process steps,
providing input on requirements for technical specifications Review and
research errors and prioritize reconciliation efforts in accordance with
State and Federal guidance Identify potential process improvements and
work closely with the Senior Technical Operations Analyst and Business
Analyst to modify, test and implement Effectively communicate with
Employer Groups, Clients, State/Federal Agencies, external vendors and
Navitus internal departments to address action items, problems, and
manage expectations to ensure timely and accurate issue resolution As
needed, may require working outside of normal business hours to complete
time sensitive processes What our team expects from you?
Bachelor/Associate Degree in business related field; or\... For full
info follow application link. Navitus Health Solutions is an Equal
Opportunity Employer: Disabled/Veterans/Male/Female/Minority/Other
\*\*\*\*\* APPLICATION INSTRUCTIONS: Apply Online:
ipc.us/t/BF95598F34F248F9