Post job

Navitus jobs

- 155 jobs
  • Sr. Executive Assistant II

    Navitus 4.7company rating

    Remote Navitus job

    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 $69,000.00 - USD $80,000.00 /Yr. STAR Bonus % (At Risk Maximum) 5.00 - Salaried Non-Management except pharmacists Work Schedule Description (e.g. M-F 8am to 5pm) Standard work hours of 8am to 5pm central, with additional work as business needs require. 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 The Sr. Executive Assistant II will be responsible for executive level administrative support to the Vice President or Senior Vice President(s) within Navitus. The position requires excellent administrative and organizational skills, handling of the highest level of confidential information, and good public relations. This individual will exercise discretionary powers and independent judgment that directly support management activities daily and perform tasks under only general supervision. Is this you? Find out more below! Responsibilities How do I make an impact on my team? Support the VP or SVP(s) with schedules, telephone, email, filing and document organization, meeting preparation and follow up Prepare presentations, presentation slides and documents, and presentation support materials Maintain positive communications and rapport throughout the organization Assist VP or SVP(s) in ensuring enterprise-wide adherence to policies, procedures, compliance regulations, and other processes Assist all management and employees as a resource in areas of responsibility Organize and maintain a central corporate repository of documents and files Deal with multiple tasks daily, including prioritization and successful execution/resolution Prepare agenda and compile minutes as required for leadership meetings Conduct projects and participate in team activities to identify problems and improve work processes and systems Other duties as assigned Qualifications What our team expects from you? Minimum of High School Diploma or GED with at least eight years of related work experience or a bachelor's degree with at least three years of related work experience Experience in a corporate pharmacy, health care, or insurance setting preferred PowerPoint, Word, Excel software proficiency required Must be well organized, dedicated to quality, service oriented, and possess the ability to analyze and implement process improvements Participate in, adhere to, and support compliance program objectives The ability to consistently interact cooperatively and respectfully with other employees Location : Address Remote Location : Country US
    $69k-80k yearly Auto-Apply 10d ago
  • Sr. Content Editor

    Navitus 4.7company rating

    Remote Navitus job

    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 $69,627.00 - USD $83,888.00 /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 8am to 5pm 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 Due to growth, we are adding a Senior Content Editor to join our team! The Senior Content Editor role designs and owns the architecture for the overall proposal content knowledgebase used to support the client acquisition and retention efforts of Navitus Health Solutions (Navitus). This position works cross-functionally at a variety of levels to craft, maintain and expand digital content while improving proposal quality and team productivity. The Senior Content Editor ensures regular reviews of the knowledgebase and data integrity. Requires the ability to take complex concepts and translate them into a defined style that clearly and accurately articulates Navitus' value proposition. This position requires strong communication skills and a high proficiency with content data libraries and document automation software. Is this you? Find out more below! Responsibilities How do I make an impact on my team? Seek and build best-in-class content that easily integrates into proposals and other sales related documents for various markets (e.g. health plans, government, national accounts, mid-market employers). Oversee the accuracy, organization and formatting of library content to keep the proposal knowledgebase current, competitive and usable by the proposal team. Collaborate with Subject Matter Experts (SMEs) to convert complex and varying explanations into concise and compelling value propositions and proof points consistent with Navitus' brand/style guide and sales strategy. Identify gaps in the knowledgebase and ensure timely updates of all content positioning and related exhibits through regular content audit reviews. Work collaboratively with those contributing to and/or drawing from the knowledgebase, such as proposal team members, executives, management teams, business units, partners, and SMEs. Serve as a proposal content knowledgebase expert by communicating important updates related to processes, messaging and content management, including SME list management, training and alignment. Serve as a proposal automation software expert to all users in the company. This includes adding new users to the system, providing new user training materials and providing subsequent navigation assistance as needed. Maintain a high level of proficiency with the knowledgebase system and apply new functionality to improve how content is organized, updated and accessed. Contribute to the department goal of improved efficiency and effectiveness by implementing processes to streamline proactive creation. Consult system reporting and analytics to gain insights into content preparation and usage to inform training opportunities and improvement efforts. Other duties as assigned Qualifications What our team expects from you? A minimum of a bachelor's degree, preferably in English, Journalism or a Communications-related field, or equivalent related experience required. Minimum of four years of experience writing and managing content. Experience with proposals in the pharmacy benefit management or health insurance industry is preferred. Demonstrated experience supporting a proposal knowledgebase and related processes. 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
    $69.6k-83.9k yearly Auto-Apply 54d ago
  • Inventory Analyst

    Maxor National Pharmacy Services 4.4company rating

    Remote job

    The growing Accounting and Finance department are looking for an Inventory Analyst to join the VytlOne team. Under general supervision, the Inventory Analyst is responsible for assisting with inventory record management, data analysis , inventory levels optimization, and various reconciliations. Position Location This is a remote-based position within the Continental US. Who We Are VytlOne is the nation's only independent, fully integrated total pharmacy solutions partner. We lead with integrity, offering mission-driven hospitals, health systems, health centers, and employer partners a smarter way to unlock revenue, growth, and better outcomes. Our innovative model combines customized pharmacy management, 340B program expertise, specialty pharmacy, and PBA/PBM solutions-delivering excellence through tailored strategies and collaborative partnerships. At VytlOne, we're not just transforming pharmacy-we're making a purposeful impact on the communities we serve. Why Choose a Career at VytlOne? At VytlOne, our purpose is at the heart of everything we do. People join us not just for a job, but to be part of something bigger-where their work truly matters. We foster a culture of authenticity, where you're encouraged to be yourself and a place to grow, collaborate and make an real difference. With over 1,600 passionate professionals across nearly every U.S. state, we operate as One Team, united by a bold mission and a spirit of innovation. Here, you'll find a place where your ideas are heard, your contributions are valued, and your career can thrive. Responsibilities Review and analyze daily and weekly inventory adjustment records. Collect, enter, and analyze inventory data in ERP system. Coordinate a cycle count program in a perpetual inventory environment. Reconcile and track expired returns for multiple sites. Perform data analysis and written audits of returns processes, inventory movement analysis and other procedures. Provide requested inventory audit materials for both internal and external auditors. Perform thorough research and document inventory discrepancies using all available resources to identify root causes and suggest possible solutions. Work with key personnel to research and review operational procedures in an effort to proactively optimize item level accuracy and maintain the highest possible productivity levels at multiple locations. Coordinate cycle counts to identify and correct discrepancies at each location as needed. Provide relevant and timely information to various departments within the organization regarding vendors, product details, deliveries, etc. Check invoice discrepancies involving vendors. Correct, approve, and return to accounting for resolution in a timely manner. Assist with resolving vendor disputes. Prepare sales, projection, and other ad-hoc reports for use by management. Must be able to cope with the mental and emotional stress of the position. Promptly report allegations of impropriety to the Compliance Department. Comply with VytlOne's Ethical Business Conduct policy and VytlOne's Compliance Program. Remain free from exclusion under the OIG and SAMS Medicare/Medicaid lists. Complete required training, as assigned, within the established timeframes. Maintain regular attendance in accordance with VytlOne's policies. Perform other job-related duties as required. Qualifications Education: Bachelor of Business Administration in Finance or Accounting Experience: 3-5 years of related experience as an analyst with a background in inventory analysis, demand planning, or financial analysis required Pharmacy background helpful Knowledge, Skills, and Abilities: Experience with Microsoft Office and Outlook including advanced knowledge of Excel e.g., pivot tables, nested functions, external connections to databases Experience with Great Plains preferred Knowledge of inventory systems and processes Detail Oriented with strong organizational skills Strong problem-solving skills Strong initiative and willingness to manage multiple projects Ability to perform SQL queries Ability to complete projects timely and accurately Ability to work well with others in a fast-paced, dynamic environment Proven ability to communicate clearly, effectively, and tactfully (both written and verbal) WE OFFER At VytlOne we offer a diverse and inclusive work culture that supports a flexible work model in a collaborative, innovative team-oriented environment. You'll work with a mission-driven organization focused on improving healthcare outcomes. Enjoy competitive compensation, a comprehensive health benefits package, and a supportive team environment including: Comprehensive mental health and wellbeing resources Nationwide Blue Cross Blue Shield PPO with employee-friendly plan design, including a $850 individual annual medical deductible and $25 office visit copays, with low biweekly premiums Company-paid basic life/AD&D, short-term and long-term disability insurance Rx, dental, vision, other voluntary benefits, and FSA Employer-matched 401k Plan Industry-leading PTO plan And more! Join us and help build the future of pharmacy care - better outcomes, stronger margins, and healthier communities. FOR MORE INFORMATION: VytlOne Website VytlOne LinkedIn VytlOne (formerly Maxor) is an EOE, including disability/vets
    $47k-67k yearly est. Auto-Apply 18h ago
  • Director, Underwriting and Actuarial

    Navitus Health Solutions 4.7company rating

    Remote Navitus Health Solutions job

    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 $128,961.00 - USD $170,000.00 /Yr. STAR Bonus % (At Risk Maximum) 15.00 - Director, GM of GP, PIC Work Schedule Description (e.g. M-F 8am to 5pm) M-F 8am-5pm, CT 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 Due to growth, Navitus Health Solutions is seeking a Director of Underwriting and Actuarial to join our team! The Director, Underwriting and Actuarial is responsible for guiding the actuarial and financial analytics, assumptions, and modeling to support the strategic objectives of Navitus. This leader directs the development, implementation, and monitoring of pricing models and strategies, financial forecasts, trend analytics, and risk modeling for all lines of business, including Medicare, Medicaid, Commercial, Self-Funded, EGWP, and Exchange products. The Director, Underwriting and Actuarial works collaboratively with executive leadership, underwriting, clinical, and operations teams to ensure that Navitus' products are competitive, financially sound, and aligned to client, market, and organizational strategic needs. This role also involves managing and mentoring a team of actuaries and analysts, fostering their professional growth and actuarial acumen, delivering high quality actuarial work. Is this you? Find out more below! Responsibilities How do I make an impact on my team? Serves as a primary point of contact for clients that utilize Navitus' actuarial services for pharmacy benefits cost forecasting and management. Participates in new business development activity with prospective clients as the lead subject matter expert for actuarial services offered by Navitus. Provides oversight, guidance, and models to facilitate the actuarial analysis needed to develop financial projections for alternative plan designs. Supports Finance projections of long-term revenues and profitability by LOB and client. Provides oversight, guidance, and models to analyze population and other changes to determine the impact on projected costs for a book of business. Understands drug trends, new drug pipelines, patent expirations, and other factors to guide best estimate thinking around projected trend. Contributes to the analytics strategy for the organization, working with leaders in Analytics, Sales Financial Support, and Underwriting. Leads development efforts of Navitus Health Solutions pricing and risk models. Ensures that those responsible for managing care and cost outcomes have the clinical and financial data needed to inform the development of strategies designed to manage care and cost outcomes for defined populations. This includes consideration of payer requirements that drive drug pricing and rebates. Establishes actuarial policies and standards that ensure effective controls and compliance with all applicable statutory, regulatory, professional, and corporate standards and regulations. Develops, leads, and guides the actuarial function for the organization, ensuring that the team meets client needs and that expenses are managed within budget. Participates in, adheres to and supports compliance, people and culture, and learning programs. Performs other duties as assigned. Qualifications What our team expects from you? Education: Bachelor's degree in Mathematics, Statistics, Actuarial Science, or a related field required. Certification/Licenses: Associate of the Society of Actuaries required. Fellowship preferred. Experience: 5+ years of progressive actuarial experience (preferably in Health Insurance, pharmacy benefits management, or comparable capacity) required. Experience in more than 2 functions (pricing, reserving, modeling, reporting and analysis) required. 5+ years of underwriting experience in a Pharmacy Benefit Management, Managed Care, or adjacent setting. Experience across multiple product offerings including Medicare, Medicaid, Commercially Insured, and Administrative Service only products required. 5 years of leadership experience managing people and work product for an actuarial team required. Experience in influencing leaders at a variety of levels and build consensus required. 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
    $129k yearly Auto-Apply 11d ago
  • Payor Contracting Specialist

    Maxor National Pharmacy Services 4.4company rating

    Remote or Plano, TX job

    The Payor Contracting Specialist will perform a variety of administrative functions for VytlOne's owned and managed pharmacies. This include the completion and tracking of pharmacy agreements, credentialing forms, surveys, pharmacy requests and inquiries as well as ongoing maintenance of departmental documents. The Payor Contracting Specialist will be a self-motivator and provide problem solving, auditing, reporting, and process recommendations for optimal departmental outcomes. Position Location This is a remote-based position within the Continental US. Who We Are VytlOne is the nation's only independent, fully integrated total pharmacy solutions partner. We lead with integrity, offering mission-driven hospitals, health systems, health centers, and employer partners a smarter way to unlock revenue, growth, and better outcomes. Our innovative model combines customized pharmacy management, 340B program expertise, specialty pharmacy, and PBA/PBM solutions-delivering excellence through tailored strategies and collaborative partnerships. At VytlOne, we're not just transforming pharmacy-we're making a purposeful impact on the communities we serve. Why Choose a Career at VytlOne? At VytlOne, our purpose is at the heart of everything we do. People join us not just for a job, but to be part of something bigger-where their work truly matters. We foster a culture of authenticity, where you're encouraged to be yourself and a place to grow, collaborate and make an real difference. With over 1,600 passionate professionals across nearly every U.S. state, we operate as One Team, united by a bold mission and a spirit of innovation. Here, you'll find a place where your ideas are heard, your contributions are valued, and your career can thrive. Responsibilities Timely and accurately complete new and renewing contract documents. Able to work independently with minimal supervision. Coordinate with management and other stakeholders on all new payor contracts for possible negotiations and rate validation. Ensure ongoing maintenance of departmental database and demographic information for all pharmacies and their contracts. Conduct ongoing follow-up and status updates of pending tasks. Communicate effectively with external and internal departments. Timely complete and submit required contractual agreements and documents as needed. Ensure that all contractual documents are recorded and saved according to departmental policies. Establish and maintain strong work relationships with both external and interdepartmental staff. Maintain regular attendance in accordance with policies. Willingness to work outside the box and open to change for the betterment of the department. Assist with the development, maintenance, and enforcement of departmental policies and procedures. Able to follow direction with minimal ongoing support and apply knowledge to new situations. Qualifications Education: High School Diploma or equivalent; Bachelor's Degree preferred. Experience: Experience in pharmacy contracting, insurance, or other business-related environment. Basic knowledge of contracts, third party insurance, and claims processing is preferred. Knowledge, Skills, and Abilities: Proficiency in Microsoft Word, Excel, Outlook, PDF Software and other management tools. Motivated to quickly learn and demonstrate strong problem-solving skills. Strong project management and multitasking skills. Excellent interpersonal and communication skills. Strong writing skills and attention to detail. Strong organizational skills and ability to be attentive to details. Firm understanding of pharmacy contacting processes. WE OFFER At VytlOne we offer a diverse and inclusive work culture that supports a flexible work model in a collaborative, innovative team-oriented environment. You'll work with a mission-driven organization focused on improving health-care outcomes. Enjoy competitive compensation, a comprehensive health benefits package, and a supportive team environment including: Comprehensive mental health and wellbeing resources Nationwide Blue Cross Blue Shield PPO with employee-friendly plan design, including a $850 individual annual medical deductible and $25 office visit copays, with low biweekly premiums Company-paid basic life/AD&D, short-term and long-term disability insurance Rx, dental, vision, other voluntary benefits, and FSA Employer-matched 401k Plan Industry-leading PTO plan And more! This position offers an hourly rate ranging from $25-$31/hour, based on experience and qualifications. Join us and help build the future of pharmacy care - better outcomes, stronger margins, and healthier communities. FOR MORE INFORMATION: VytlOne Website VytlOne LinkedIn VytlOne (formerly Maxor) is an EOE, including disability/vets
    $25-31 hourly Auto-Apply 19d ago
  • Principal Engineer / Architect

    Home Infusion Solutions 4.6company rating

    Remote job

    About the Role Home Solutions is seeking a Vice President / Principal Software Engineer and Architect to lead the vision, architecture, and hands-on development of the critical systems that power our fast-growing business. You will be a senior technical leader within the organization - defining architecture, building modern, scalable systems, guiding engineering excellence, and solving the highest impact technical problems in our stack. This is a highly impactful role at the intersection of back-end engineering, enterprise architecture, data systems, cloud infrastructure, and AI-driven automation. Your Day-to-Day Architecture, Technical Strategy & Roadmap: Lead and define the architecture of our backend systems, ensuring they scale with the needs of the business. Architect and guide the build of marketing technologies, predictive systems, and intelligent decisioning engines supporting the home-services consumer journey. Own and evolve core backend systems, including: Lead Management Platform (intelligent routing, partner integrations, auctions) Ad Targeting & Conversion Upload Systems (real-time pipelines optimizing platform feedback loops) Oversee infrastructure, codebases, and data flows across lead management, conversion upload systems, and backend integrations. Drive technical strategy and roadmap creation across backend engineering and integrations. Collaborate with data engineering and front-end teams. Partner with business, product, and data leaders to ensure systems meet performance, reliability, and scalability goals. Serve as a strategic thought partner to evaluate new technologies, architecture patterns, and long-term platform investments. Hands-On Principal Engineering Leadership: Demonstrate deep technical expertise by designing and building high-scale, high-reliability systems. Implement scalable services using modern languages and frameworks (e.g., Elixir Phoenix, Python, JavaScript/TypeScript). Build cloud-native systems leveraging modern DevOps and AWS practices: IaC, CI/CD, identity management, observability, cost-optimized service design. Integrate predictive models, decisioning frameworks, and real-time data pipelines into mission-critical workflows. Apply an AI-superuser mindset - using AI-driven tooling, automation, and workflows to accelerate engineering output and quality. Take ownership of complex problems and deliver high-impact solutions with speed, clarity, and craftsmanship. Mentor, Develop, and Champion Excellence: Shape a culture of engineering excellence while growing and guiding a high-performing team. Mentor a team of software and data engineers, supporting their technical growth and delivery. Establish and uphold best practices for testing, code quality, automation, security, and system reliability. Provide architectural guidance, conduct deep technical reviews, and support engineers in making strong, scalable design decisions. Foster a mindset of high ownership, continuous improvement, and operational excellence across the engineering team. Create clarity in technical decision-making and help maintain a fast-paced, accountable environment. About You You are a senior technical leader with a continuous improvement mindset and a passion for architecting and building modern, scalable systems. 8+ years of engineering experience with increasing architectural and technical leadership responsibility. Significant experience designing and owning enterprise tech stacks for high-growth or complex digital businesses. Deep expertise in backend engineering, distributed systems, and modern API protocols. Experience with cloud infrastructure design in AWS. Programming expertise in languages such as Elixir, Python, PHP, JavaScript/TypeScript. Strong communicator able to partner effectively with Product, Data Science, and business stakeholders. Comfortable owning ambiguous, high-impact problems and driving them to completion. Proactive risk mitigation mindset with high urgency when critical issues arise. Motivated by autonomy, craftsmanship, and leveraging automation or AI to deliver better, faster outcomes. Nice to have: Data Architecture and Engineering Experience. Experience building or integrating modern data warehouses and pipelines (Postgres, Airflow, Fivetran). Strong SQL skills and experience with PostgreSQL and high-volume transactional systems. About Us Launched Fall 2017, Home Solutions targets the rapidly digitizing home services vertical and matches homeowners with the right service provider to meet their needs. Through our websites, Home Solutions has a proprietary audience of 47M+ homeowners and prime real estate in search engines. We are on a mission to make homeownership easier by creating high quality content that pairs consumers with providers in a range of related categories. Home Solutions was incubated within Three Ships, a growth equity firm that launches and invests in digital companies, builds great leadership teams, and helps them rapidly scale. The Three Ships portfolio currently includes several businesses - Home Solutions, Pillar 4, and Guardian Service. Why You Should Join Us Results: Home Solutions is the fastest-growing marketplace company in the home services category. Opportunity: Home services is a $600 billion market that largely still operates like it's 1999. During the next decade, we anticipate a huge digital transformation in the category, and marketplace companies will lead the way. Ownership & Impact: We seek talented people with the desire to own and run parts of the business that drive company performance. Leadership is fully aligned and incentivized around our growth-focused mission. Exposure & Learning: You will have a front-row seat in growing a business. Your teammates have built and sold companies, managed 100s of employees, and run campaigns with Fortune 500 brands. The opportunity to build new skills and learn from smart people is endless. Career Growth: There is no cap on growth, promotions, or the opportunity to own and put your stamp on important projects. Prove your value and you will be rewarded accordingly. Fun: The team has a high bar for excellence, but also a real interest in each other and making work fun The Package As a full-time employee of Home Solutions, you'll have access to competitive benefits, including flexible time off, health/dental/vision, 401k match, an annual Relax & Recharge Bonus, an annual Learning & Development stipend to enroll in class(es) of your choosing, and up to $75 mobile reimbursement. If you join us in person in our Raleigh or Charlotte locations, we have an office stocked with snacks, coffee, and just about every other beverage you can imagine. EEOC Statement All applicants are considered without regard to race, color, religion, sex, national origin, age, disability, veteran status, gender identity, or any other discriminatory factors. Please note that we do not provide immigration sponsorship for this role. All offers are subject to a background check.
    $114k-165k yearly est. Auto-Apply 10d ago
  • Intake Specialist I

    Navitus 4.7company rating

    Remote Navitus job

    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. .______________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at ************************************ to be considered for internal opportunities. Pay Range USD $20.00 - USD $21.96 /Hr. STAR Bonus % (At Risk Maximum) 0.00 - Ineligible Work Schedule Description (e.g. M-F 8am to 5pm) 6am CST to 7pm, CDT Remote Work Notification ATTENTION: Lumicera is unable to offer remote work to residents of Alaska, Connecticut, Delaware, Hawaii, Kansas, Kentucky, Maine, Massachusetts, Mississippi, Montana, Nebraska, New Hampshire, New Mexico, North Dakota,Rhode Island, South Carolina, South Dakota, Vermont, West Virginia, and Wyoming. Overview Due to growth we are adding an Intake Specialist to our team! Under direction from the Assoc. Manager, Patient Support Services and pharmacists in the Specialty Pharmacy, the Intake Specialist I is primarily responsible for enrolling new Specialty Pharmacy patients and ensuring that all pertinent patient information is contained within the record. Patient information shall include demographics, allergies, medication history, comorbidities, and payer information. The Intake Specialist I's main objective is to place phone calls to new and existing patients, answer phone calls and contact the doctors and patients via fax or phone or other communication means. The Intake Specialist I is also responsible for accurately translating prescription information and all other information obtained to dispense the medication into the pharmacy dispensing software. The Intake Specialist I may also be responsible for obtaining information and assisting providers and insurance companies in triaging prior authorizations for patients of the specialty pharmacy. The Specialty Pharmacist is accountable for verifying the prescription entry. This position will function with and assist any other area in the facility as needed regarding pharmacy technician type duties. Is this you? Find out more below! Responsibilities How do I make an impact on my team? * Responsible for placing phone calls to new and existing Specialty Pharmacy patients * Responsible for enrolling patients into specialty services which may include, patient care management, copay assistance programs, and billing information * Responsible for answering the inbound calls from patients, prescribers, and other healthcare professionals * Responsible for contacting doctors to obtain necessary information * Responsible for managing the assigned workflow queues * Responsible for accurate and thorough documentation of information and prescription order set up * 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 * National CPhT and/or registration/licensure required per employee's residing state's requirements * Minimum 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 Lumicera? • 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 Location : Address Remote Location : Country US
    $20-22 hourly Auto-Apply 60d+ ago
  • Associate Account Executive

    Medimpact Healthcare Systems 4.8company rating

    Remote job

    Exemption Status:United States of America (Exempt)$85,356 - $115,232 - $145,107 “Pay scale information is not necessarily reflective of actual compensation that may be earned, nor a promise of any specific pay for any selected candidate or employee, which is always dependent on actual experience, education, qualifications, and other factors. A full review of our comprehensive pay and benefits will be discussed at the offer stage with the selected candidate.” This position is not eligible for Sponsorship. MedImpact Healthcare Systems, Inc. is looking for extraordinary people to join our team! Why join MedImpact? Because our success is dependent on you; innovative professionals with top notch skills who thrive on opportunity, high performance, and teamwork. We look for individuals who want to work on a team that cares about making a difference in the value of healthcare. At MedImpact, we deliver leading edge pharmaceutical and technology related solutions that dramatically improve the value of health care. We provide superior outcomes to those we serve through innovative products, systems, and services that provide transparency and promote choice in decision making. Our vision is to set the standard in providing solutions that optimize satisfaction, service, cost, and quality in the healthcare industry. We are the premier Pharmacy Benefits Management solution! Job Description Summary The Associate Account Executive is responsible for providing support and assistance to the assigned Account Executive (AE) while contributing toward strong, positive client relationships by ensuring customer satisfaction, growth, and retention for startup. Effectively contributes to service delivery regarding strategic plans on a day-to-day basis, focusing on service, revenue and operational efficiency initiatives. Essential Duties and Responsibilities include the following. Other duties may be assigned. Provides client support services to clients and AE(s) in pursuit of the strategic goals of assigned client(s) and the respective Business Unit. Provides internal oversight and tracking of projects and client initiatives to include implementation support of new groups. Supports the RFP response process for client's prospective groups, as well as coordination with Proposals and other internal teams as necessary to include completion of Account Renewal Forms, when applicable. Supports the AE with service contract process to ensure accurate and timely invoicing to assigned clients. Participates in benefit fairs as needed to support client's sales initiatives to new groups. Assists with tracking and monitoring of client performance guarantees to include facilitation of root-cause analysis and corrective action plans. Working under the oversight of the Account Executive, assists with creation of internal and external presentations in support of client initiatives, projects and quarterly business and financial reviews. Tracks the delivery of contractual reporting requirements to clients as assigned. Assists AE with the contract document requests process for Non-Disclosure Agreements, Amendments, Work Orders, Exhibits, and notifications. Assists with monitoring client financial performance of client's group business by utilizing internal pro-forma financial tools and forums. Builds strong and positive internal relationships with the account service matrix team in order to ensure service excellence and client retention. Coordinates with MedImpact subject matter experts to increase knowledge of MedImpact products, services, and industry information to be incorporated into client solutions, as necessary. Provides preparation and support for client business planning meetings, quarterly and annual business and financial review meetings, client leadership meetings, and internal team strategy planning discussions (as needed). Assists with client meeting preparation, including scheduling, agenda preparation, facilitating printing and shipping of meeting materials with marketing and meal ordering. Serves as back-up for internal and external meetings when the AE is not available. Supervisory Responsibilities No supervisory responsibilities Client Responsibilities This is an internal and external client facing position that requires excellent customer service skills and interpersonal communication skills (listening/verbal/written). One must be able to; manage difficult or emotional client situations; Respond promptly to client needs; Solicit client feedback to improve service; Respond to requests for service and assistance from clients; Meet commitments to clients. Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Education and/or Experience BS/BA and 7+ years' experience or equivalent combination of education and experience, and 4 years of SME in respective areas Computer Skills Intermediate to advanced skill set in MS Office; Word, Excel, PowerPoint, Project and Outlook. Certificates, Licenses, Registrations None Required. Other Skills and Abilities Outstanding knowledge of the health benefits arena, preferably in pharmacy benefits management “PBM” or other managed healthcare services to national and regional managed care organizations, insurance companies, and other health related entities. Project management experience and experience with project reporting and status updates Reasoning Ability Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to define problems, collect data, establish facts, and draw valid conclusions. Mathematical Skills Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume. Ability to apply concepts of basic algebra and geometry. Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs. Language Skills Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public. Competencies To perform the job successfully, an individual should demonstrate the following competencies: Composure Decision Quality Organizational Agility Problem Solving Customer Focus Drive for Results Peer Relations Time Management Dealing with Ambiguity Learning on the Fly Political Savvy Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this Job, the employee is regularly required to sit and talk or hear. The employee is regularly required to stand; walk; use hands to finger, handle, or feel and reach with hands and arms. The employee must occasionally lift and/or move up to 25 pounds. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. This position may regularly be exposed to or encounter moving mechanical parts, high, precarious places, fumes or airborne particles, toxic or caustic chemicals, outdoor weather conditions, risk of electrical shock or vibration. The noise level in the work environment is usually moderate (examples: business office with computers and printers, light traffic). Work Location This position works on-site at the San Diego Headquarters or other company location (or from a remote location with management approval based on business requirements). Must provide adequate support to internal clients; be available for regular interactions and coordination of work with other employees, colleagues, clients, or vendors; as well as be available to facilitate effective decisions through collaboration with stakeholders. Working Hours This is an exempt level position requiring the incumbent to work the hours required to fully accomplish job responsibilities and reasonably meet deadlines for work deliverables. The individual must have the flexibility to work beyond traditional hours and be able to work nights, at weekends or on holidays as required. Work hours may be changed from time to time to meet the needs of the business. Typical core business hours are Monday through Friday from 8:00am to 5:00pm. Travel This position requires domestic travel of up to 10% of the time. The Perks: Medical / Dental / Vision / Wellness Programs Paid Time Off / Company Paid Holidays Incentive Compensation 401K with Company match Life and Disability Insurance Tuition Reimbursement Employee Referral Bonus To explore all that MedImpact has to offer, and the greatness you can bring to our teams, please submit your resume to ************************* MedImpact, is a privately-held pharmacy benefit manager (PBM) headquartered in San Diego, California. Our solutions and services positively influence healthcare outcomes and expenditures, improving the position of our clients in the market. MedImpact offers high-value solutions to payers, providers and consumers of healthcare in the U.S. and foreign markets. Equal Opportunity Employer, Male/Female/Disabilities/VeteransOSHA/ADA: To perform this job successfully, the successful candidate must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Disclaimer: The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.
    $85.4k-115.2k yearly Auto-Apply 29d ago
  • Pharmacist, Clinical Consultation

    Navitus 4.7company rating

    Remote Navitus job

    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. .______________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at ************************************ to be considered for internal opportunities. Pay Range USD $110,000.00 - USD $122,980.00 /Yr. STAR Bonus % (At Risk Maximum) 7.50 - Pharm, Supvr, AsMgr, SrCSEII, PrgMgr, SrPrgMgr, SrProdMgr Work Schedule Description (e.g. M-F 8am to 5pm) 10:30am-7pm M-Th, 9:30am-6pm F in CT Remote Work Notification ATTENTION: Lumicera is unable to offer remote work to residents of Alaska, Connecticut, Delaware, Hawaii, Kansas, Kentucky, Maine, Massachusetts, Mississippi, Montana, Nebraska, New Hampshire, New Mexico, North Dakota,Rhode Island, South Carolina, South Dakota, Vermont, West Virginia, and Wyoming. Overview Due to growth, we are adding a Pharmacist, Clinical Consultation to our Specialty Pharmacy Clinical Services department. The main duty of the Pharmacist, Clinical Consultation is to perform telephonic consultations with patients regarding the use of their specialty medication and management of their disease state. The Pharmacist, Clinical Consultation will perform medication reconciliation, screen for potential drug interactions, and provide side effect management recommendations. Additional tasks for this role include interpreting physicians' prescriptions, contacting prescribers for prescription clarification, and expediting the processing of orders. The individual in this position will be expected to meet department production metrics and service levels, support quality standards, resolve patient issues, and vary work priorities and activities to accommodate business needs. The Pharmacist, Clinical Consultation works independently with minimal guidance and represents the organization using patient-centered care to enhance the patient experience. Is this you? Find out more below! Responsibilities How do I make an impact on my team? Provide patient education through telephonic consultations for patients of the specialty pharmacy in accordance with Lumicera's Patient Management Program. The consultations will focus on effective assessment and communication of disease state management, side effect mitigation strategies, administration of medication, appropriate storage, and therapeutic appropriateness, following patient-centered care model. Answer clinical questions from patients and caregivers. Provide detailed clinical documentation of patient consultations and interventions in pharmacy software system in compliance with internal policies and procedures and external regulatory bodies (such as URAC). Interpret and clinically evaluate prescriptions for specialty medications based on available information and resources. Contact providers and/or patients to verify information related to prescriptions such as drug strength, intended directions, and diagnosis to expedite processing of orders. Verify and confirm validity of controlled substances. Contact physicians for new prescriptions, consult with physicians and nurses regarding pharmaceutical questions, and contact pharmacies for prescription transfers. Work with physicians to convert prescriptions to generic, biosimilar, or preferred drugs whenever possible. Verify prescription information entered in the system by order entry. Answer clinical questions from the pharmacy team. Adapt to new workflows and processes. Solve unique pharmaceutical problems. Stay current with advancements in specialty pharmacy therapies, including new drug approvals and specialty disease state treatment guidelines. Back up other pharmacists as needed; train less experienced pharmacists. Document and report medication errors per company policies and procedures. Facilitate error reduction and prevention methods based off quality department and ISMP standards. Act in accordance with all applicable federal and state laws and with the highest ethical standards that we consistently strive to achieve. Other duties as assigned Qualifications What our team expects from you? Graduate of an ACPE Accredited School of Pharmacy with a B.S. Pharmacy or PharmD degree. Current, unrestricted pharmacist license in state of residence; must continually obtain education credits to maintain active licensure. At least two years of experience as a practicing licensed Pharmacist preferred. Strong clinical background required. Experience and/or strong understanding of Specialty Pharmacy medications desirable. 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 Lumicera? 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
    $110k yearly Auto-Apply 33d ago
  • Supervisor, Claim Adjudication Operations

    Navitus 4.7company rating

    Remote Navitus job

    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 $61,968.00 - USD $74,660.00 /Yr. STAR Bonus % (At Risk Maximum) 7.50 - Pharm, Supvr, AsMgr, SrCSEII, PrgMgr, SrPrgMgr, SrProdMgr Work Schedule Description (e.g. M-F 8am to 5pm) M-F 8am to 5pm 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 a Supervisor, Claim Adjudication Operations to join our team! The Supervisor, Claim Adjudication Operations (CAO) ensures efforts are in alignment with the CAO team to leverage technology and process improvement for the purpose of meeting the business needs of Navitus customers, clients, members and pharmacies by accurately administering benefits. This role will plan, design, coordinate and align resources to support the daily activities of the team. The Supervisor, CAO role will work closely with their team to identify, recommend, develop, implement, support, and improve customer-focused solutions. Is this you? Find out more below! Responsibilities How do I make an impact on my team? Oversee roles within the Claim Adjudication Operations department to support accurate and timely configuration and data transfers of client hierarchy, benefits, and networks. Provide superior customer service utilizing a high-touch, customer centric approach focused on collaboration and communication. Outreach and collaborate with CAO customers/partners for day-to-day work and contribute to action plan creation. Oversight of work on Kanban boards, meeting turnaround times and performance guarantees. Run department Kanban board(s) and huddles, including sizing of work requests. Resource assignment of day-to-day work, audits, and root cause analysis/CAP. Perform 1:1s to elicit feedback from department associates, provide mentorship, discuss career development, address performance, and provide workload and project guidance. Perform workforce management duties for direct reports, including, but not limited to, overtime needs, time out of the office and time tracking. Apply soft skills toward team members and external stakeholders alike in understanding every point of view and coming to the table with good negotiation skills. Must have the ability to work with different personalities across all departments and understand their point of view to communicate accordingly. Adhere to department level objectives to ensure alignment with division and company strategic initiatives. 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? Bachelor's degree or equivalent work experience is required. 4 years of experience required. Knowledge of one or more responsibilities as defined above is strongly preferred. Professional PBM 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. Understanding of human resource management principles, practices, and procedures would be 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 Educational Assistance Plan and Professional Membership assistance Referral Bonus Program - up to $750! #LI-Remote Location : Address Remote Location : Country US
    $62k-74.7k yearly Auto-Apply 40d ago
  • Manager of Mac and Process Development

    Maxor National Pharmacy Services 4.4company rating

    Remote or Plano, TX job

    The Manager of MAC and Process Development is responsible for Maximum Allowable Cost(MAC) / network pricing strategy as well as the execution, implementation, and optimization of current, new, and future MAC / pricing innovation. Will lead complex financial modeling and process development to create business insight, quality assurance, and execution to achieve departmental goals. In partnership with other team leaders and members, develop reimbursement strategy, execute on network pricing, create standard and customized pharmacy network reports, and oversee client / pharmacy analytics including network disruption, geo-access reporting, and Network compliance including NCPDP validation. Develop capabilities specifically targeted to achieve the efficient and effective application of the company's products and services toward the achievement of total cost savings and improved health outcomes for the company's clients and their members. Who We Are VytlOne is the nation's only independent, fully integrated total pharmacy solutions partner. We lead with integrity, offering mission-driven hospitals, health systems, health centers, and employer partners a smarter way to unlock revenue, growth, and better outcomes. Our innovative model combines customized pharmacy management, 340B program expertise, specialty pharmacy, and PBA/PBM solutions-delivering excellence through tailored strategies and collaborative partnerships. At VytlOne, we're not just transforming pharmacy-we're making a purposeful impact on the communities we serve. Why Choose a Career at VytlOne? At VytlOne, our purpose is at the heart of everything we do. People join us not just for a job, but to be part of something bigger-where their work truly matters. We foster a culture of authenticity, where you're encouraged to be yourself and a place to grow, collaborate and make an real difference. With over 1,600 passionate professionals across nearly every U.S. state, we operate as One Team, united by a bold mission and a spirit of innovation. Here, you'll find a place where your ideas are heard, your contributions are valued, and your career can thrive. Position Location This position is a remote based position within the Contintenal US. Responsibilities Develop business, industry, competitive, client, and technical knowledge to formulate pricing strategy, and to execute financial modeling of comprehensive pricing strategies Consult with internal leaders and departments to coordinate relevant cross functional activities in support of network performance management efforts to maximize the organization's competitive position Execute and implement dynamic pricing strategies in response to market fluctuations to provide competitive, profitable, and best of class pricing offers Collaborate with the Underwriting team to provide recommendations on pricing and negotiation strategy to achieve revenue, support re-pricing process, profitability targets, and margin retention, for new and existing customers Support VytlOne consulting opportunities related to MAC / Network pricing including, but not limited to: generating financial models to reprice claims and calculate MAC pricing provide insights on proposals assist in implementation strategies Build process to validate data transmissions for accurate adherence to our rate guidelines and MAC prices Establish, maintain, and adjust as necessary a MAC pricing algorithm in coordination with company strategy, contractual financial obligations, market conditions, and adherence to state MAC laws Develop understanding of claim adjudication pricing parameters and lead process development to automate network / MAC builds and pricing adjustments while incorporating QA validation Oversee the MAC Appeals process ensuring proper intake and response to all appeals in accordance with applicable MAC Appeal laws Develop and maintain MAC reference file to track and support MAC setups inquires Provide Pharmacy Audit support and develop a process to track Audit findings and coordinate those findings with Finance Build and maintain claim re-pricing process that forecasts Pharmacy, Client, and Member pricing impact Coordinate with VytlOne Rebate team in process review / development in effort to optimize rebate pricing strategies Identify gaps in current processes and provide / implement recommendation to streamline efficiencies and quality Assist in the creation and support of a process to intake, catalog, and respond to Network Disruption and Access requests Provide as needed support and training for process development tools (such as Alteryx) - as well as support of automation implementation strategies - to bolster VytlOne's automation efforts Promptly report any allegations of impropriety to the Compliance Department. Comply with Maxor's Ethical Business Conduct policy and Maxor's Compliance Program. Remain free from exclusion under the OIG and SAMS Medicare/Medicaid lists. Complete required training, as assigned, within the established timeframes. Must be able to cope with the mental and emotional stress of the position. Ensure staff is informed of product upgrades or enhancements in a timely manner. Hire and train competent staff. On a biweekly basis, verify departmental timesheets for departmental employees ensuring the timesheets are accurate based on the work-schedule and necessary corrections are done prior to timely Payroll submission. Develop and mentor departmental staff by providing career coaching; motivate departmental staff, individually and as a group; understand and support diversity; and establish an effective team. Conduct initial and annual performance evaluations. Promote teamwork; discipline staff when warranted. Qualifications Education: Bachelor's Degree in Finance, Accounting, Math, Business, Computer Science, or related area of study Experience: Experience in Analytics including large data sets, MAC modeling, and process automation. Preferred experience in a PBM setting. Knowledge, Skills, and Abilities: Excellent management and planning skills, detail oriented. Strong analytical and problem solving skills. Ability to organize and manage multiple priority tasks simultaneously. Proven and demonstrated project management skills, directing project activities to a cross-functional team. Problem solving ability in unstructured situations. Ability to lead effective meetings, accomplish goals and meet timelines. Ability to work well in cross-functional situations, giving clear direction and partnering with other internal departments to reach common goals. Ability to manage, mentor, and develop team members with expertise on MAC pricing and the adjudication systems with particular emphasis on developing processes that are both accurate and efficient. Experience influencing change and adoption of new analytic capabilities to support pricing financial analytics Experienced user of two or more of the following: SQL, SAS, Alteryx, Tableaa, Power BI, R, or Python technologies WE OFFER At VytlOne we offer a diverse and inclusive work culture that supports a flexible work model in a collaborative, innovative team-oriented environment. You'll work with a mission-driven organization focused on improving healthcare outcomes Enjoy competitive compensation, a comprehensive health benefits package, and a supportive team environment including: Comprehensive mental health and wellbeing resources Nationwide Blue Cross Blue Shield PPO with employee-friendly plan design, including a $850 individual annual medical deductible and $25 office visit copays, with low biweekly premiums Company-paid basic life/AD&D, short-term and long-term disability insurance Rx, dental, vision, other voluntary benefits, and FSA Employer-matched 401k Plan Industry-leading PTO plan And more! Join us and help build the future of pharmacy care - better outcomes, stronger margins, and healthier communities. FOR MORE INFORMATION: VytlOne Website VytlOne LinkedIn VytlOne (formerly Maxor) is an EOE, including disability/vets
    $91k-125k yearly est. Auto-Apply 60d+ ago
  • Trainer, Learning and Development

    Navitus 4.7company rating

    Remote Navitus job

    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 $55,151.00 - USD $66,447.00 /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 8am to 5pm CENTRAL plus overtime as needed. 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 The Trainer, Learning and Development will deliver highly interactive, engaging, and impactful virtual and in person instructor-led, and video-conferenced training to employees at all levels of the organization. Training topics will include interpersonal and leadership skills, which will necessitate a high level of emotional intelligence on the part of the Trainer. Responsibilities will also include completing the tactical and operational tasks required to meet the training needs of learners and Learning Services team members. The Trainer will use the corporate Learning Management System to schedule, share and document training and evaluate training effectiveness. The Trainer will also conduct training needs assessment, as well as analysis, design, development, implementation, and evaluation of training materials. Is this you? Find out more below! Responsibilities How do I make an impact on my team? • Facilitate new hire orientation from existing facilitator guides • Facilitate professional development programs for employees at all levels • Develop and deliver interactive training sessions, workshops, and other learning opportunities in virtual and in-person instructor-led formats on a regular and as-needed basis • Guide productive and positive group discussions amongst learners • Coach learners at all levels on skills related to emotional intelligence, relationship-building, and more • Conduct needs assessments to identify training needs and training gaps in the organization • Design, develop, implement, and evaluate courses in a variety of synchronous and asynchronous modalities • Develop SCORM-compliant e-learning courseware and video-based trainings • Measure, evaluate, and track the impact and success of training products through meaningful evaluations and metrics; ensure outcomes are equitable across diverse learner populations. Collaborate with Subject Matter Experts (SMEs), internal customers, and key leaders on training development and strategic alignment of programs and services. • Other duties as assigned Qualifications What our team expects from you? Bachelor's Degree with a major in Adult Education, Training, Organizational Development, or a related subject or equivalent experience preferred At least 3 years of experience in a training and development role required Intermediate knowledge of Microsoft Office (Word, PowerPoint, Excel, and Outlook) required Experience with at least one e-learning authoring tool (e.g., Adobe Captivate, Articulate, or Lectora) and experience with at least one learning management system (LMS) strongly preferred Experience supervising and leading team of direct reports preferred Participate in, adhere to, and support compliance program objectives The ability to consistently interact cooperatively and respectfully with other employees 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
    $55.2k-66.4k yearly Auto-Apply 10d ago
  • Business Intelligence Developer

    Navitus 4.7company rating

    Remote Navitus job

    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 $72,813.00 - USD $89,341.00 /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 8am-5pm, CT 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 a Business Intelligence Developer to join our team! The Business Intelligence Developer will generate and maintain data and analytic solutions that turn data into knowledge. The Business Intelligence Developer should understand how to interpret databases, develop data models within business intelligence (BI) tools and provide maintenance on existing applications. Is this you? Find out more below! Responsibilities How do I make an impact on my team? * Use Qlikview, QlikSense, SQL Server Management Studio, Oracle SQL Developer, and other tools to create applications and data models for reporting needs. * Develop reporting application scripts that import data from various sources. * Identify inter-departmental dependencies and downstream impacts of changes within reporting applications. * Recognize and suggest alternative data solutions when applicable. * Communicate effectively and work closely with a variety of users to develop in BI applications, validate effectiveness, and conduct user testing. * Adapt quickly to changing reporting requirements and new BI tools in a rapidly evolving, high-growth organization. * Facilitate in ongoing data validation to ensure data integrity and reliability. * Commitment to professional growth by seeking out opportunities for development. * 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? * BA/BS with focus on Business, Computer Science, Information Systems, Mathematics, or Statistics, or equivalent work experience, required. * 1 year of experience in Analytics, Data Modeling, or Business Intelligence preferred. * Experience with BI tools such as Tableau, Qlikview/QlikSense, SAS, Power B.I. or other Business Intelligence software and/or data visualization programs is required. * Knowledge with additional data analytic tools such as SQL, Python or R is preferred. * Knowledge of how to key data sources and databases structures. * Technical skills including knowledge of programming languages such as SQL, R, or Python. * Experience with spreadsheet tools such as Microsoft Excel or Google Sheets and Data visualization software such as Tableau, Qlik, or Power BI. 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
    $72.8k-89.3k yearly Auto-Apply 60d+ ago
  • Pharmacy Resident - Managed Care

    Medimpact Healthcare Systems 4.8company rating

    Remote job

    Exemption Status:United States of America (Non-Exempt)$19.11 - $24.65 - $30.19 “Pay scale information is not necessarily reflective of actual compensation that may be earned, nor a promise of any specific pay for any selected candidate or employee, which is always dependent on actual experience, education, qualifications, and other factors. A full review of our comprehensive pay and benefits will be discussed at the offer stage with the selected candidate.” This position is not eligible for Sponsorship. MedImpact Healthcare Systems, Inc. is looking for extraordinary people to join our team! Why join MedImpact? Because our success is dependent on you; innovative professionals with top notch skills who thrive on opportunity, high performance, and teamwork. We look for individuals who want to work on a team that cares about making a difference in the value of healthcare. At MedImpact, we deliver leading edge pharmaceutical and technology related solutions that dramatically improve the value of health care. We provide superior outcomes to those we serve through innovative products, systems, and services that provide transparency and promote choice in decision making. Our vision is to set the standard in providing solutions that optimize satisfaction, service, cost, and quality in the healthcare industry. We are the premier Pharmacy Benefits Management solution! Job DescriptionMedImpact's Managed Care Pharmacy Residency Program is a one-year program that develops future managed care leaders by building a strong foundation of knowledge in both clinical and managed care principles. By working across multiple teams serving all lines of business, the diverse experience gained will amply prepare the resident for a career in managed care pharmacy.The Managed Care Pharmacy Resident provides support to the Government Programs and Services (GPS) team and other departments through managed care learning experiences (rotations) and longitudinal projects. The rotations/projects will include a breadth of disciplines including clinical operations, utilization and formulary management, clinical account services, quality assurance and improvement, government program management, analytics and research.Essential Duties and Responsibilities include the following. Other duties may be assigned. Perform cost savings and member impact analyses after learning benefit design and utilization management strategies. Contribute to clinical quality programs, such as Drug Utilization Review (DUR), Transitions of Care and other initiatives to improve HEDIS and CMS Star Ratings. Support clients by developing and implementing quality and cost savings initiatives and managing custom formularies across all lines of business. Participate in the management of government programs to evaluate and facilitate regulatory programs. Perform quality program oversight and develop quality improvement initiatives while supporting oversight audits. Evaluate prior authorization requests and understand the regulatory requirements governing prior authorization reviews, which includes four hours of weekly staffing. Assist in P&T material preparation and weekly drug updates. Present at MedImpact P&T Committee meetings. Develop presentation skills to lead meetings while learning to manage projects and navigate corporate complexities. Conduct a longitudinal research project designed for presentation at AMCP Annual Meeting. Education and/or Experience PharmD from an ACPE-accredited school of pharmacy Minimum GPA of 3.0 Managed Care experience preferred Certificates, Licenses, Registrations Must obtain Registered Pharmacist license in state of residence and Kentucky by October 1st of the program year. Other Skills and Abilities Strong analytical and problem-solving capabilities Excellent communication and presentation skills Ability to work independently and as part of a team Knowledge of PBM operations, drug formulary systems, and healthcare regulations Reasoning Ability Ability to deal with nonverbal symbolism (formulas, scientific equations, graphs, musical notes, etc.,) in its most difficult phases. Ability to deal with a variety of abstract and concrete variables. Ability to define problems, collect data, establish facts, and draw valid conclusions. Language Skills - Choose up to 1 from each drop-down list. Ability to effectively present information to top management, public groups, and/or boards of directors. Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Competencies To perform the job successfully, an individual should demonstrate the following competencies: Composure Decision Quality Organizational Agility Problem Solving Customer Focus Drive for Results Peer Relations Time Management Dealing with Ambiguity Learning on the Fly Political Savvy Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this Job, the employee is regularly required to sit and talk or hear. The employee is regularly required to stand; walk; use hands to finger, handle, or feel and reach with hands and arms. The employee must occasionally lift and/or move up to 25 pounds. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This position may regularly be exposed to or encounter moving mechanical parts, high, precarious places, fumes or airborne particles, toxic or caustic chemicals, outdoor weather conditions, risk of electrical shock or vibration. The noise level in the work environment is usually moderate (examples: business office with computers and printers, light traffic). Working Hours This is an exempt level position requiring the incumbent to work the hours required to fully accomplish job responsibilities and reasonable meet deadlines for work deliverables. The individual must have the flexibility to work beyond traditional hours and be able to work nights, weekends or on holidays as required. Work hours may be changed from time to time to meet the needs of the business. Typical core business hours are Monday through Friday from 8:00am to 5:00pm. Travel This position requires domestic travel of up to 25% of the time. Please include Letter of Intent AND Curriculum Vitae (CV) in Workday along with submission of application. Official transcript must be emailed directly from pharmacy school to ******************************. Three letters of recommendation must be emailed directly from letter writers to ******************************. The Perks: Medical / Dental / Vision / Wellness Programs Paid Time Off / Company Paid Holidays Incentive Compensation 401K with Company match Life and Disability Insurance Tuition Reimbursement Employee Referral Bonus To explore all that MedImpact has to offer, and the greatness you can bring to our teams, please submit your resume to ************************* MedImpact, is a privately-held pharmacy benefit manager (PBM) headquartered in San Diego, California. Our solutions and services positively influence healthcare outcomes and expenditures, improving the position of our clients in the market. MedImpact offers high-value solutions to payers, providers and consumers of healthcare in the U.S. and foreign markets. Equal Opportunity Employer, Male/Female/Disabilities/VeteransOSHA/ADA: To perform this job successfully, the successful candidate must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Disclaimer: The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.
    $30.2 hourly Auto-Apply 12d ago
  • Clinical Intern - Pharmacy

    Navitus 4.7company rating

    Remote Navitus job

    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 $17.78 - USD $20.91 /Hr. STAR Bonus % (At Risk Maximum) 0.00 - Ineligible Work Schedule Description (e.g. M-F 8am to 5pm) M-Th between 8:30am to 7pm and F 8:30am-5pm 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 a Clinical Intern to join our team! The Clinical Intern will be a key contributor to the success of our Clinical Engagement Center focused on improving member's health and wellness via tele-pharmacy and wellness coaching. Under the supervision of a clinician, this individual is responsible for the delivery of the Medication Therapy Management (MTM) services for commercial and Medicare members. In addition, the Clinical Intern will assist in the development and execution of additional clinical outreach programs to exceed client expectations. The MTM program will include telephonic and/or video chat outreach with members to complete an analysis of a member's medication regimen for prescription, OTC, herbal and supplement medications. The assessment will include the development of a personalized Medication Action Plan in partnership with the member as required by CMS. Is this you? Find out more below! Responsibilities How do I make an impact on my team? Conduct medication therapy management (MTM) and expanded clinical programs in accordance with the Centers for Medicare & Medicaid Services (CMS). Develop appropriate clinical algorithms, pathways and call scripts to support pharmacy staff in delivering MTM services. Review and update all algorithms and call scripts with updated clinical guidelines. Develop documentation standards for clinical outreach. Collaborate with other CEC staff to develop and maintain a high quality and consistent MTM product. Assist CEC leadership to develop programs to support STAR ratings outreach. Provide clinical outreach to members, prescribers, and pharmacy providers in order to enhance care coordination. Develop a full understanding of Navitus' Clients' member experience and how the engagement center contributes to improved health and wellness. Adhere to compliance and HIPAA regulations. 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? Education: In DPH-2 or DPH-3 year. CPhT Preferred. Experience: Must be 18 years or older. Experience working in Microsoft Office suite, particularly Word, Excel, and PowerPoint preferred. The intern role is considered a learning opportunity and as such, no specific experience is required. Preference may be given to candidates with work experience or education paths determined desirable by the department each intern supports. Participate in, adhere to, and support compliance program objectives. The ability to consistently interact cooperatively and respectfully with other employees. 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
    $17.8-20.9 hourly Auto-Apply 17d ago
  • Proposal Writer

    Navitus 4.7company rating

    Remote Navitus job

    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 $65,686.00 - USD $79,140.00 /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 8am to 5pm 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 Due to growth, we are adding a Proposal Writer to our team! The Proposal Writer role is critical to the client acquisition and retention efforts of Navitus Health Solutions. This position works cross-functionally at a variety of levels to maximize sales and retention through the timely creation and management of competitive responses to Requests for Proposals (RFPs) and other sales related documents for a variety of audiences. The Proposal Analyst ensures agreed upon strategies are incorporated into persuasive, compelling, and customer-focused proposals. This position ensures the timely completion of a project in accordance with defined project management processes and quality standards. The Proposal Analyst reports to the Manager or Sr. Manager, Proposals and interfaces with various individuals throughout the organization. This 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? Support Navitus' client acquisition and retention efforts by drafting responses to Requests for Proposals (RFPs) and other sales-related documents for a variety of client audiences. Sales support activities can include project coordination (e.g., planning, scheduling, organizing, and coordination), follow-up correspondence, and reporting Utilize expert-level editorial, grammatical, and writing skills to ensure all written deliverables follow and demonstrate tactical, strategic, financial, and sales-capture decisions Proficiently understand and continuously develop knowledge of business units target markets and trends in those markets and how the products and services are/or may be utilized in the target markets Utilize strong project management skills to initiate, collect and deliver on analytical tasks in collaboration with cross-functional SMEs Demonstrate an attention to detail and strong time management skills by developing and adhering to stringent timelines Support proposal content management and department processes to keep materials current and competitive Contribute to the department goal of improved efficiency and effectiveness, including identifying and providing insights into streamlining departmental processes Other duties as assigned Qualifications What our team expects from you? A minimum of a bachelor's degree, preferably in English, Journalism, or a Communications-related field, and/or commensurate proposal management experience required A minimum combination of two years' experience for the following: Writing creative, concise, strategically correct, and persuasive proposals (writing samples and writing test required), Developing and implementing complex winning business strategies, while incorporating a consultative-sales approach, Delivering quality outputs in a fast-paced and dynamic team environment where tight time frames and strict deadlines are the norm, and Strategic proposal content development and project management experience or similar related experience. Experience with Microsoft Office products at the advanced level 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
    $65.7k-79.1k yearly Auto-Apply 1d ago
  • Government Relations Director

    Navitus 4.7company rating

    Remote Navitus job

    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 $120,524.00 - USD $150,656.00 /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 8am to 5pm 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 Due to growth, we are adding a Government Relations Director to our team! The Government Relations Director reports to the VP, Government Relations to support a Navitus entity in a defined geographic territory with relation to support compliance and business objectives. The role will partner with internal business entities to understand the intersection of the business functions and goals with the current and future legislative and regulatory environment. The role will be part of a team comprised of analysts and legal counsel. Is this you? Find out more below! Responsibilities How do I make an impact on my team? Develop relationships with legislators and regulators in their respective geographic territory. Educate government officials as to the Navitus brand of products, building goodwill and trust. Review and monitor state legislation and proposed state regulation. Coordinate with the internal business units and clients concerning pending legislation/regulation in order to provide substantive feedback, testimony, etc. Synthesize business objectives with pending legislation/regulation to suggest amendments, alternatives, and other policy commentary. Draft comment letters, testimony and talking points for internal and external partners. Work with external clients to develop strategies to address legislation and/or proposed regulation, including forming coalitions, grassroots messaging, etc. Support executive team for presentations, board meetings and testimony. Troubleshoot legislative and regulatory issues and coordinate with internal and external teams to mitigate risk. Liaise with appropriate regulators to achieve compliance for Navitus. Serve in board or advisory positions in various trade organizations as necessary. 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? Bachelor's degree from an accredited university required. A Juris doctorate and/or graduate professional degree related to Pharmacy, Medicine, Nursing, etc. preferred. 5 years' experience in Government Relations required. Experience in Pharmacy, Insurance, or Health Policy required. Knowledge of Excel, MS Word, Outlook, and SharePoint 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 Educational Assistance Plan and Professional Membership assistance Referral Bonus Program - up to $750! #LI-Remote Location : Address Remote Location : Country US
    $120.5k yearly Auto-Apply 10d ago
  • Sales Analyst

    Navitus 4.7company rating

    Remote Navitus job

    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 $65,686.00 - USD $79,140.00 /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 8am to 5pm 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 a Sales Analyst to join our team! The Sales Analyst supports the client acquisition and retention efforts of Navitus by providing professional and timely support to the Sales team while insuring the timely coordination and delivery of sales materials to key advisor relationships. The Sales Analyst participates in critical sales and marketing efforts. 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 Sales Analyst reports to the VP of Sales, and interfaces with various individuals internally and externally. The position requires strong project, time management and interpersonal skills. Is this you? Find out more below! Responsibilities How do I make an impact on my team? Act as the point of contact for new business and assist Sales with entering information regarding the opportunity into CRM. Assist with the qualification of opportunities, including direct contact with advisor/broker/consultant partners with existing and new firm. Review incoming RFP materials, including qualitative and quantitative data for completeness, and communicate to VP of Sales and other team members. Work closely with Director of Marketing/Sales Enablement and Manager of Analytics to help prioritize and ensure the timely production and delivery of sales materials. Develop content for lead-generation campaigns, emails, collateral, blogs, articles, social media, presentations and other materials. Compile competitive intelligence and conduct market research as needed. Understand the capabilities, tools and positioning of the competitive landscape. Research and stay abreast of industry news and statistics that can be used to make content more relevant and engaging. Act as first line of contact for incoming calls/emails from brokers/advisors/consultants when appropriate. Maintain pipeline on a daily basis, and report weekly using executive summary and worksheet. Track and submit intent to bid. Prepare finalist meeting materials. Develop and maintain checklists and processes to efficiently intake and respond to a high-volume of incoming requests. Participate in projects led by sales, marketing and analytics to team to improve efficiency, output and representation of key data. Manage various CRM pipeline reports for SVP/Sales, and other leadership, as well as preparing presentations, presentation slides and documents, and presentation support materials. Type memos, compile documents, and support leadership with agendas, scheduling meetings, minutes and other memorandums. Other duties as assigned. Qualifications What our team expects from you? A minimum of a bachelor's degree preferably in Marketing, Business or Communications or equivalent directly related experience required. 3-5 years combined sales, sales support and marketing experience. Healthcare, insurance, pharmacy, or other related industry experience preferred. Proficiency with Microsoft Dynamics CRM or similar CRM system 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
    $65.7k-79.1k yearly Auto-Apply 39d ago
  • Business Analyst, Call Center - Archimedes

    Navitus Health Solutions 4.7company rating

    Navitus Health Solutions job in Bridgeton, MO

    Company Archimedes About Us Archimedes - Transforming the Specialty Drug Benefit - Archimedes is the industry leader in specialty drug management solutions. Founded with the goal of transforming the PBM industry to provide the necessary ingredients for the sustainability of the prescription drug benefit - alignment, value and transparency - Archimedes achieves superior results for clients by eliminating tightly held PBM conflicts of interest including drug spread, rebate retention and pharmacy ownership and delivering the most rigorous clinical management at the lowest net cost. .______________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at ************************************ to be considered for internal opportunities. Pay Range USD $0.00 - USD $0.00 /Yr. STAR Bonus % (At Risk Maximum) 5.00 - Salaried Non-Management except pharmacists Work Schedule Description (e.g. M-F 8am to 5pm) Our Core Business Hours Overview The Business Analyst, Call Center is responsible for analyzing call center performance data, identifying trends, and providing actionable insights to improve operational efficiency and customer satisfaction. This role will be an expert in call center platforms and responsible for leveraging its capabilities to drive business insights, manage data, and optimize call center operations. This role will involve generating critical reporting, managing outbound calling projects, ensuring data integrity, and staying ahead of platform updates to maintain peak performance and compliance. Responsibilities Job Responsibilities: Develop and maintain dashboards. Generate and maintain comprehensive call center performance reports utilizing PureCloud, SQL database, and PowerBI. Manage and execute outbound calling projects. Forecast call demand and support capacity planning efforts. Collaborate with IT and WFM teams to implement data-driven strategies. Maintain the highest level of data integrity within the PureCloud environment and SQL databases. Monitor service level agreements and customer satisfaction scores. Analyze key performance indicators (KPIs) such as Service Level, Average Handle Time (AHT), First Call Resolution (FCR), Quality Assurance (QA) scores, Customer Satisfaction (CSAT), and Net Promoter Score (NPS). Identify process improvement opportunities and recommend solutions. Proactively review call center platform software updates, new features, and release notes. Develop and implement change management plans, including communicating updates to relevant teams and providing training support as needed. Act as primary point of contact for call center platform software related inquiries and troubleshooting. Participate in, adhere to and support compliance and diversity, equity, and inclusion program objectives. Other duties as assigned. Qualifications Essential Background Requirements: Education: Bachelor's degree in Business Administration, Information Technology, Data Science, or related field, or equivalent work experience, required. Experience: 2+ years of experience as a Business Analyst, Data Analyst or similar role, specifically within a call center environment required. Experience with data visualization tools, PowerBI, is required. Experience in Healthcare preferred. Experience with AI/Machine Learning applications in a call center context preferred. Proficient in Microsoft Office Suite (advanced Excel, PowerPoint, Word). Advanced proficiency with call center software (plus for PureCloud) for reporting, administration, and campaign management. Location : Address 502 Earth City Expy STE 300 Location : City Earth City Location : State/Province MO Location : Postal Code 63045 Location : Country US
    $62k-86k yearly est. Auto-Apply 60d+ ago
  • Pharmacy Technician - Part Time- APO Pharmacy

    Maxor National Pharmacy Services 4.4company rating

    Springfield, MO job

    Pharmacy Technician - Part Time - APO Pharmacy HOURS: MONDAY-FRIDAY 9am to 2pm VytlOne, formerly Maxor National Pharmacy Services, is currently accepting applications for a Part Time Pharmacy Technician to work at APO Pharmacy, an in-house, clinic based specialty pharmacy. About VytlOne VytlOne is a leading pharmacy care solutions company dedicated to improving patient outcomes and lowering the total cost of care through our clinically integrated set of pharmacy care services. Our teams help optimize the pharmacy experience for patients, our customers, their employees, and members whether it's through our customized pharmacy benefit offerings; providing access to prescription medications and therapies through our home delivery and specialty pharmacies; or delivering clinical and financial value with our end-to-end pharmacy management solutions. With a legacy of exceptional service and deep clinical and pharmacy expertise, VytlOne has been a trusted partner enabling pharmacy care since 1926. About APO APO is a private not-for-profit organization whose purpose is to provide health services and education to the community with an emphasis on under-served and marginalized populations including, but not limited to, persons living with or at risk for Human Immunodeficiency Virus (HIV), Hepatitis C Virus (HCV), and Sexually Transmitted Infections (STI). Services are provided in a confidential, caring environment. Responsibilities We strive to make a difference in peoples' lives in a very authentic way. If you are driven by a sense of purpose, and want to make a truly meaningful career choice, that offers the ability to serve the community, then come join our team of caring and compassionate individuals. Job Duties: Greet customers and take prescription orders Convey empathy and understanding when handling customer service issues. Operate the cash register by ringing up sales for customers Assist in keeping the pharmacy clean and the shelves stocked Answer the phone Input customer information into the computer system Perform other job duties as needed Qualifications HS Diploma/GED required Current Missouri Pharmacy Technician License required Current PTCB Certification or the ability to obtain one within 6 months of employment (VytlOne will assist) 2+ years retail pharmacy experience Sensitivity to ability to work with patients from diverse backgrounds is a MUST. Computer experience mandatory Proven track record of exemplary customer service Ability to communicate effectively orally and in writing, to interact with a wide variety of individuals to successfully provide optimal patient care Ability to operate various pharmacy software programs/equipment proficiently --- The innovative spirit at VytlOne will transform the way you think about pharmacy & healthcare services. As we pave the way in a relentless commitment to positive health outcomes, it's never been a better time to be part of the VytlOne team! OUR COMPANY We're VytlOne and we're building a different kind of pharmacy company. We're transforming the pharmacy industry to create healthier lives through purposeful engagement across Pharmacy Benefit Management, Pharmacy Management, Specialty Pharmacy, 340B, Rebate and Formulary Management, and Pharmacies. We put people first and are committed to providing outstanding service across all aspects of our business. We believe there's a better way to deliver pharmacy and healthcare services to people across the country, and we'd love for you to help us do it. Apply today at: ******************************** VytlOne is an EOE, including disability/vets
    $31k-37k yearly est. Auto-Apply 23d ago

Learn more about Navitus jobs

Jobs from similar companies

Jobs from similar companies you might want to view.

Most common locations at Navitus

Zippia gives an in-depth look into the details of Navitus, including salaries, political affiliations, employee data, and more, in order to inform job seekers about Navitus. The employee data is based on information from people who have self-reported their past or current employments at Navitus. The data on this page is also based on data sources collected from public and open data sources on the Internet and other locations, as well as proprietary data we licensed from other companies. Sources of data may include, but are not limited to, the BLS, company filings, estimates based on those filings, H1B filings, and other public and private datasets. While we have made attempts to ensure that the information displayed are correct, Zippia is not responsible for any errors or omissions or for the results obtained from the use of this information. None of the information on this page has been provided or approved by Navitus. The data presented on this page does not represent the view of Navitus and its employees or that of Zippia.

Navitus may also be known as or be related to Navitus, Navitus Health Solutions and Navitus Health Solutions LLC.