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, Accumulator/Claim Extract ensures efforts are in alignment with the IT Client Operations Team to support customer-focused objectives and the IT Vision, a collaborative partner delivering innovative ideas, solutions and services to simplify people’s lives. The Analyst, Accumulator/Claim Extract will act as a liaison by gathering, documenting, and delivering implementation requirements to all necessary departments for both accumulator and claims extracts. This individual will demonstrate a thorough understanding of the accumulator and claim extract processes. The Analyst, Accumulator/Claim Extract will maintain open lines of communication with other functional areas and departments.

This position may include after-hour and/or weekend hours with other eligible team members depending on workload.

Is this you? Find out more below! 

How do I make an impact on my team?

• Provide superior customer service utilizing a high-touch, customer centric approach focused on collaboration and communication
• Contribute to a positive team atmosphere
• Innovate and create value for the customer
• Analyze and assess existing business systems and operational procedures
• Act as a key participant in all assigned new client implementations, acting as a subject matter expert for all lines of business for accumulator and claims extract processes
• Collaborate with Implementation Project Managers (IPMs) and ITCO resources to review requirements and provide data mapping documentation to programming resources
• Participate in post implementation review meetings to evaluate processes and recommend future improvements
• Validate and test that enhancements meet client needs to ensure successful and timely client implementations
• Develop and maintain end-to-end documentation of claims extract information and accumulators, including workflows, training documents, CRM data, and policies/procedures
• Work with business teams and ITCO peers to initiate operational efficiencies for accumulator and claims extract processes

What our team expects from you? 

• Bachelor’s degree or equivalent work experience is required
• Minimum three (3) years of experience in pharmaceutical claims adjudication systems, retail pharmacy, or health insurance is preferred
• Participate in, adhere to, and support compliance program objectives
• The ability to consistently interact cooperatively and respectfully with other employees

What can you expect from Navitus?

• Hours/Location: Monday-Friday 8:00am-5:00pm CST, Remote
• Paid Volunteer Hours
• Educational Assistance Plan and Professional Membership assistance
• Referral Bonus Program – up to $750!
• Top of the industry benefits for Health, Dental, and Vision insurance, Flexible Spending Account, Paid Time Off, Nine paid holidays, 401K, Short-term and Long-term disability, College Savings Plan, Paid Parental Leave, Adoption Assistance Program, and Employee Assistance Program

#LI-Remote