Search the 24 jobs at Navitus Health Solutions

The National Specialty Account Executive at Lumicera Health Services manages the clinic relationship process, executes market strategies, and maximizes revenue by increasing script volume. This role involves coordinating with internal and external stakeholders, presenting Lumicera's business model, and contributing to strategic account management and sales initiatives.

The Accumulator Coordinator at Navitus ensures alignment with the Claim Adjudication Operations team to administer benefits accurately and manage client accumulator processes. This role involves working closely with various teams, making sound business decisions, and prioritizing workload to meet organizational goals.

Seeking an enthusiastic and driven Product Owner to collaborate and facilitate value delivery, define product enhancements, and drive strategic initiatives. Responsibilities include working closely with Business Leads, creating user stories, participating in sprint planning, and ensuring value delivery aligns with business objectives.

Responsible for operational aspects of Navitus' rebate programs including rebate optimization, reconciliation, and reporting. Provide sales support, manage rebate financial guarantees, and analyze client data. Collaborate with various teams to ensure successful program delivery and optimization. Coordinate with Analytics on rebate forecasting and work on formulary design and potential optimizations. Bachelor's degree in relevant field and 3-5 years of experience in managed care/pharmacy benefits management or pharmaceutical industry required.

The Specialty Trade Market Executive at Lumicera Health Services Powered by Navitus is responsible for client acquisition, industry partnership opportunities, and retention efforts. They support strategic industry relationships, implement services, and drive sales initiatives. The role involves collaborating with internal teams and external partners to fulfill client needs and improve efficiency. The Executive contributes to employee development and departmental success by supporting training and succession planning.

The Associate Product Manager will manage operations for existing and new product development in the pharmacy programs. Responsibilities include analyzing product performance, collaborating on system enhancements, developing product offerings, monitoring performance, and ensuring regulatory compliance. Requires a Bachelor's degree and 1 year of relevant experience in product management or related fields.

The Sr. Manager of Revenue Cycle Management at Navitus is responsible for setting the strategic direction for billing and collections, collaborating with industry relations and rebate teams, driving efficiencies, and maintaining a modernized billing technology platform. The role involves overseeing billing processes, resolving issues, and managing staff.

The Analyst, Revenue Cycle Management at Navitus is responsible for supporting the Sr. Manager in implementing and maintaining billing and accounts receivable systems. They focus on reducing manual efforts for billing and collections to improve client experiences and efficiency. The role involves collaborating with various teams, documenting policies, resolving issues, and supporting financial planning.

Sr. Analyst, Revenue Cycle Management responsible for supporting billing and accounts receivable systems and processes, reducing manual efforts, and delivering exceptional client experiences. Requires minimum 4 years of experience in billing and collections with automated billing solutions in a dynamic environment.

The Benefit Configuration Tester I at Navitus is responsible for testing configuration and maintenance activities of Benefit Configuration Analysts, ensuring a versatile claims adjudication system is set up and maintained. Responsibilities include providing superior customer service, analyzing and testing requests, complying with standards, and contributing to process improvements.

The Analyst I, Benefit Configuration position at Navitus involves analyzing and implementing requests related to pharmacy benefit configuration with precision. The role requires collaboration with various teams and ensuring accurate claim adjudication to adapt to industry changes.

The Operations Analyst at Epiphany Rx powered by Navitus Health Solutions is responsible for internal work for client operations, managing timelines, communication, and maintaining quality outcomes. Key responsibilities include supporting benefit changes, TPA transitions, client terminations, and participating in new client implementations.

The Sr. Manager, Accounting at Navitus is responsible for general ledger accounting, financial reporting, and leading technical accounting functions. This role involves overseeing month-end close, audit preparation, team leadership, and driving operational improvements in financial systems and processes.

Manager, Accounting responsible for overseeing accounts payable and payroll functions, managing teams, maintaining vendor relationships, and leading process improvement projects in a hybrid work environment in Madison, WI.

The Reimbursement Specialist I at Lumicera Health Services is responsible for obtaining and processing manufacturer copay assistance program reimbursement, ensuring accuracy in claims activity, maintaining patient billing information, and resolving claim issues. This role requires adherence to legal and ethical standards and effective communication with internal teams and patients.

The Project Manager, Specialty Implementation at Lumicera Health Services manages client implementation projects for specialty pharmacy solutions, ensuring smooth transitions for patients and maintaining strong relationships with clients and stakeholders. Responsibilities include facilitating meetings, documenting requirements, monitoring project progress, providing go-live support, and supporting other projects as needed.

The Rebate Analyst at Navitus is responsible for understanding plan formulary design and rebate potentials, performing claims data analyses, optimizing rebates for clients, and supporting pharmacy program initiatives. The role involves collaborating with various teams and maintaining strong relationships within the organization.

The Administrator II, Application Systems is responsible for application administration, server maintenance, disaster recovery planning, and providing technical support within vendor purchased applications at Navitus. They collaborate with developers, business users, and third-party vendors to ensure system performance and availability. This role also involves implementing security measures, monitoring system environments, and ensuring compliance with industry best practices and regulatory requirements.

The Privacy Manager at Navitus will assist the Compliance team in meeting privacy expectations through controls, policies, training, and investigations. This role requires knowledge of privacy regulations, investigative processes, policy management, and insurance privacy practices. The Privacy Manager will oversee privacy operations, internal investigations, policy modifications, training, and act as a confidential point of contact for employees.

The Manager, Information Technology at Lumicera Health Services is responsible for ensuring the streamlined operation of the IT team in alignment with customer-focused objectives. This individual will plan, design, coordinate, and align resources to support the daily activities of the team, working closely with customers to identify and implement solutions.