Company Navitus About Us Navitus - 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._____________________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at ************************************ to be considered for internal opportunities. Pay Range USD $42,505.00 - USD $50,601.00 /Yr. STAR Bonus % (At Risk Maximum) 5.00 - Salaried Non-Management except pharmacists Work Schedule Description (e.g. M-F 8am to 5pm) M-F 7:30am to 4pm Remote Work Notification ATTENTION: Navitus is 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. Overview
Navitus Health Solutions is seeking an Analyst, Tech. Operations Government Programs to join our team!
The Analyst, Tech. 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!
Responsibilities
How do I make an impact on my team?
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), and Claim Auditing
Oversee the schedules for the processes assigned, adjust schedules when necessary to ensure deadlines are met, and alert management when schedules are at risk
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
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
Other duties as assigned
Qualifications
What our team expects from you?
Bachelor/Associate Degree in business related field; or equivalent of an associate degree and 2 years of work experience, or 4 years of work experience and a high school diploma or equivalent
1+ years' work experience
Experience in pharmaceutical claims adjudication systems, retail pharmacy, or in a health plan organization 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?
Top of the industry benefits for Health, Dental, and Vision insurance
20 days paid time off
4 weeks paid parental leave
9 paid holidays
401K company match of up to 5% - No vesting requirement
Adoption Assistance Program
Flexible Spending Account
Educational Assistance Plan and Professional Membership assistance
Referral Bonus Program - up to $750!
#LI-Hybrid
Location : Address 1025 West Navitus Dr. Location : City Appleton Location : State/Province WI Location : Postal Code 54913 Location : Country US
Job DescriptionDescription:
Naval Integration SME
Primary Location: Twentynine Palms, CA
Clearance: Active Secret with Top Secret eligibility
Ability to work remotely: some telework authorized
The Marine Corps Tactics and Operations Group (MCTOG) mission is to provide standardized advanced training and certification to Ground Combat Element (GCE) Operations Officers, Operations Chiefs, and select other GCE training specialists in GCE operations, combined arms planning and integration, and unit readiness planning at the company, battalion, and regiment levels to support GCE Training and Readiness (T&R) events.
The Naval Integration SME will be responsible to support the Exercise Control (EXCON) of Marine Corps Tactics and Operations Group (MCTOG). As Naval Integration concepts assume greater emphasis across training, security engagement plans, and crisis-response operations, MCTOG will provide training and virtual exercises to increase core competencies in Joint Naval operations within the USMC GCE. The Naval Integration SME will participate in a collegial setting and be particularly adept at collecting information, analyzing data, and making presentations before Marine officers and staffs.
Specific Responsibilities
Support MCTOG exercise design in Naval operations from a Naval Surface Warfare perspective.?
Support MCTOG Battle Staff and student planning with regarding Naval Integration and Surface Warfare concepts.
Support MCTOG and student planning in the five phases of amphibious assault forcible entry operations.
Present perspectives on current and future naval issues of interest to GCE component within the Marine Corps. ?
Represent the Navy perspective on conceptual issues and provide MCTOG with expertise on topics such as Composite Warfare Commander, Expeditionary Strike Groups, Sea Basing, Navy Transformation, Maritime Operations Center (MOC), and other related topics.
Articulate current Navy position regarding proposed USMC and Joint/service concepts.
Provide Naval expertise across Amphibious operations, Surface Warfare, MAGTF/Naval Fires, and assist with integrating Naval concepts across MAGTF Intelligence, C5ISR-T, GCE Operations, and Information Operations.
Provide Navy and Marine Corps analysis of the Future Operating Environment (FOE) with current and future adversary capabilities against Joint and Combined operating concepts.
Attend conferences and provide trip reports, which contain debriefs of significant actions and developments of interest to the Marine Corps regarding Navy issues.
Attend and assess instructional classes given by both MCTOG and other Marine Corps and Navy organizations as required.
Develop and provide classroom instruction in support of the MCTOG Academic Program and Battle Staff Training Program.
Requirements:Requirements
Qualifications
Bachelor's degree and 15 years of relevant experience required.
Master's degree in information systems, operations research, management, military science, or relevant areas is desired.
Completion of Command & Staff College or equivalent required.?
Demonstrated knowledge of military doctrine, tactics and command relationships.
Strong ability to effectively educate people who may have only a minimal knowledge of US Navy concepts, operations and resources.
Possess excellent written and verbal communication skills.
Must demonstrate a good attitude and ability to work as a member of a team.
Possess self-motivation and a high level of discretion to work effectively under a minimum level of supervision.
Must be able to multi-task efficiently, work in a fast-paced environment on multiple projects and have a strong attention for detail.
Surface Warfare Officer at the O-4/0-5 level preferred.
Relevant experience with EWTG/TACTRAGRU considered a plus.
Physical Requirements and Work Environment
Garrison work environment including but not limited to:
occasional field/tactical environments
occasional extended working hours will be required
schedule: M-F 0700 to 1700
Travel
May be required to travel OCONUS to conduct education or training for subject units.
Domestic travel may be required for training and program coordination.
Company Description
Obsidian Solutions Group LLC (OSG) is a fast-growing professional services firm based in Fredericksburg, VA. We create value for our customers by delivering technology-enabled & mission-oriented technical solutions that solve complex problems, protecting people, information, and assets. Our core capabilities are in providing Enterprise IT, Intelligence Analysis, Production & Development and Knowledge-Based Professional Services Solutions that enable the customer's mission. Obsidian Solutions Group LLC is a certified 8(a), service-disabled, veteran-owned small business.
A career at Obsidian Solutions Group means you are able to put your expertise, credentials, and talents to great use working with customers in the DOD and Intelligence Community, while enjoying the excitement of working in a fast-growing organization committed to making a difference for our customers and in our community. Contribute independently and collaboratively alongside our amazing team of doers and thinkers. Obsidian Solutions Group is small enough to offer a family atmosphere yet large enough to deliver a highly competitive compensation package. We hire and retain the best in the industry, offering exceptional benefits that protect the well-being of our employees, their spouses and domestic partners, and their families.
Our corporate philosophy is centered on hiring and retaining employees with the requisite skills, professional experience, personal commitment, and ethical standards necessary to foster a culture of operational excellence necessary to surpass our customer's expectations.
Disclaimer
The above information on this description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of employees assigned to this job.
Obsidian Solutions Group is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, parental status, protected veteran status, and any other non-merit factor, or any other characteristic protected by law.
Full-time Description
Naval Integration SME
Primary Location: Twentynine Palms, CA
Clearance: Active Secret with Top Secret eligibility
Ability to work remotely: some telework authorized
The Marine Corps Tactics and Operations Group (MCTOG) mission is to provide standardized advanced training and certification to Ground Combat Element (GCE) Operations Officers, Operations Chiefs, and select other GCE training specialists in GCE operations, combined arms planning and integration, and unit readiness planning at the company, battalion, and regiment levels to support GCE Training and Readiness (T&R) events.
The Naval Integration SME will be responsible to support the Exercise Control (EXCON) of Marine Corps Tactics and Operations Group (MCTOG). As Naval Integration concepts assume greater emphasis across training, security engagement plans, and crisis-response operations, MCTOG will provide training and virtual exercises to increase core competencies in Joint Naval operations within the USMC GCE. The Naval Integration SME will participate in a collegial setting and be particularly adept at collecting information, analyzing data, and making presentations before Marine officers and staffs.
Specific Responsibilities
Support MCTOG exercise design in Naval operations from a Naval Surface Warfare perspective.?
Support MCTOG Battle Staff and student planning with regarding Naval Integration and Surface Warfare concepts.
Support MCTOG and student planning in the five phases of amphibious assault forcible entry operations.
Present perspectives on current and future naval issues of interest to GCE component within the Marine Corps. ?
Represent the Navy perspective on conceptual issues and provide MCTOG with expertise on topics such as Composite Warfare Commander, Expeditionary Strike Groups, Sea Basing, Navy Transformation, Maritime Operations Center (MOC), and other related topics.
Articulate current Navy position regarding proposed USMC and Joint/service concepts.
Provide Naval expertise across Amphibious operations, Surface Warfare, MAGTF/Naval Fires, and assist with integrating Naval concepts across MAGTF Intelligence, C5ISR-T, GCE Operations, and Information Operations.
Provide Navy and Marine Corps analysis of the Future Operating Environment (FOE) with current and future adversary capabilities against Joint and Combined operating concepts.
Attend conferences and provide trip reports, which contain debriefs of significant actions and developments of interest to the Marine Corps regarding Navy issues.
Attend and assess instructional classes given by both MCTOG and other Marine Corps and Navy organizations as required.
Develop and provide classroom instruction in support of the MCTOG Academic Program and Battle Staff Training Program.
Requirements Requirements
Qualifications
Bachelor's degree and 15 years of relevant experience required.
Master's degree in information systems, operations research, management, military science, or relevant areas is desired.
Completion of Command & Staff College or equivalent required.?
Demonstrated knowledge of military doctrine, tactics and command relationships.
Strong ability to effectively educate people who may have only a minimal knowledge of US Navy concepts, operations and resources.
Possess excellent written and verbal communication skills.
Must demonstrate a good attitude and ability to work as a member of a team.
Possess self-motivation and a high level of discretion to work effectively under a minimum level of supervision.
Must be able to multi-task efficiently, work in a fast-paced environment on multiple projects and have a strong attention for detail.
Surface Warfare Officer at the O-4/0-5 level preferred.
Relevant experience with EWTG/TACTRAGRU considered a plus.
Physical Requirements and Work Environment
Garrison work environment including but not limited to:
occasional field/tactical environments
occasional extended working hours will be required
schedule: M-F 0700 to 1700
Travel
May be required to travel OCONUS to conduct education or training for subject units.
Domestic travel may be required for training and program coordination.
Company Description
Obsidian Solutions Group LLC (OSG) is a fast-growing professional services firm based in Fredericksburg, VA. We create value for our customers by delivering technology-enabled & mission-oriented technical solutions that solve complex problems, protecting people, information, and assets. Our core capabilities are in providing Enterprise IT, Intelligence Analysis, Production & Development and Knowledge-Based Professional Services Solutions that enable the customer's mission. Obsidian Solutions Group LLC is a certified 8(a), service-disabled, veteran-owned small business.
A career at Obsidian Solutions Group means you are able to put your expertise, credentials, and talents to great use working with customers in the DOD and Intelligence Community, while enjoying the excitement of working in a fast-growing organization committed to making a difference for our customers and in our community. Contribute independently and collaboratively alongside our amazing team of doers and thinkers. Obsidian Solutions Group is small enough to offer a family atmosphere yet large enough to deliver a highly competitive compensation package. We hire and retain the best in the industry, offering exceptional benefits that protect the well-being of our employees, their spouses and domestic partners, and their families.
Our corporate philosophy is centered on hiring and retaining employees with the requisite skills, professional experience, personal commitment, and ethical standards necessary to foster a culture of operational excellence necessary to surpass our customer's expectations.
Disclaimer
The above information on this description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of employees assigned to this job.
Obsidian Solutions Group is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, parental status, protected veteran status, and any other non-merit factor, or any other characteristic protected by law.
$30k-53k yearly est. 60d ago
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