WI3658437

1

Vocational Degree

Associate Degree

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
Accumulator Coordinator ensures efforts are in alignment with the Claim
Adjudication Operations (CAO) team to leverage technology and process
improvement for the purpose of meeting the business needs of Navitus
customers, clients, members, and pharmacies by accurately administering
benefits. This role is responsible for the ongoing management of client
accumulator processes and will function as the lead accumulator resource
for assigned clients, as well as a back-up resource for peer
coordinators when needed. This position requires knowledge of both the
technical and operational sides of the business. The Accumulator
Coordinator will work closely with Information Technology, Benefit
Configuration, Eligibility and Client Services teams to understand the
interdependences of each functional area. Individuals in this role will
have direct authority to make sound business decisions regarding client
accumulator data and will demonstrate the ability to continually
prioritize day to day workload to meet individual, departmental and
organizational goals. This position may include after-hour and/or
weekend hours depending on workload. Is this you? Find out more below!
How do I make an impact on my team? Oversees, manages, and maintains
accumulator data, processes and services for clients of low to moderate
complexity. This includes understanding client needs, plan designs,
monitoring of electronic file loads and subsequent reports and any
additional accumulator related processes. Performs accumulator updates
timely and accurately to prevent member access to care issues, missed
performance guarantees and potential liquidated damages. Works directly
with client contacts and supports internal customers by participating in
client meetings, audits and new program implementations with other areas
of the company, answering accumulator questions and providing guidance
to other areas and roles on accumulator processes. Requests, validates
and confirms full file data feeds from clients to ensure system
integrity through audits and reconciliation. Collaborates directly with
client and/or Client Services team to report data file\... 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/178062BC72C14907