Delta Dental Ins Jobs

The Producer Compensation Analyst will be responsible for managing all aspects of the producer records including the creation of the producer record, updates to the demographic information and payment methods and reporting. The analyst will manage and maintain all broker to customer or member relationships and commission records to facilitate the commission calculation and payment processes. The analyst will assist with the reconciliation of the monthly commission calculations and payments for accuracy and research and resolve all producer compensation related inquiries. The analyst will collaborate with the producer credentialing, contracting and compensation teams as well as our external broker community and business partners. This role will support the new DeltaVision product. 2+ years of experience w/Bachelor's degree Bachelor's degree in Business Administration with emphasis in Accounting preferred. Proven commitment to excellence in customer service. Strong attention to detail and accuracy. Strong analytical, problem solving and reasoning skills with the ability to formulate and communicate recommendations for improvement. Proficient in Microsoft applications such as: Excel (Intermediate), Word, Outlook, PowerPoint, SharePoint, Teams. Ability to prioritize work, follow-up on commitments on a timely basis, work under pressure and adhere to deadlines. Ability to work independently while having strong teaming skills. Ability to communicate professionally, clearly and effectively with producers, management, staff and other business partners. Knowledge and application of English grammar including composition, editing and proofreading skills. Knowledge of policies, procedures and guidelines. Knowledge and understanding of producer licensing, credentialing, appointments and compensation. Knowledge of accounts receivable and accounts payable processes and procedures. Base Pay Information The national base pay range at the end is a good-faith estimate of what Delta Dental may pay for new hires. Actual pay may vary based on Delta Dental's assessment of the candidate's knowledge, skills, abilities (KSAs), related experience, education, certifications and ability to meet required minimum job qualifications. Other factors impacting pay include prevailing wages in the work location and internal equity. $46,359.14 - $93,100 Creates, updates and maintains producer records and demographic information on the broker portal and financial applications including payment methods and banking information. Gathers and reviews required documentation from the producers for accuracy. Communicates and coordinates producer changes or updates to the producer credentialing and contracting departments and other internal business partners. Utilizes reporting to analyze, identify and resolve discrepancies and ensure the data is accurate. Completes tasks related to producer number assignments, producer record management and compensation. Collaborates with internal business partners to successfully complete their tasks and responsibilities as it relates to producer information. Analyzes data on the customer relationship management applications for accuracy and communicates corrective action for any discrepancies. Manages and maintains broker customer or member relationships on the financial applications to accurately calculate commissions and other fees for payment purposes. Utilizes reporting to analyze and reconcile relationships and review data for accuracy. Assists with monthly commission calculation reconciliation for all lines of business, analyzes producer records for variances and discrepancies and recommends the appropriate corrective action. Assists with producer compensation payments including reconciliation, voids and reissues, cancellations, Form 5500 reporting and annual 1099 reconciliation. Prepares and distributes departmental reports related to producer records and relationships. Communicates with the producer to resolve inquiries as it relates to the producer's record or compensation. Provides commission statements upon request and prepares ad-hoc compensation reports as requested by the producer. Contributes to monthly management and key performance metrics reporting. Identifies and reports patterns and trends as it relates to producer records and relationships to management. Maintains and updates departmental policies and procedures as it relates to producer records and relationship management in addition to training materials. Serves as subject matter expert for all aspects of producer record and relationship management. Analyzes current processes and identifies existing or potential problems in order to discover new process improvement opportunities. Creates reports and analyzes data to identify solutions that meet business goals. Participates in system maintenance and upgrade testing.

The Advanced Analytics Expert will directly influence our enterprise-wide advanced analytics strategy, enablement and implementation. This influence stretches from gaining senior leadership alignment on, and support of, our advanced analytics strategy and operating model to partnering closely with data architecture, data engineering, and business analytics teams to define and implement our AI/ML technology stack to solve real-world business challenges. This position is part of Delta Dental's Data & Analytics Center of Excellence whose charter is to drive alignment and ensure successful implementation of Delta Dental's Enterprise Data & Analytics strategy: building a data-driven culture by enabling business insights, governing our data assets, and promoting the use of data and analytics. Experience using mathematics, statistics, modeling, business analysis, and technology to transform high volumes of complex data into advanced analytic solutions. Experience in using data visualization techniques to effectively communicate analytical results and support business decisions. Demonstrated expertise of ML technologies - with proven hands-on delivery of predictive models. Demonstrated expertise in strategic thinking and influence of leadership and cross-functional teams Familiarity and experience in dealing with AI/ML legal and ethical challenges. Strong analytical, critical thinking, quantitative reasoning, and problem-solving skills with high attention to details and accuracy. Proven ability to drive each project to completion with minimal guidance while effectively managing multiple projects at a time. Ability to adapt well to change in a fast-paced, dynamic workplace and collaborate in cross-functional teams/projects Excellent verbal/written communication skills, including communicating technical issues to non-technical audiences Ability to work with assignments that involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors Base Pay Information The national base pay range at the end is a good-faith estimate of what Delta Dental may pay for new hires. Actual pay may vary based on Delta Dental's assessment of the candidate's knowledge, skills, abilities (KSAs), related experience, education, certifications and ability to meet required minimum job qualifications. Other factors impacting pay include prevailing wages in the work location and internal equity. $127,509 - $229,091 Support the development, evangelization and attainment of enterprise-wide alignment with senior leadership on an industry-leading “Enterprise Advanced Analytics Strategy” and roadmap. Establish and lead the function of Enterprise Advanced Analytics Product Owner - responsible for cross-functional prioritization of advanced analytics initiatives. Provide thought leadership and serve as a trusted partner with IT architecture and data development teams to identify best-in-class tools and technologies for design and build-out an enterprise AI/ML platform. Lead cross-functional activity to define and implement operating model that enables business functions to perform advanced analytics and AI. Lead cross-functional definition of Advanced Analytics governance - including legal and ethical best practices, guidelines, and policies. Establish and lead a cross-functional AI/ML/advanced analytics working group to ensure alignment on activities and to implement strategic initiatives. In support of key strategic initiatives: build, validate, and implement predictive models. Develop AI/ML proofs-of-concept to showcase capabilities. Present predictive model results and analytic findings to stakeholders and support the operationalization of the models and business consumption. Creates reports and analyzes data to identify solutions that meet business goals Analyzes current processes and identifies existing or potential problems in order to discover new process improvement opportunities This list is not all-inclusive and you are expected to perform other duties as requested or assigned

Company Lumicera About Us Pay Range USD $72,813.00 - USD $89,341.00 /Yr. Work Schedule Description (e.g. M-F 8am to 5pm) M-F 8am-5pm, CST Remote Work Notification ATTENTION: We are unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming. Overview Due to growth, we are adding a Clinic Services Executive to our team! The Clinic Services Executive (CSE) is a highly motivated professional with at least 5 years of successful experience interfacing directly with varied complex customers preferably in healthcare, to manage existing physician and prescriber clinics and health systems. The position is responsible for the co-development of long-term account strategy for their assigned clinics. Working with Referral Coordinators, the CSE will be for responsible for identifying expansion opportunities and communicating these opportunities appropriately to be incorporated into the annual strategic business plan. The CSE will be responsible for clinic retention, achieving corporate strategic goals relative to client base, and overall customer satisfaction, including solving customer issues relative to their contracts, reporting, and interface with the Managing Specialty Account Executive for clinical issues. This position will require the ability to communicate across multiple organization levels and the ability to lead projects is required. Is this you? Find out more below! Responsibilities How do I make an impact on my team? Delegate, support and provide guidance to colleagues in Referral Coordinator and Sales Representative roles Pull data from 3-D and other Navi-tools to deliver facts-based presentations (including Strategic Business Plans, VALUE Summaries, and Performance Standard reports) to clinics. Work closely with Managing Specialty Account Executive on data, strategy, and the Lumicera team approach to all meetings Monitor and maintain performance as outlined in Contract, if applicable, to ensure Account Management team has an immediate plan to mediate any unmet guarantees moving forward; Account Management should always have a debrief with an internal department which has failed to meet a guarantee Clinic Services Executive should be able to perform both basic training and specialized training on clinic facing behaviors Facilitate resolution of escalated prescriber/clinic issues requests Identify and present Clinic opportunities to improve operational costs and clinical patient outcomes Travel to Clinic sites to create and maintain presence with Clinic leaders and physicians Other duties as assigned Qualifications What our team expects from you? Bachelor's degree in business, marketing, or related area preferred Knowledge of PBM, Specialty Pharmacy or health care industry preferred Strong team orientation, commitment to sales, and client service and desire to succeed Excellent verbal and written communication, presentation and negotiation skills required PC skills; Microsoft Office, Email, and Internet Valid State Driver's License and current Automobile Insurance Policy 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 #LI-Remote 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. Location : Address Remote Location : Country US

World Insurance Associates ("World") is a unique financial services organization with a global network of brokers and specialists who empower people to make informed decisions to improve their risk management outcomes, modernize their benefits programs, and help them achieve their long-term financial goals. Founded in 2011, World is one of the fastest-growing, Top 25 insurance brokers in the U.S. with nearly 3,000 employees in more than 300 offices across North America and the U.K. World specializes in personal and commercial insurance, surety and fidelity bonding, employee and executive benefits, investment advisory and retirement plan services, and payroll & HR solutions. Insurance Sales Producer - Commercial Lines Client Advisor Position Overview World's Client Advisors bring risk management solutions to businesses and individuals. Your primary focus is identifying, prospecting, cultivating, and closing new commercial clients (small, medium, large) leveraging World's unique niche. While your focus is selling commercial lines risk solutions, you also are empowered to help clients with personal lines insurance, employee benefits, 401(k) and related retirement solutions, and payroll and human resources outsourcing solutions. World's investments in a broad range of solutions means you can prospect any company of any size to provide value to your client. Imagine the potential. Primary Responsibilities + Identify, prospect, and cultivate new business, with a focus on commercial accounts + Engage in all sales and marketing tactics (with extensive corporate marketing support) to move prospects through your funnel to closing + Track all sales activities in HubSpot and leverage HubSpot to its fullest potential + Utilize World's broad platform to bring risk management solutions to individuals and business owners. At World, you will have access to resources to help any client solve any challenge, including traditional commercial lines insurance, high net worth / private client, employee benefits, human capital and payroll outsourcing, and retirement financial services. Qualifications + Must have proven experience with a range of insurance solutions to bring value to clients + Must be willing to become each client's trusted risk management advisor and bring the entire World platform to each client (P&C, Employee Benefits, Retirement Plans, Wholesale, and Payroll and Human Resources outsourcing services) + Must maintain all relevant insurance licenses from the first day of employment to be positioned to manage an existing book of business + It is meaningful, but not mandatory, if you have: + Sold commercial insurance for a top broker. Based on your experience, World will enhance your expertise through the company's training program; + Used an insurance agency management software platform, like AMS360 and Epic, and have experience with a sales CRM (World uses HubSpot); and + Built and presented client "pitch decks" / presentations. Compensation As a World Insurance Client Advisor, your compensation is tied to your effort and your performance. We offer a base salary plus commissions as well as a full suite of employee benefits, including a 401(k) match that is immediately fully vested. The base salary range for this role is $80,000 to $200,000+. The base salary depends on your experience and your ability to drive revenue. Your base salary grows as your book of business grows, with tremendous potential to significantly exceed the top of this range. Equal Employment Workforce and Workplace World celebrates and supports differences amongst its employees. World knows employing a team rich in diverse thoughts, experiences, and opinions allows World's employees and World's work environments to flourish. World is honored to be an equal opportunity workplace, dedicated to equal employment opportunities regardless of race, color, ancestry, religion, sex, national orientation, age, citizenship, marital status, disability, gender identity, sexual orientation, or Veteran status. In addition, World makes reasonable accommodations to known physical or mental limitations of an otherwise qualified applicant or employee with a disability, unless the accommodation would impose an undue hardship on the operation of World's business. TO EXECUTIVE SEARCH FIRMS AND STAFFING AGENCIES: World does not accept unsolicited resumes from any agencies that have not signed a mutual service agreement. All unsolicited resumes will be considered World's property, and World will not be obligated to pay a referral fee. This includes resumes submitted directly to Hiring Managers without contacting World's Human Resources Talent Department. #LI-MS1 Powered by JazzHR

**World Insurance Associates, LLC.** **Insurance Sales Producer - Commercial Lines Client Advisor** **Irvine, CA - Full Time** World Insurance Associates (“World”) is a unique financial services organization with a global network of brokers and specialists who empower people to make informed decisions to improve their risk management outcomes, modernize their benefits programs, and help them achieve their long-term financial goals. Founded in 2011, World is one of the fastest-growing, Top 25 insurance brokers in the U.S. with nearly 3,000 employees in more than 300 offices across North America and the U.K. World specializes in personal and commercial insurance, surety and fidelity bonding, employee and executive benefits, investment advisory and retirement plan services, and payroll & HR solutions. **Insurance Sales Producer - Commercial Lines Client Advisor** **Position Overview** World's Client Advisors bring risk management solutions to businesses and individuals. Your primary focus is identifying, prospecting, cultivating, and closing new commercial clients (small, medium, large) leveraging World's unique niche. While your focus is selling commercial lines risk solutions, you also are empowered to help clients with personal lines insurance, employee benefits, 401(k) and related retirement solutions, and payroll and human resources outsourcing solutions. World's investments in a broad range of solutions means you can prospect any company of any size to provide value to your client. Imagine the potential. **Primary Responsibilities*** Identify, prospect, and cultivate new business, with a focus on commercial accounts * Engage in all sales and marketing tactics (with extensive corporate marketing support) to move prospects through your funnel to closing * Track all sales activities in HubSpot and leverage HubSpot to its fullest potential * Utilize World's broad platform to bring risk management solutions to individuals and business owners. At World, you will have access to resources to help any client solve any challenge, including traditional commercial lines insurance, high net worth / private client, employee benefits, human capital and payroll outsourcing, and retirement financial services. **Qualifications** * Must have proven experience with a range of insurance solutions to bring value to clients * Must be willing to become each client's trusted risk management advisor and bring the entire World platform to each client (P&C, Employee Benefits, Retirement Plans, Wholesale, and Payroll and Human Resources outsourcing services) * Must maintain all relevant insurance licenses from the first day of employment to be positioned to manage an existing book of business * It is meaningful, but not mandatory, if you have: + Sold commercial insurance for a top broker. Based on your experience, World will enhance your expertise through the company's training program; + Used an insurance agency management software platform, like AMS360 and Epic, and have experience with a sales CRM (World uses HubSpot); and + Built and presented client “pitch decks” / presentations. **Compensation** As a World Insurance Client Advisor, your compensation is tied to your effort and your performance. We offer a base salary plus commissions as well as a full suite of employee benefits, including a 401(k) match that is immediately fully vested. The base salary range for this role is $80,000 to $200,000+. The base salary depends on your experience and your ability to drive revenue. Your base salary grows as your book of business grows, with tremendous potential to significantly exceed the top of this range. **Equal Employment Workforce and Workplace** World celebrates and supports differences amongst its employees. World knows employing a team rich in diverse thoughts, experiences, and opinions allows World's employees and World's work environments to flourish. World is honored to be an equal opportunity workplace, dedicated to equal employment opportunities regardless of race, color, ancestry, religion, sex, national orientation, age, citizenship, marital status, disability, gender identity, sexual orientation, or Veteran status. In addition, World makes reasonable accommodations to known physical or mental limitations of an otherwise qualified applicant or employee with a disability, unless the accommodation would impose an undue hardship on the operation of World's business. **TO EXECUTIVE SEARCH FIRMS AND STAFFING AGENCIES:** World does not accept unsolicited resumes from any agencies that have not signed a mutual service agreement. All unsolicited resumes will be considered World's property, and World will not be obligated to pay a referral fee. This includes resumes submitted directly to Hiring Managers without contacting World's Human Resources Talent Department. #LI-BD1

Are you an experienced project leader looking for an exciting opportunity to drive strategic initiatives? Join our innovative Program Management Office and play a key role in delivering high-impact projects across our organization. In this hybrid role, you'll have the flexibility to work remotely 3 days per week while also collaborating in-person with cross-functional teams. You'll manage multiple projects simultaneously, applying your expertise in agile, waterfall, and hybrid methodologies. From planning and requirements gathering to execution and delivery, you'll ensure projects stay on track to achieve business goals. What You'll Do: Manage full project lifecycles for technical and non-technical initiatives of varying sizes Collaborate closely with agile development teams, product owners, and business stakeholders Develop detailed project plans, define requirements, and manage scope/budgets Prioritize backlogs, groom user stories, and ensure quality acceptance criteria Proactively communicate project status and facilitate effective team discussions Apply strong analytical skills to resolve issues and drive continuous improvement What You'll Need: 3-5 years of business analysis, product ownership, or project management experience Proven ability to manage multiple concurrent projects in an agile environment Excellent communication skills to align cross-functional teams Bachelor's degree or equivalent experience PMP, PMI-ACP, or SAFe certification strongly preferred Why Join Our Team? Hybrid work model with remote flexibility3 days per week Excellent benefits package including medical, dental, vision, 401k, and more Opportunities for professional growth and development Collaborative, inclusive culture that values diverse perspectives Delta Dental is an equal opportunity employer.

Company Lumicera About Us Lumicera - Lumicera Health Services Powered by Navitus - Innovative Specialty Pharmacy Solutions- Lumicera Health Services is defining the "new norm" in specialty pharmacy to optimize patient well-being through our core principles of transparency and stewardship. Here at Lumicera, our team members work in an environment that celebrates creativity and fosters diversity. Pay Range USD $42,505.00 - USD $50,601.00 /Yr. Work Schedule Description (e.g. M-F 8am to 5pm) M-F 7am-7pm Remote Work Notification ATTENTION: We are unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming. Overview Due to growth, we are adding a Service Delivery Specialist to our team! Under direction from the Supervisor, Specialty Pharmacy Operations and the Pharmacist in Charge and/or Supervisor of Service Delivery, the Service Delivery Specialist is primarily responsible for the ongoing monitoring and carrier communication to help assure shipments deliver as intended. The Service Delivery Specialist's objective is to use carrier or third-party resources at their disposal to quickly and efficiently resolve issues that may occur during shipment transit. The Service Delivery Specialist will be the primary point of contact for other members of the pharmacy team who have shipping issue questions and will be available to handle and accept shipping inquires that other staff may receive. The Service Delivery Specialist should triage patient concerns about stability to a pharmacist, should they occur. This position may also be responsible to for arranging and coordinating daily local courier shipments and following and communicating these plans to each courier drop off site. The Service Delivery Specialist will communicate any special daily shipping plans to pharmacy fulfillment specialist and/or any other shipping employees and assure those plans are carried out. The Service Delivery Specialist may be a point of contact in carrier and courier relations and assist with ongoing evaluation of their services, as well as participating in account management activities. Is this you? Find out more below! Responsibilities How do I make an impact on my team? * Responsible for answering the inbound calls about shipping inquiries * Responsible for contacting doctor's office, clinics, or infusion centers to coordinate medication shipments * Responsible proactive monitoring and managing shipping delays, address issues, and/or anything other issues that arise that will prevent delivery from occurring as intended * Responsible for communicating any daily special plans or instructions to shipping staff to assure the correct shipment of the specialty pharmacy orders * Responsible for understanding carrier network performance and routine procedures * Responsible for communicating or devise strategies to communicate and update patients about shipping delays * Responsible for addressing patient concerns regarding shipping delays, within scope of knowledge * The Employee will act in accordance with all applicable federal and state laws and with the highest ethical standards that we consistently strive to achieve. Thus, legal and ethical compliance is an essential duty of each employee * Assists in mentoring and training new and existing Lumicera employees to maintain the Lumicera service model * Other duties as assigned Qualifications What our team expects from you? * High school diploma or GED required * Some college preferred * CPhT preferred * Minimum two years pharmacy support experience or healthcare environment experience preferred * At least 2 years' experience and demonstration of proficiency in position at Lumicera or equivalent 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 #LI-Remote 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. Location : Address Remote Location : Country US

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. Pay Range USD $93,672.00 - USD $114,934.00 /Yr. Work Schedule Description (e.g. M-F 8am to 5pm) M-F 8am-5pm, CST Overview Navitus Health Solutions is seeking a Scrum Master to join our team! The Scrum Master ensures efforts are in alignment with customer-focused objectives and the IT Vision, a collaborative partner delivering innovative ideas, solutions and services to simplify people's lives. Scrum Masters are professionals who act as a link between product owners and teams during large projects. Scrum Masters also help refine the project roadmap and processes where necessary, leading products to delivered on time. A Scrum Master is a go-to person for applying scrum to produce high-quality work. This role is key to coaching team members on Agile methodologies and creating self-organizing, flexible and productive teams. Is this you? Find out more below! Responsibilities How do I make an impact on my team? Participate in Sprint ceremonies based upon assigned initiatives Coordinate sprints, retrospective meetings and daily stand-ups Participate in Scrum Master Community of Practice Coach team members in Agile frameworks Work with Product Owners to handle backlogs and new requests Escalate barriers to completion to Manager Creation of dashboard and documentation necessary as required for requested initiatives Manage internal and external customer expectations and other Navitus stakeholder expectations Resolve conflicts and remove obstacles that occur Guide development teams to higher scrum maturity Other duties as assigned Qualifications What our team expects from you? A four-year college degree and/or a minimum of three years of IT relevant work experience is required Understanding of Agile methodology is required Experience working in a Scrum environment Professional PBM and/or Pharmacy industry work experience is preferred Knowledge of applicable data privacy practices and laws is preferred Healthcare industry practices and HIPAA knowledge would be a plus Experience as a member of a multi-disciplinary team is a plus Agile or Scrum Master training desirable Continuous deployment experience a plus 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 #LI-Remote 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.

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. Pay Range USD $61,968.00 - USD $74,660.00 /Yr. Work Schedule Description (e.g. M-F 8am to 5pm) M-F 8am to 5pm Remote Work Notification ATTENTION: We are unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming. Overview Navitus Health Solutions is seeking a Proposal Content Editor to join our Proposals department! The Proposal Content Editor role thoroughly reviews overall proposal content to support the client acquisition and retention efforts of Navitus Health Solutions (Navitus). This wordsmith will work closely with all departments to craft, maintain and expand digital content while improving proposal quality and ensuring capture strategy. Responses reviewed by the Content Editor will be developed following tight turnaround timelines and will be based on various markets. The ideal candidate will have strong communication skills and a high proficiency with content data libraries and proposal automation software. Is this you? Find out more below! Responsibilities How do I make an impact on my team? Review and edit strategically positioned content that easily integrates into proposals and other sales related documents for various target markets Ensure Request for Proposal (RFP) instructions and internal brand guidelines pertaining to format, fonts, etc. are followed Work collaboratively with those contributing to and/or drawing from the knowledgebase, such as proposal writers, executives, management teams, business units, partners, and subject matter experts Contribute to the department goal of improved efficiency and effectiveness by implementing processes that streamline quality assurance Demonstrate flexibility by working independently and in a team/collaborative environment Maintain a high level of proficiency with the knowledgebase system and apply new functionality that improves how content is organized, updated, and accessed Perform continuous improvement projects Other duties as assigned Qualifications What our team expects from you? Bachelor's Degree, preferably in English, Journalism or a Communications-related field, or equivalent related experience required A minimum of two years' experience writing and editing proposal content, preferably in the pharmacy benefit management or health care industry Excellent strategic content development and proofreading skills A developed understanding of effective proposal and presentation writing Strong organizational, project management, analytical, and problem-solving skills to manage multiple projects concurrently and bring tasks to completion on time Intermediate to advanced experience with Microsoft Office products is required Experience with proposal automation software, such as Responsive (fka RFPIO), 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-Remote Location : Address Remote Location : Country US

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. Pay Range USD $77,545.00 - USD $95,148.00 /Yr. Work Schedule Description (e.g. M-F 8am to 5pm) M-F 8am to 5pm Remote Work Notification ATTENTION: We are unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming. Overview Due to growth, we are adding a Lead, Medicaid Audits to our Government Programs department. This position will have responsibility to establish centralized administration processes for external Medicaid regulatory audits. The Lead, Medicaid Audits (LCA) directs the audit activities necessary to support Federal, State, Delegation or other types of audits as needed. The LCA will be required to serve as an organizational SME with regards to how audits are facilitated and coordinated across Navitus. The LCA will be responsible for interfacing with clients and external auditors and will coordinate all audit activities supporting Plan Sponsor Audit requirements. The LCA will conduct quality assurance review on all audit responses prior to delivery to the clients. The LCA will lead various projects focused on enhancements to the overall audit process and as needed, internal process improvements for services that don't meet regulatory requirements. This position ensures that the appropriate processes, procedures, and software are implemented to meet audit requirements. The LCA also provides support to the Sales and Client Services departments, including RFP responses. Is this you? Find out more below! Responsibilities How do I make an impact on my team? Facilitate and/or lead client audit activities, including internal notification and status, educating Navitus staff on audit requirements; coaching or otherwise assisting in interview preparations, when applicable, oversight of the processes that extract data needed for audits; and coordinate all audit activities Develop, implement, and maintain an audit tracking and documentation system Continuously communicate the message of audit compliance in all interactions with others. Assist in audit/compliance awareness, training, and education initiatives by contributing to the Compliance Department newsletter, participating in educational activities and events, and other activities as requested or developed Assess capacity and capabilities for managing new client's audits. Collaborate with department leads ensuring that resources are trained and available for audits Take part in the coordination of audit assignments and ensure good interactions with the administrators, staff, external auditors, and law enforcement agencies Oversee audit planning and reporting activities according to established policies Assist in risk assessment and mitigation activities Discuss with management audit observations, recommendations, and actions to be taken including resolution of issues that may have been identified through audit findings Other duties as assigned Qualifications What our team expects from you? Bachelor's degree in Accounting, Finance, or Business required Demonstrated experience with Internal Audit methodology, regulatory requirements, and processes required Knowledge of PBM or health care industry required Prior experience as a Public Accounting Manager 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-Remote Location : Address Remote Location : Country US

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. Pay Range USD $49,911.36 - USD $59,418.28 /Yr. Work Schedule Description (e.g. M-F 8am to 5pm) M-F 8am to 5pm Remote Work Notification ATTENTION: We are unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming. Overview Navitus Health Solutions is seeking a Sr. Coordinator, Contract Performance to join our Contract Performance Management department! The Sr. Coordinator, Contract Performance is responsible for maintaining centralized data and reporting of contractual guarantees for current and prospective Navitus clients. The Sr. Coordinator will collaborate with all functional areas to gather and provide corporate and client reporting information. An important aspect of this role includes the facilitation and coordination of communication with internal staff and external customers. The Sr. Coordinator, Contract Performance will often work closely with the department manager and analysts to support one another, while also completing other duties independently. Is this you? Find out more below! Responsibilities How do I make an impact on my team? Enter RFP requested performance guarantees and responses into sales opportunity database Upon Client win notification, review service, network and/or rebate guarantees agreed to during the RFP process and notify operational areas Upon contract execution notification, communicate final contract guarantees to operational areas prior to go-live and enter service performance guarantees into contract database for tracking Facilitate the collection of monthly, quarterly and annual service performance guarantee results from process owners Prepare and deliver service performance guarantee reports for clients Generate monthly, quarterly and annual network financial performance reports Assists the department manager with the development, documentation, implementation, and maintenance of performance guarantee data repositories and report writing programs Other duties as assigned Qualifications What our team expects from you? College degree or equivalent experience required in the field of business administration, contract management, health care administration or related field and/or a minimum of 1-2 years of professional experience Hands-on experience handling multiple projects simultaneously Ability to manage requirements, maintain deadlines on deliverables, and communicate on an ongoing basis with business partners and internal clients about contract performance issues Strong verbal and written skills, and ability to convey complex information in a way that others can readily follow 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! 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. #LI-Remote Location : Address Remote Location : Country US

We are seeking a dedicated and talented Software Engineer specializing in Web development to contribute to our next generation of digital products. As a UI Software Engineer, you'll play a pivotal role in crafting the user experience that will define Delta Dental's digital future. Along with writing awesome code, you will be designing and building highly scalable rich consumer facing applications. You will use industry best practices and work collaboratively with cross-functional teams of product managers, architects, software engineers, test automation engineers and DevOps in an Agile setup. (This position offers a flexible hybrid working model, allowing significant remote work opportunities. Weekly in-office visits are required for team meetings, office celebrations, and specific project needs. Candidates residing near Oakland or Rancho Cordova, CA, or Alpharetta, GA, are highly preferred.) * Performs as a key contributor to an engineering team that builds and supports exceptional products that provide innovative solutions to challenging business use cases, existing system and operational problems * Actively participates in architectural design, system analysis, and programming activities on application software; this may often require independent research and study * Develops high-quality and production-ready software by using best-practice data structures, algorithms, design patterns, and frameworks that are maintainable, scalable, responsive, and secure * Writes highest quality code with utmost attention to scalability, security and performance and with an end-to-end mindset from conception to delivery and production support, owning specifications, quality, release deployments and monitoring of production health * Produces complete, simple, and readable technical documentation for everything developed and maintains a team culture of documenting everything * Tests and ensures quality of all code that developed in line with principles of test-driven development and continuous delivery, utilizing test automation frameworks wherever possible. * 2 to 5 years of experience professional experience specifically in designing and developing secure consumer-facing web applications with Bachelor's or Master's degree in Computer Science or a related field. * Strong proficiency in JavaScript and Functional Programming concepts * Knowledge of HTML5, CSS3, Responsive web design, and Accessibility (WCAG 2.0 AA) * Proficiency in writing server-side JavaScript code using Node.js to handle user requests, process data, and interact with databases. * Proficiency in writing ReactJS code and understanding of concepts related to tools & libraries used with ReactJS * Familiarity with building and consuming RESTful Web services and JSON-based request responses * Experience building responsive Single Page Web Applications * Experience with the design and implementation of low-latency, high-availability, and performant applications * Proficiency in writing unit test cases using any of the testing frameworks like Jest, Mocha, Chai, Jasmine, etc. * Proficiency with Chrome and/or other browser Developer Tools * Proficiency with Git/GitHub or other distributed version control systems * Understanding of user-centered design, progressive enhancement, graceful degradation, and SEO * Familiarity with Scrum and Agile methodologies Base Pay Information The national base pay range at the end is a good-faith estimate of what Delta Dental may pay for new hires. Actual pay may vary based on Delta Dental's assessment of the candidate's knowledge, skills, abilities (KSAs), related experience, education, certifications and ability to meet required minimum job qualifications. Other factors impacting pay include prevailing wages in the work location and internal equity. $74,000 - $170,900

The Senior Database Administrator will be responsible for administering production and non‐production databases within the Enterprise. The role also has responsibility for all aspects of database administration for Oracle and Snowflake databases including problem‐solving, configuration, and implementation efforts for multiple projects with an emphasis in operational excellence and continuous improvement of database related processes and procedures. 4+ years of experience w/ a Bachelor's degree in Computer Engineering or similar. Experience working with Oracle release 19c. Experience in Oracle Cloud for E Business SaaS, ATP. Ability to work independently with advanced analytical skills. Strong knowledge in disaster recovery, capacity planning and troubleshooting complex database problems. In depth working knowledge of operating systems, storage, database server and network. Knowledge of data replication technologies and ETL tools like Attunity, GoldenGate, SAP data services. Highly skilled in SQL, PL/SQL, PowerShell and UNIX Shell script coding. Ability to establish, document and enforce procedures and policies related to database management. Ability to analyze and determine data relationships and attributes, data flow and storage requirements, and data output and reporting capabilities. Strong understanding of data center operations and applications development. Strong knowledge of Data Center Virtualization technologies (e.g. Cloud, PaaS). This role will require production support with an on-call rotation every 5-6 weeks. Experience with Snowflake is preferred but not required. Oracle certification preferred but not required. This role is not open to H-1B sponsorship. Base Pay Information The national base pay range at the end is a good-faith estimate of what Delta Dental may pay for new hires. Actual pay may vary based on Delta Dental's assessment of the candidate's knowledge, skills, abilities (KSAs), related experience, education, certifications and ability to meet required minimum job qualifications. Other factors impacting pay include prevailing wages in the work location and internal equity. $92,000 - $196,500 Reviews production database performance reports on regular basis, and identifies any potential performance bottlenecks including SQL, PL/SQL code execution and works with Storage and UNIX teams to remediate before impact. Engages in new technology initiatives and performs database server hardware upgrades to get maximum ROI. Attends triage calls and is strongly driven to identify the root cause which may involve providing analysis data to other teams and proactively lending active hands with trouble shooting while the outage is in progress. Reviews critical database parameters and recommends adjustments. Manages cross platform database migrations including documenting various steps involved. Implements high availability solutions for databases. Works with development teams for SQL, PL/SQL code tuning, and schema design updates identified in pre-production installs. Researches and implements POC solutions for new features of latest database technologies. Maintains security of data by keeping databases secure and communicates security loopholes, if any, to security team. Participates in on-call support rotation for production databases that require 24/7/365.

Company Lumicera About Us Lumicera - Lumicera Health Services Powered by Navitus - Innovative Specialty Pharmacy Solutions- Lumicera Health Services is defining the "new norm" in specialty pharmacy to optimize patient well-being through our core principles of transparency and stewardship. Here at Lumicera, our team members work in an environment that celebrates creativity and fosters diversity. Pay Range USD $120,524.61 - USD $150,655.75 /Yr. Work Schedule Description (e.g. M-F 8am to 5pm) M-F 7am-7pm (8 hour shifts, varying times) Overview Due to growth, we are adding a Pharmacist in Charge to our Specialty Pharmacy Operations department. The Pharmacist in Charge (PIC) is an active pharmacist responsible for the management of day-to-day pharmacy operations and ensuring compliance with all regulations governing the operation of the assigned specialty pharmacy location including licensing of the pharmacy. The PIC provides direct or indirect supervision to all specialty pharmacy staff responsible for duties within the dispensing pharmacy, including clinical pharmacists, interns, pharmacy technicians, fulfillment specialists, and any other support staff. The PIC is responsible for planning and directing the work of the pharmacy operations and ensuring adherence to the company's policies and procedures. This position will be responsible for assisting in providing guidance on clinical operational aspects of the clinical excellence and service excellence quality programs. This includes, but is not limited to, oversight of clinical decision-making of staff and investigation, reporting, and resolution of serious adverse events, errors, and complaints per company policies. The PIC is expected to stay up to date on medications dispensed by the specialty pharmacy and will use patient centered consultation methods to consult patients regarding appropriate medication use, adherence, side effects, monitoring, and potential drug interactions based on the patient's individual needs. This position is responsible for verifying medications within corporate and regulatory guidelines. The PIC may also have responsibility for and may oversee the implementation of client payers, pharmaceutical manufacturer contracts, and physician detailing. The PIC will ensure that all business operations continue in the Specialty Pharmacy in the absence of senior management. Is this you? Find out more below! Responsibilities How do I make an impact on my team? * Maintain records of all transactions of the pharmacy necessary to ensure accurate control over and accountability for all drugs as required by applicable state and federal laws, rules, and regulations; ensure legal operation of the pharmacy, including meeting all inspection and other requirements of state and federal laws, rules, and regulations governing pharmacy operations * Fill prescriptions for pharmaceutical preparations and devices for patients at company facilities; maintain accurate and detailed records of all prescription transactions, and submit appropriate claims for third-party reimbursement; consult with physicians and nurses regarding pharmaceutical questions; advise physicians on formulary medications and cost-effective and innovative therapies; answer pharmaceutical questions from patients and staff; monitor storage, distribution, and use of pharmaceuticals * Interpret prescribers' prescriptions. Contact providers and/or patients to verify information on prescriptions such as drug strength, prescription signatures, and drug name to expedite processing of orders. Verify and confirm validity of controlled substances * Verify prescription information entered in the pharmacy management system by data entry or order entry. Contact physicians for new and/or transfer authorization. Work with physicians to convert prescriptions to generic, biosimilar, or lowest net cost products to support the company's mission and values * Provide functional supervision to professional, paraprofessional, and support staff in their respective pharmacy, including training, assigning duties, and providing input for performance evaluations * Develop employee's skills, evaluate performance, and provide feedback. Oversee resolution of employee relations. Conduct hiring, training and evaluation of staff * Support business continuity and disaster recovery procedures; on-call pharmacist program oversight and compliance; and inventory control and security * Responsible for investigation, reporting and resolution of complaints, drug recalls and serious adverse drug reactions for respective pharmacy location(s) * Appropriately document and report internal and external quality issues and medication errors. Report quality issues to direct supervisor. Facilitate error reduction and prevention strategies based off reported errors and ISMP standards * Other duties as assigned Qualifications What our team expects from you? * A minimum of a bachelor's degree in pharmacy or Pharm D * Resident Pharmacist license must be current and unrestricted. Must continually maintain education credits to maintain active licensure * Further pharmacy or disease certifications are helpful but not required * Possession of a valid Pharmacist license issued by the State where the pharmacy resides and in all required State Board of Pharmacies necessary by the respective state to mail prescriptions into that state. If not currently licensed in additional states, ability to obtain additional licenses within 6 months * Minimum of five years as a licensed Pharmacist and a minimum of one year of professional experience as a Specialty Pharmacist strongly preferred; or a combination of training, education, and experience that is equivalent to the employment standard listed above and that provides the required knowledge, abilities, and license * Preferred understanding of Specialty Pharmacy drugs including REMS and Limited Distribution Products best practices * Knowledge of inventory control; state and federal laws and regulations pertaining to the legal operation of a pharmacy * 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! 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. #LI-Onsite Location : Address 607 E Jubal Early Drive Location : City Winchester Location : State/Province VA Location : Postal Code 22601 Location : Country US

Company Lumicera About Us Lumicera - Lumicera Health Services Powered by Navitus - Innovative Specialty Pharmacy Solutions- Lumicera Health Services is defining the "new norm" in specialty pharmacy to optimize patient well-being through our core principles of transparency and stewardship. Here at Lumicera, our team members work in an environment that celebrates creativity and fosters diversity. Pay Range USD $61,968.00 - USD $74,660.00 /Yr. Work Schedule Description (e.g. M-F 8am to 5pm) M-F 8am-5pm, CST Remote Work Notification ATTENTION: We are unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming. Overview Lumicera Health Solutions is seeking a Supervisor, Medication Inventory and Procurement to join our Trade Relations department! The Supervisor, Medication Inventory and Procurement leads the management and procurement of pharmacy inventory from primary and secondary wholesale partners. This includes the management of strategic industry relationships, implementations of service, and negotiating with a variety of supply chain clients and/or industry partner audiences-current, prospective, and consultant. Is this you? Find out more below! Responsibilities How do I make an impact on my team? • Establish inventory management best practices while ensuring sufficient supply of product to meet the needs of each location.• Develop strategies to support with vendor selection and facilitate appropriate procurement of product by operations staff based on lowest net cost pricing.• Support in negotiating indirect and direct purchasing agreements with manufacture partners.• Maintain and enhance professional relationships with primary and secondary wholesaler vendors.• Facilitate in the management of the wholesale Request for Proposal process and analyze data to reflect awards with each vendor.• Support development of compelling marketing content and support creative design efforts to drive company and brand awareness through industry publications, media, and appropriate public relations opportunities.• Contribute to the department goal of improved efficiency and effectiveness, including the capture of strategic client opportunities using approved reference resources that support proposal and presentation development activities.• Other duties as assigned Qualifications What our team expects from you? • Bachelor's degree required, preferably in Business Administration, a Communications-related field, and/or Account Management.• 5 years of experience within a healthcare setting participating or managing inventory.• 2+ years of direct or indirect supervisory/management and/or coaching and mentoring experience required.• 5 years of experience developing and implementing complex winning business strategies, while incorporating a consultative-sales approach.• 5 years of experience delivering quality outputs in a fast-paced and dynamic team environment where tight time frames and strict deadlines are the norm.• 5 years of experience in strategic business development and project management experience or similar related experience.• 5 years of experience in proficient utilization of PC in both spreadsheet and word processing desktop environment including software applications including Microsoft products.• 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 #LI-RemoteWe 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. Location : Address Remote Location : Country US

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. Pay Range USD $120,524.00 - USD $150,655.00 /Yr. Work Schedule Description (e.g. M-F 8am to 5pm) M-F 8am to 5pm Remote Work Notification ATTENTION: We are unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming. Overview Navitus Health Solutions is seeking a Manager, Government Clinical Services to join our Clinical Program Management department! The Manager, Government Clinical Services provides strategic vision and operational oversight of the department as well as direct management and leadership of clinical staff within the department. The Manager ensures prompt program execution, presents products to external and internal clients, and drives results in support of the corporate strategic plan. The Manager will have responsibility for the required clinical services and for driving outcome analysis initiatives to completion. The Manager, in coordination with the Program Manager of Government Clinical Services, oversees duties related to the development, implementation, outcomes reporting, and ongoing administration of Navitus' clinical programs, reports, and edits for Medicare and Medicaid populations while fostering a collaborative and cohesive team culture. Additionally, the Manager is responsible for the oversight and sharing of health outcomes, clinical measures, and utilization data used for program management and development. Is this you? Find out more below! Responsibilities How do I make an impact on my team? * Provide leadership, training, supervision, and strategic direction to department Pharmacists and Product Managers * Assist with the fiscal management of the department, including forecasting, budget development, staffing, and trending of programs, in support of Navitus' strategic and business initiatives * Lead the development of new clinical programs and manage the maintenance and continuous improvement of existing programs to keep innovation and evidence-based programs a differentiator for Navitus * Lead discussions with clients, members, providers, vendors, and internal staff regarding Medicaid and Medicare clinical services and outcomes * Provide clinical outreach to members, prescribers, and pharmacy providers to enhance care coordination * Serve as a key stakeholder and decision-maker on implementation of new Medicaid and Medicare clinical requirements * Have strong knowledge of current standards, regulations, and guidance including CMS, PQA, and HEDIS measures and have the ability to concisely communicate that information to stakeholders and clients * Assist Customer Care, Customer Success, and other internal customers in responding to and resolving pharmacy-related inquiries from Medicaid and Medicare members, clients, providers, or pharmacies * Assist the Residency Program Director with the accredited PGY1 Managed Care Residency Program * Assist the Customer Success, Implementation, and Government Programs teams with new Medicaid and Medicare implementations and with annual re-implementations, including support of the transition process to ensure clinical and operational functionality * Other duties as assigned Qualifications What our team expects from you? * A minimum of a bachelor's degree in pharmacy or Pharm D * Current unrestricted licensure as an RPh in the State of Wisconsin or the ability to gain reciprocity within four months of employment is required * Minimum five years clinical experience, or clinical/managed care pharmacy practice residency plus three years clinical experience * Knowledge of PBM industry, formulary management, clinical outcomes research, pharmacy claims, and managed care principles and practices desired * 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! 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. #LI-Remote Location : Address Remote Location : Country US

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. Pay Range USD $87,955.00 - USD $107,920.00 /Yr. Work Schedule Description (e.g. M-F 8am to 5pm) M-F 8am-5pm - Hybrid in Madison, WI Overview Navitus Health Solutions is seeking a Billing and Revenue Cycle Management Manager to join our Accounting department! The Manager, Billing and Revenue Cycle Management will direct, lead and oversees accounts receivable, customer invoicing, cash application, and collections management responsibilities and processes. The Manager will lead a team of Accountants and Accounting Coordinators responsible for Accounts Receivable and Billing functions. Is this you? Find out more below! Responsibilities How do I make an impact on my team? Oversee semi-monthly and weekly APAR billing cycles and ensure administrative invoices are generated and sent. Ensure all ancillary billings (eHealth, MTM, Co-Pay Max, PPC, etc.) are invoiced timely Act as primary Billing lead for all legacy billing processes, systems and functional enhancement requests Act as primary Finance lead for testing of APAR system and provide guidance and direction to associates assisting with this function Act as key Finance SME for business requirements and testing associated with ORMB and Finance Transformation projects Oversee TPA and broker commission calculations and payments Oversee Access Guidance sales and account management commission calculations; review and submit to Payroll for processing Supervise Late Payment analysis performed by Billing team on late paying clients and interest owed to NHS Review client credit requests from Account Management due to NHS setup errors and validate for accuracy. Lead the team to execute on the credit if approved Assist in monitoring performance guarantee exposure accruals Reconcile general ledger accounts and resolve reconciling differences Other duties as assigned Qualifications What our team expects from you? A Bachelor's Degree in Accounting or equivalent work experience required 6 years supervisory/management experience 5 years' experience in accounts receivable and collections Demonstrated experience with automated accounting systems and a high level of proficiency with spreadsheets Experience in the managed health care industry is preferred Demonstrated experience with accounting software is required 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 #LI-Hybrid 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. Location : Address 361 Integrity Drive Location : City Madison Location : State/Province WI Location : Postal Code 53717 Location : Country US

Company Lumicera About Us Lumicera - Lumicera Health Services Powered by Navitus - Innovative Specialty Pharmacy Solutions- Lumicera Health Services is defining the “new norm” in specialty pharmacy to optimize patient well-being through our core principles of transparency and stewardship. Here at Lumicera, our team members work in an environment that celebrates creativity and fosters diversity. Pay Range USD $19.60 - USD $23.06 /Hr. Work Schedule Description (e.g. M-F 8am to 5pm) M-F 7am to 7pm CT, Shifts vary Remote Work Notification ATTENTION: We are unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming. Overview Lumicera Health Services is seeking a Clinical Liaison to join our team! The Clinical Liaison will focus on integrating patient care and clinical coordination while leading the development, implementation and ongoing monitoring of programs and initiatives between to clinics and Lumicera Health Services. Is this you? Find out more below! Responsibilities How do I make an impact on my team? Work with both clinical and administrative departments to create a collaborative and professional relationship on behalf of Lumicera Health Services and SSM Specialty Pharmacy Serves as the liaison between the medical staff, outpatient pharmacies, insurance providers and patients to improve communication and continuity of care Communicate current and relevant prescription, insurance, and financial needs as they relate to appropriate pharmacists, providers, clinical support staff and patients Coordinate and support educational activities as requested Interacts with clinic employees, including but not limited to pharmacists, clinical staff, fiscal personnel, department managers, access services staff, coding staff, and billing assistants. External contacts include but are not limited to third party payers, manufacturers, prescription benefit management companies, external pharmacy personnel, and referring providers and their support staff The Employee will act in accordance with all applicable federal and state laws and with the highest ethical standards that we consistently strive to achieve. Thus, legal and ethical compliance is an essential duty of each employee Other duties as assigned Qualifications What our team expects from you? High school diploma or GED, some college preferred CPhT preferred Minimum of two years pharmacy support experience or healthcare environment experience preferred Ability to work scheduled hours, shifts may vary based on department needs. Hours of operation are 8am to 7pm Monday thru Thursday and 8am to 6pm on Friday 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 #LI-Remote 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. Location : Address Remote Location : Country US

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. Pay Range USD $20.44 - USD $24.33 /Hr. Work Schedule Description (e.g. M-F 8am to 5pm) M-F 8am-5pm, CST Remote Work Notification ATTENTION: We are unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming. Overview Due to growth, we are adding Sales Support Coordinator to our Sales and Marketing department. The Coordinator, Sales Support supports the client acquisition and retention efforts of Navitus Health Solutions by providing professional and timely support to the Navitus Sales team and other customers. The Coordinator, Sales Support supports day-to-day CRM activities and plays a key role in ongoing CRM maintenance and training as it pertains to Sales. Among other job responsibilities, this position supports the maintenance, development and distribution of a variety of sales collateral needs and works cross-functionally to ensure internal and external communications are produced, reviewed and distributed according to company standards. The Coordinator, Sales Support reports to the Sr. Manager, Growth Enablement & Logistics and interfaces with various individuals throughout the organization. The position requires strong project and time management skills, and attention to detail. Is this you? Find out more below! Responsibilities How do I make an impact on my team? Assist with the maintenance, development and distribution of standard and custom sales presentations and sales packets, as well as the distribution of other collateral needs. Support day-to-day CRM activities, including data entry, monitoring data integrity, pulling reports, and maintaining related documentation. Act as the point of contact for new business and assist Sales with entering information regarding the opportunity into CRM. Work with Legal on contract status updates to the Sales team on a biweekly basis. Complete research in preparation for upcoming meetings, conferences or outreach efforts. Assist with presentation production as required and provide a draft presentation for the MVP and review the final presentations for accuracy. Assist with completing value proposals. Updating and maintaining the Sales SharePoint site, Compass, as needed. Attend biweekly sales calls. Participate in, adhere to and support compliance and diversity, equity, and inclusion program objectives. Other duties as assigned. Qualifications What our team expects from you? High school diploma or GED, or equivalent, is required. Bachelor's Degree preferably in Marketing, Business or Communications or equivalent work-related experience may be considered. 1-3 years previous sales support experience required. Healthcare, insurance, pharmacy or other related industry experience preferred. Proficiency with Microsoft Dynamics CRM or similar CRM system preferred. Excellent oral and written communication skills, including the ability to confidently work with all levels including senior management and a wide variety of customers. 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 #LI-Remote 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.v Location : Address Remote Location : Country US