TrialCard jobs - 72 jobs

Through innovation, technology, and unparalleled customer service, Mercalis' passionate people provide patient-centric solutions to the pharmaceutical industry that improve access, affordability, and adherence to enhance patients' lives. We work tirelessly on the behalf of our clients, because when they succeed, so do we. As a Virtual Engagement Institutional Specialty Representative (ISR), you will join our team on a journey to help eliminate barriers for patients, increase their access to medications, and help them receive lifesaving treatments while working in an environment that nurtures you. Mercalis fosters a culture that encourages individuality and provides opportunities for creativity, growth, and success while fostering a team environment. We are a diversity-driven organization with an inclusive approach to delivering patient-centric solutions that, eliminate barriers for patients, and increase patient access to life altering medications. We build personal, partner relationships with our clients by utilizing a consultative approach to solving brand challenges. The Virtual Engagement Institutional Specialty Representative provides education, disease awareness, and overviews of treatment options to healthcare providers in order to ultimately help patients improve the quality of life and treat or prevent diseases. ISRs are patient centric and purpose driven working remotely from a home office using equipment and technology supplied by Mercalis. ****Please note, this is a permanent part-time (20 Hours/Week) fully remote opportunity**** Responsibilities A key objective will be the establishment of order sets, protocols and formulary position at targeted hospitals. Generate and increase sales to achieve consistent performance against sales objectives for assigned institutions Engage targeted customer audience in in-depth discussion of disease states and products using client approved materials Contact HCPs via phone and computer technology to conduct virtual details Schedule and conduct in-services with targeted HCPs within budget restraints and compliance regulations Effectively use CRM system to gather all data and maintain metrics as well as continuity of ongoing engagement Meet all specific program productivity metrics as set forth by the individual project Manage daily call activity to optimize time and maximize sales objectives Engage in active listening and respond appropriately to HCP needs and questions using conversational science skills Successfully complete training to meet or exceed all expectations set by the client becoming an expert in the assigned disease and treatments Fearless cold calling that can engage HCPs in conversation Create and maintain a positive impression with the client, the HCPs, teammates, management and other Mercalis personnel Manages effectively in uncertain and ambiguous situations. Attend all necessary meetings, both virtually and in-person Be a self-directed, resilient, decision maker who faces each task with optimism and is results oriented Share best practices and successes with teammates and National Sales Manager Competencies: Driven to succeed (previous award winner) Thinks and acts strategically Accountable and reliable with strong integrity Flexible and open to continuously learning Self-motivated with a sense of purpose, passion, and persistence Ability to perform the same tasks repeatedly without getting bored and staying goal oriented for the greater good of patients Qualifications Minimum 4+ years of pharmaceutical sales experience. Award winning performance Minimum 2 years of Institutional Sales experience preferred Excellent interpersonal, communication and presentation skills, verbal, written and digitally Experience with salesforce.com or other CRM system Strong technology skills including working knowledge of Microsoft Office products Highly organized and detail-oriented Strong time management and prioritization skills Aptitude for detailed product knowledge and compliance adherence Ability to resolve conflicting situations High energy, collaborator with a positive attitude Flexibility Experience detailing HCPs using approved materials in a conversational manner

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 $20.44 - USD $24.33 /Hr. STAR Bonus % (At Risk Maximum) 0.00 - Ineligible 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 Tester, Benefit Configuration to join our team! The Tester, Benefit Configuration ensures efforts are in alignment with the Claim Adjudication Operations (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. The primary functions of the Tester, Benefit Configuration involve performing and documenting benefit configuration testing ensuring Navitus maintains an accurate, efficient, and versatile claims adjudication system. This position develops tactical tasks and processes to incorporate client and company initiatives into testing to ensure the integrity of pharmacy claims processing. This position may include after-hour and/or weekend hours with other eligible team members depending on workload. Is this you? Find out more below! Responsibilities How do I make an impact on my team? Completes scheduled and urgent benefit configuration testing of new client implementations and/or benefit additions, terminations, and changes timely and accurately to mitigate the risk of member access to care issues, missed performance guarantees and potential liquidated damages. Acquires and maintains a basic level of understanding of Navitus' claims adjudication system and upstream/downstream processes to test both standard and custom configurations to meet client expectations. Uses sound business judgment and expertise to contribute toward the creation of root cause analysis of issues. Complies with standards set forth regarding benefit design and configuration testing including HIPAA, NCPDP and Navitus internal business standards. Uses departmental workflow management, issue resolution and reporting tools for troubleshooting and responding to general customer questions and issue resolution requests. Supports internal customers by participating in client meetings, audits, and new program implementations with other areas of the company, answering benefit testing questions and providing guidance to other areas and roles on the benefit configuration testing process. Adapts to industry changes and evolving technology, maintaining a basic level of understanding of both legacy and emerging products and systems. Independently assesses business needs and participates in process improvement, cost reduction and automation efforts. Contributes to the creation and ongoing maintenance of departmental training materials, work instructions and policies. Conducts system enhancement and regression testing of a low to moderate level of complexity for benefit configuration processes to ensure compliance with state, federal and client regulations/standards. Contributes to training and maintains a mentoring relationship with new and existing benefit configuration testing team members. Other duties as assigned. Qualifications What our team expects from you? Associate's degree or equivalent work experience required. Minimal experience and/or training to begin learning skills, systems, and processes of the role with ability to perform tasks with close supervision. Experience on basics and gaining familiarity with the role and company. Basic experience with Microsoft Office, specifically Word and Excel. Participate in, adhere to, and support compliance program objectives. The ability to consistently interact cooperatively and respectfully with other employees. What can you expect from Navitus? Top of the industry benefits for Health, Dental, and Vision insurance 20 days paid time off 4 weeks paid parental leave 9 paid holidays 401K company match of up to 5% - No vesting requirement Adoption Assistance Program Flexible Spending Account Educational Assistance Plan and Professional Membership assistance Referral Bonus Program - up to $750! #LI-Remote Location : Address Remote Location : Country US

Company Lumicera About Us 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

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 $22.74 - USD $27.08 /Hr. STAR Bonus % (At Risk Maximum) 0.00 - Ineligible 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 an Analyst, Claims Extract to join our team! The Analyst, Claims Extract ensures efforts are in alignment with the Claim Adjudication Operations (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 is responsible for the ongoing management of client claims extract processes and will function as the lead resource for assigned clients, as well as a back-up resource for peer analysts when needed. This position may include after-hour and/or weekend hours depending on workload. Is this you? Find out more below! Responsibilities How do I make an impact on my team? Oversees, manages and maintains claims extract data processes and services for clients of low to moderate complexity. This includes understanding client needs, plan designs, standard and custom data file layouts, monitoring of electronic file deliveries and subsequent reports. Interprets client specific rules, translates data elements, provides technical mapping specifications to IT programmers and fully tests all changes to ensure quality and accuracy of extract files. Functions as both a business and technical liaison between requesting business areas and Data Services programming resources. Participates in existing client changes of low to moderate complexity, acting as the subject matter expert for claims extracts in all related meetings and communications. Collaborates directly with client and/or Client Services team to report data file delivery issues on an agreed upon client schedule. Gains a working knowledge of claims processing in order to review processed claims and reversals, plan design, drug tiers and issues clients encounter loading Rx claims into their systems. Uses sound business judgment and reporting expertise to contribute toward the creation of root cause analysis of issues. Independently assesses business needs and participates in process improvement, cost reduction and automation efforts. Educates others on the claims extract process, providing talking points to Client Services and Government Programs for client and plan sponsor discussions. Adapts to industry changes and evolving technology, maintaining a basic to intermediate level of understanding of both legacy and emerging products and systems. Assists in the creation and ongoing maintenance of departmental training materials, work instructions and policies. Conducts system enhancement and regression testing for low to moderately complex claims extract related processes to ensure compliance with state, federal and client regulations/ standards. Other duties as assigned. Qualifications What our team expects from you? Associate's degree or equivalent work experience required. Minimal experience and/or training to begin learning skills, systems, and processes of the role with ability to perform tasks with close supervision. Experience on basics and gaining familiarity with the role and company. Basic experience with Microsoft Office, specifically Word and Excel. Participate in, adhere to, and support compliance program objectives. The ability to consistently interact cooperatively and respectfully with other employees. What can you expect from Navitus? Top of the industry benefits for Health, Dental, and Vision insurance 20 days paid time off 4 weeks paid parental leave 9 paid holidays 401K company match of up to 5% - No vesting requirement Adoption Assistance Program Flexible Spending Account Educational Assistance Plan and Professional Membership assistance Referral Bonus Program - up to $750! #LI-Remote Location : Address Remote Location : Country US

Company Navitus About Us Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new ideas and share a passion for excellent service to our customers and each other._____________________________________________________________________________________________________________________________________________________________________________________________________________. 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

Company Lumicera About Us Pay Range USD $105,271.00 - USD $131,588.00 /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-7pm CT, varying shifts 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 Lumicera Health Services is seeking a Pharmacist, Clinical Outcomes to join our team! The Pharmacist, Clinical Outcomes' main duty is to provide clinical expertise and oversight to Lumicera's Clinical Patient Management Program and Manufacturer Enhanced Service Programs and ensure optimal patient health outcomes. Pharmacists in this role will be part of Lumicera's Clinical Pharmacovigilance team and may be designated Program Managers for our Manufacturer partners. This individual will focus on supporting positive clinical patient outcomes by performing telephonic consultations with patients regarding the use of their specialty medication and management of their disease state. The Pharmacist, Clinical Outcomes will routinely perform medication reconciliation and screen for potential drug interactions to ensure medication safety. 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 Outcomes will be responsible for training less experienced pharmacists, mentoring pharmacy experiential learners (interns/students/residents) and acting as a knowledgeable resource for the Clinical teams for complex workflow processes, problem solving, and extensive clinical knowledge of specialty pharmacy disease states and medications. The individual in this position 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? • Oversee the management and compliance of various Clinical Manufacturer Enhanced Service and REMS Programs. Ability to represent Lumicera as a client or manufacturer point of contact, present clinical materials and maintain relationships for Lumicera's partner.• Produce, perform and maintain clinical program materials and services. Including, but not limited to development of clinical pathways, outcomes dashboards and evidence-based patient materials.• Conduct process improvement initiatives and generate ideas to further the development of clinical, client, and manufacturer programs around specialty medications. Provide operational education and documentation to teams on process updates as it relates to implementation of manufacturer programs.• Provide clear, detailed clinical documentation of patient consultations and interventions in pharmacy software and EMR systems in compliance with internal policies and procedures, external regulatory bodies (such as URAC), and manufacturer contracts. • Interpret and clinically evaluate prescriptions for medications within all specialty disease states based on available information and resources. Follow through on complex orders. 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.• 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 and ensuring all clinical questions from patients and caregivers have been answered. • Monitor patient adherence and utilize Motivational Interviewing techniques to explore adherence barriers, promote self-efficacy and enhance patient motivation using a collaborative, patient-centered approach. • 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? Graduate of ACPE Accreditation School of Pharmacy with a B.S. Pharmacy or PharmD, degree is required. Current, unrestricted pharmacist license in state of residence is required; must continually obtain education credits to maintain active licensure. Job specific certification (such as CSP or BCOP) is preferred. 2+ years clinical experience or completion of a clinical pharmacy practice residency required. Specialty pharmacy experience or solid understanding of specialty pharmacy drugs including REMS and Limited Distribution Products best practices required. Experience working and developing clinical, client and/or manufacturer programs 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 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

Company Lumicera About Us Pay Range USD $18.67 - USD $21.96 /Hr. STAR Bonus % (At Risk Maximum) 0.00 - Ineligible Work Schedule Description (e.g. M-F 8am to 5pm) M-F 8 hr shift in between 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 Lumicera Health Services is seeking a Prior Authorization Specialist I to join our team! Under direction from the Supervisor, Specialty Pharmacy Services, and pharmacists in the Specialty Pharmacy, the Prior Authorization Specialist I is primarily responsible for obtaining information and assisting providers and insurance companies in triaging prior authorizations for patients of the specialty pharmacy. The Prior Authorization Specialist's main objective is to answer phone calls and contact the doctors and patients via fax or phone or other communication means to facilitate and document prior authorization approval. The Prior Authorization Specialist may also be responsible for ensuring that all pertinent patient information is contained within the record. Patient information shall include demographics, allergies, medication history, comorbidities, and payer information. This position will function with and assist any other area in the facility as needed with regard to prior authorization type duties. Is this you? Find out more below! Responsibilities How do I make an impact on my team? 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 CPhT Preferred Pharmacy technician license or pharmacy technician trainee license is strongly preferred in states requiring pharmacy technician licensure 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 Navitus? Top of the industry benefits for Health, Dental, and Vision insurance 20 days paid time off 4 weeks paid parental leave 9 paid holidays 401K company match of up to 5% - No vesting requirement Adoption Assistance Program Flexible Spending Account Educational Assistance Plan and Professional Membership assistance Referral Bonus Program - up to $750! #LI-Remote Location : Address Remote Location : Country US

Company Navitus About Us Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new ideas and share a passion for excellent service to our customers and each other._____________________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at ************************************ to be considered for internal opportunities. Pay Range USD $112,640.00 - USD $140,800.00 /Yr. STAR Bonus % (At Risk Maximum) 10.00 - Manager, Clinical Mgr, Pharm Supvr, CAE, Sr CAE I Work Schedule Description (e.g. M-F 8am to 5pm) M-F 8am-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 Account Executive to join our team! The Clinical Account Executive acts as manager and coordinator of the clinical relationship with existing clients. The objective of the clinical relationship with the client is to improve the quality of care while controlling or decreasing overall health care costs. This is accomplished by recommending, implementing, and evaluating clinical programs and services. The Clinical Account Executive may represent the company at internal and external meetings. The position is a key member of the Client Services Team and is responsible for the account relationship and ultimate retention of the account and growth of the business. This position translates clinical information into process logic and be able to prioritize and handle multiple projects on an on-going basis. Is this you? Find out more below! Responsibilities How do I make an impact on my team? Manage the clinical relationships with clients. Attends and leads client meetings and actively participates as necessary. Develop and implement a clinical plan that meets the goals and objectives of the client and is in alignment with corporate business strategy. Identifies expansion opportunities and incorporates into strategic plan. Analyze client's financial and utilization data to identify opportunities for improving health care and/or controlling drug and overall health care costs. Recommend and oversee implementation of select clinical programs. Effectively communicate client needs and process/product development opportunities to the organization. Actively participate in developing the clinical strategy for client. Participate in developing overall client/account strategy. Consultant on Plan/Benefit design recommendations. Participate in development and delivery of annual reviews to client. Establish and maintain client relationships at the appropriate levels, including medical and pharmacy directors, CEO's, benefit managers and consultants. Provide Drug information and act as the clinical consultant/expert on the account team. Support and participate in P & T Committees for select clients. Consultant for formulary management and administration. Provide ongoing evaluation of clinical programs and services. Lead/Facilitate in multi-disciplinary team to discuss the ongoing needs of the clients. May require up to 20% travel. Other duties as assigned Qualifications What our team expects from you? Bachelor's degree in Pharmacy or PharmD required. MBA or equivalent preferred. Current, unrestricted licensure as a Registered Pharmacist in the state of residence, or the ability to gain reciprocity within 4 months, required. Knowledge of the PBM industry, PBM clinical programs, pharmacy claims, and managed care principles and practices preferred. Proficiency in MS Word, Excel, and PowerPoint including use of tables, charts and figures 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 #LI-Remote Location : Address Remote Location : Country US

Company Navitus About Us Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new ideas and share a passion for excellent service to our customers and each other._____________________________________________________________________________________________________________________________________________________________________________________________________________. 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 Navitus Health Solutions is seeking a Technical Content Creator to join our team! The Technical Content Creator's primary role is to create a range of content across multiple channels with the goal of connecting our digital transformation journey to Navitus' mission, vision, and goals using highly visual tools to reach all audiences and accelerate change. With a well-rounded technical marketing background and strong focus on customers, the person in this role will be an integral part of implementing strategy and engagement in company priorities. This role will utilize superior communication skills to tell the story of Navitus digital transformation and connect it to through internal and external customer content. This will include developing internal and external communication plans, collaborating with colleagues to connect the transformation journey and how it will affect them, and initiating project ideas and technical marketing strategies. The ideal candidate will be a seasoned storyteller who has an innovative mind-set, enjoys developing creative solutions and communicating through visuals, solving problems, collaborating with their customers and team members, is organized and self-motivated. This person should be interested in driving strategic messages to key internal and external customers and seeking feedback to ensure high levels of effectiveness. Is this you? Find out more below! Responsibilities How do I make an impact on my team? Translates complex technical concepts into content rich with information and data visualization and other value-added materials, included but not limited to board presentations, sales presentations, infographics, newsletters, emails and videos Develops creative strategies (audience analysis, frequency, methods) that support the goals and influences positive change in support of a transformation-focused culture Measures and reports on the effectiveness of technical campaign initiatives Ensures that changes and updates in policy or other company announcements are relayed in a timely and consistent manner Develops strategic and integrated campaigns in support of the transformation efforts for all internal and external customer segments Works to improve technical content on key Transformation division activities Engage with executive leadership to understand technical content needs, collect information and produce well-written and compelling work product Helps increase adoption of new technical content tools/information Enables clear business communications and clarity of technical direction, driving increased understanding of the vision and roadmap, and affirming integrity of leadership Other duties as assigned Qualifications What our team expects from you? Associates or bachelor's degree in marketing and communications, journalism, English, business, computer science or a related field. Equivalent experience may be considered in lieu of a formal degree 3+ years of relevant experience in technical storytelling, content creation or writing 2+ years of experience working with executive leadership to produce executive-level materials Proven ability to take highly complex technical topics and create clear, concise and meaningful messages for internal and external audiences Communication and planning skills Understanding of internal and external communication strategies, tools, and best practices Experience communicating with executives, clients and technical subject matter experts Experience in change management, public relations and digital transformation initiatives are highly desirable A portfolio of work available for review Participate in, adhere to, and support compliance program objectives The ability to consistently interact cooperatively and respectfully with other employees What can you expect from Navitus? Top of the industry benefits for Health, Dental, and Vision insurance 20 days paid time off 4 weeks paid parental leave 9 paid holidays 401K company match of up to 5% - No vesting requirement Adoption Assistance Program Flexible Spending Account Educational Assistance Plan and Professional Membership assistance Referral Bonus Program - up to $750! #LI-Remote Location : Address Remote Location : Country US

Company Navitus About Us Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new ideas and share a passion for excellent service to our customers and each other._____________________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at ************************************ to be considered for internal opportunities. Pay Range USD $128,961.00 - USD $161,201.00 /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 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, we are adding a Program Director, Strategic Initiatives to our team! The Program Director, Strategic Initiatives is a strategic leader that provides overall strategic program oversight for complex, high-risk strategic initiatives. The Program Director, in collaboration with senior leaders and project teams, defines the program vision to ensure program goals and action plans deliver expected outcomes on time and within budget. The Program Director ensures strategic alignment across the organization through an effective, proactive, and purposeful communication strategy. This role will be dedicated to the oversight and direction required to ensure successful compliance of Navitus' transition from HIPAA NCPDP Telecommunication Standard Version D.0 and implement the next version of the standard, F6. This role will design the overall project and workstream structure, in collaboration with leaders and project teams, to ensure success. This effort includes all downstream impacts applications and customers, internal and external. Is this you? Find out more below! Responsibilities How do I make an impact on my team? Define, maintain, and monitor progress toward the program vision aligned to initiative and organization strategy to include critical milestones for delivery and value realization. Establish, communicate, and enforce governance frameworks for communications, decision-making, risk management, performance management, and resource allocation to ensure consistent, effective, and proactive alignment through the program lifecycle. Act as the bridge between executive leadership and program team members, translating goals into action plans that meet leadership expectations. Develop and manage integrated program plans, including milestones, dependencies, and critical paths. Create and manage program budgets, ensuring fiscal responsibility and alignment with capital investment priorities. Monitor financial performance. Provide overall program oversight, ensuring execution across budget, timeline, scope, dependencies, issues, and risks. Develop and manage mitigation strategies. Create progress and performance visibility through impactful dashboards and program metrics. Lead issue resolution and decision-making, escalating when necessary and facilitating major program decisions through actionable insights. Deliver executive-level communication and coordination, including status reporting and strategic updates. Organize and facilitate steering committee meetings and ensure alignment on key decisions. Serve as the central point for program communications, approving and overseeing messaging. Ensure communications appropriate for the entire organization and external customers are planned, consistent, transparent, and meet desired intent. Ensure compliance with strategic initiative audit requirements, enterprise architecture standards, and software delivery frameworks. Manage and direct program managers, reviewing status reports and ensuring adherence to governance standards. Ensure necessary talent is available for successful delivery. Oversee direct reports and matrixed project team members, fostering collaboration and accountability. Lead, mentor, coach, and develop team members. Other duties as assigned. Qualifications What our team expects from you? Bachelor's degree in Business, Healthcare Administration, Information Technology, or related field, or equivalent work experience, required. 7+ years' experience in pharmacy benefit management (PBM) business processes, data flow, claims adjudication, and NCPDP claims processing standards required. 5+ years leading project teams required. Experience successfully managing large-scale, enterprise-wide projects involving technology and business changes. Knowledge of administration of Medicare, Medicaid, and Exchange benefits. Experience communicating complex messages to all levels of the organization. Strong understanding of healthcare compliance and regulatory requirements. Knowledge of Agile Delivery methodologies. Participate in, adhere to, and support compliance program objectives. The ability to consistently interact cooperatively and respectfully with other employees. What can you expect from Navitus? Top of the industry benefits for Health, Dental, and Vision insurance 20 days paid time off 4 weeks paid parental leave 9 paid holidays 401K company match of up to 5% - No vesting requirement Adoption Assistance Program Flexible Spending Account Educational Assistance Plan and Professional Membership assistance Referral Bonus Program - up to $750! #LI-Remote Location : Address Remote Location : Country US

Company Navitus About Us Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new ideas and share a passion for excellent service to our customers and each other._____________________________________________________________________________________________________________________________________________________________________________________________________________. 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

**ONLY SHIFT AVAILABLE IS M-F 11AM-8PM EST** Mercalis is an integrated life sciences commercialization partner that provides comprehensive solutions that span the entire healthcare value chain. Backed by proven industry expertise and results-driven technology, Mercalis helps navigate the complex life sciences marketplace by providing commercialization solutions to accelerate value and enhance patient lives. Mercalis fosters a culture that encourages individuality and provides opportunities for creativity, growth, and success while fostering a team environment. We are a diversity-driven organization with an inclusive approach to delivering patient-centric solutions that, eliminate barriers for patients, and increase patient access to life altering medications. As a Case Manager, you provide inbound and outbound phone support and may serve as the primary contact for payers, patients, caregivers, specialty pharmacies, site of care centers, specialty distributors, pharmacy compounders, and providers. You will facilitate a collaborative process that gauges, coordinates, and monitors patient benefits, product orders and appointment coordination with the purpose of facilitating the overall patient journey. This includes utilizing services offered through the Patient Support Program on behalf of a manufacturer (client). The primary function is to provide unparalleled customer service to key internal and external stakeholders as a dedicated contact by coordinating resources, exchanging information, and ensuring appropriate Responsibilities Care Coordinator may be regionally aligned and will serve as an expert on all aspects of benefit coordination, and other forms of available support and will be responsible for handling healthcare provider and/or patient interactions May serve as an advocate to patients regarding eligibility requirements, program enrollment, affordability support, and general access for prescribed therapy Establishes relationships, develop trust, and maintain rapport with healthcare providers and/or patients Serves as point of contact to health care providers for ongoing support and relationship development by acquiring and delivering detailed information regarding a program and/or a patient Strong working knowledge and ability to understand and explain benefits offered by all payer types including private/commercial and government (i.e., Medicare, Medicaid, VA and DOD); with expertise in Medicare Part B Navigates through payer challenges by asking appropriate questions to obtain the necessary result Acts as an assigned liaison to client contacts (e.g., regional contact for sales representatives) Maintains records in accordance with applicable standards and regulations to the programs/promotion Follows program guidelines and escalates complex cases according to SOPs, Call Guides, and other program materials. Liaison between Program Management, other internal stakeholders, and healthcare providers Provides unparalleled customer service, with attention to detail, while serving as a brand advocate and program representative; understands the importance of achieving quality outcomes and commits to the appropriate use of resources Works with all levels of Program Management on a day-to-day basis to maintain open lines of communication and share awareness regarding patient status, prescriber feedback/satisfaction, coordination challenges and program effectiveness Understands the nature of the disease states of patients of the program Assesses situations to act and intervene where needed to obtain a timely result Maintains a high level of ethical and professional conduct regarding confidentiality and privacy Helps maintain team morale by consistently demonstrating a positive attitude and strong work ethics Utilizes the necessary resources for conflict resolution as needed. Qualifications Associate or bachelor's degree and 2 years of reimbursement/insurance, healthcare billing, physician office, health insurance processing preferred, or in lieu of a degree, a High School diploma or equivalent with 5 years of reimbursement/insurance, healthcare billing, physician office, health insurance processing Call Center/HUB or customer service experience with progressive levels of responsibility within a service driven environment required Excellent communication skills; orally and in writing Strong working knowledge of prior authorization and appeals is required Strong knowledge of medical and pharmacy insurance terminology and reimbursement/insurance, healthcare billing, physician office, health insurance processing or related benefit coordination experience Excellent problem-solving and decision-making skills required Attention to detail and committed follow through in communication with patients, providers, and internal/external stakeholders Strong organizational skills for fast paced environment Ability to adapt to change while maintaining Program standards Strong team players are willing to jump in and help other team members when needed. Empathetic listening skills to interact effectively with patients and providers. Punctual, reliable with strong attendance record Strong customer service experience and skills Proficient with Microsoft products (Excel, Word, PowerPoint, and Outlook)

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 $77,545.00 - USD $95,148.00 /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-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, Account Management to join our team! The Supervisor, Account Management will lead a team of Account Managers and Sr. Account Managers as well as hold a small book of business comprised of key accounts. The Supervisor will be responsible for the coaching, development and performance of a team as well as serve as a resource for escalated client situations. Coaching the team on the core competencies of their role will be an essential part of the role. Forming incoming and rising talent across our Customer Success department is vital to our continued success and growth strategies. Is this you? Find out more below! Responsibilities How do I make an impact on my team? Lead a team of Account Managers and Sr. Account Managers Work with team members on an individual basis to develop core competencies including leadership and critical thinking skills Provide feedback and coaching to team members on a regular basis to create accountability and sustain performance Serve as an escalation point for critical client issues and or operational challenges Develop and maintain a trusted advisor relationship with existing customers and stakeholders to enhance customer experience and retention Collaborate with multiple internal stakeholders and external vendor partners to ensure best-in-class customer service and benefit solutions delivered efficiently and effectively Facilitate and/or participate in client meetings to advise and advance resolution of open action items and/or provide routine status updates Facilitate the process for benefit changes on behalf of clients and provides direction on how those changes need to be implemented Support client renewal activities in partnership with the Account Executive and Clinical Account Executive Support clients by executing regular account maintenance such as reporting, member-specific requests, open enrollment support, and other tasks as needed May require participation in conference calls, attendance at meetings, or travel outside of normal business hours Other duties as assigned Qualifications What our team expects from you? Bachelor's degree in business, marketing, hospitality management or related area, or equivalent work experience, required 2+ years of account management experience with increasing levels of responsibility required 5+ years of experience in a customer service role required 1+ years of leadership experience, direct or indirect, required Knowledge of pharmacy benefits management, insurance, or health care industry required Experience in coaching and/or developing others 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

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 $98,000.00 - USD $123,000.00 /Yr. STAR Bonus % (At Risk Maximum) 5.00 - Salaried Non-Management except pharmacists Work Schedule Description (e.g. M-F 8am to 5pm) M-F from 8am to 5pm Central and additional hours 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 Join us as the HR Business Partner for our Technology division and help shape one of the fastest‑moving parts of our organization. You'll partner directly with tech leaders using your experience supporting HR processes with IT and technical divisions to solve real people challenges, build high‑performing teams, and drive meaningful change. This is an addition to headcount for our organization. We're looking for a proactive, HRBP who shows up as a true partner with our IT and technical Operations team. This is someone who can navigate complexity, move quickly, and balance strategic thinking with hands‑on execution. If you thrive in dynamic environments and have experience working alongside the IT and Technical space and love working shoulder‑to‑shoulder with business leaders and HR colleagues to make an impact, this role is for you. The Human Resources Business Partner (HRBP) serves as a strategic partner to business leaders, aligning HR strategies with business objectives to drive organizational performance. The HRBP provides expert guidance in areas such as workforce planning, talent management, associate relations, organizational development, and change management. This role acts as a consultant to management on human resource-related issues while serving as an associate champion and change agent. The HRBP will provide HR guidance, analyze metrics, resolve associate relations issues, and work with management to improve work relationships and productivity. The HRBP provides consultation to assigned business units and/or functional areas to formulate partnerships across the HR function, working to deliver value-added service to management and associates that reflect the business objectives of the organization. This role will be responsible for delivering all HR services leveraging other HR experts as appropriate for the full associate lifecycle, including recruiting, selection, onboarding, engagement, development, performance management, rewards, and offboarding. Responsibilities HRBP supporting the Business, Operations, and Technology (BOT) Division Strategic Alignment: Working with the IT side of the business means strategies can shift rapidly. The HRBP must be highly adaptable, able to quickly adjust HR processes to support evolving organizational needs. Talent Acquisition and Recruitment: Supporting the IT discipline requires close collaboration with hiring managers to identify talent needs, craft job descriptions, and develop effective recruitment strategies, both with direct hire and also temps/contractors to ensure we have dynamic solutions for planned and urgent, unique needs. The HRBP should also be prepared to design or review the Associate Value Proposition (AVP) to attract top technology talent. Associate Development and Training: The IT landscape evolves quickly. The HRBP shares responsibility for identifying skill gaps and implementing training and development programs to upskill associates. They must also ensure associates have access to the necessary resources and opportunities to grow. Performance Management: IT leaders are often highly skilled in their technical domains but may need support in leadership fundamentals. The HRBP plays a key role in guiding them on setting performance expectations, conducting regular reviews, and addressing performance issues effectively. Associate Engagement and Retention: IT departments face intense competition for talent. The HRBP must help foster a positive work environment, address associate concerns, and develop retention strategies to keep valuable technology professionals engaged and committed to the organization. Understanding of Capital Projects: The HRBP should understand the strategies in play, what planned needs need to be fulfilled, and what we are planning for. Additionally: Partner with business leaders to develop and implement HR strategies that support business goals. Provide guidance and support on organizational design, workforce planning and talent development planning to support the business strategy and organizational goals. Lead and support performance management, succession planning, and associate engagement initiatives. Lead performance improvement and support with divisional leadership to ensure alignment with company performance policy, practices, and standards and provide leadership training to support positive performance measures. Manage complex associate relations issues, conduct effective, thorough, and objective investigations and ensure compliance with policies, procedures, and laws. Collaborate with Centers of Excellence (COE) such as Talent Acquisition, Total Rewards, Learning and Development and HR Generalists to achieve company and business unit initiatives and needs. Analyze HR metrics and trends to develop solutions, programs, and policies in partnership with the HR COE Leadership. Develops and analyzes data to guide business leaders in planning and execution of people related strategies. Drive change management initiatives and foster a culture of continuous improvement ensuring success. Proactively challenge the status quo and / or innovative ideas to ensure decisions are consistent with organizational standards, policy, and culture. Coach and develop managers on effective leadership and people management practices. Serves as a member of the leadership team for assigned business units and functions. Consults with Leadership to provide HR guidance, policy interpretation, coaching, and partnership to resolve associate relations, drive engagement and performance, and effectiveness in talent selection. Works closely with management and team members to improve work relationships, build morale, and increase productivity and retention. Collaborate with HR COE Leadership to ensure efficient and effective hiring, onboarding, and offboarding of staff. Maintains in-depth knowledge of legal requirements related to day-to-day management of associates, reducing legal risks, and ensuring regulatory compliance. Partners with legal counsel as needed/required. Partners with HR Leadership on people-focused communication and implementation of initiatives and services. Identifies training needs for assigned business units and functions and provides individual leadership coaching as needed. Other duties as assigned. Qualifications • Education: Bachelor's degree in human resource management or business-related discipline or equivalent experience required. • Certification/Licenses: SHRM-CP, SHRM-SCP, PHR or SPHR is preferred. • Experience: o 5 years of progressive HR experience with at least 2 years in a business partner or consultative role required. o Prior experience supporting BOT functions, specifically IT o Strong knowledge of employment laws and HR best practices. o Proven ability to influence and build strong relationships with stakeholders at all levels. o Project management experience with the ability to manage multiple projects and priorities in a dynamic environment preferred. o Familiarity with data analytics and HR metrics. o Knowledge of general human resource programs, policies, and procedures related to employee relations, recruitment, compensation, benefits, leave administration, EEO/AAP administration, understanding of state and federal laws related to employment practice strongly desired. Location : Address Remote Location : Country US

Company Navitus About Us Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new ideas and share a passion for excellent service to our customers and each other._____________________________________________________________________________________________________________________________________________________________________________________________________________. 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

Role is Remote, but preferably looking for this person to reside in North Carolina. Valeris is an integrated life sciences commercialization partner that provides comprehensive solutions that span the entire healthcare value chain. Backed by proven industry expertise and results-driven technology, Valeris helps navigate the complex life sciences marketplace by providing commercialization solutions to accelerate value and enhance patient lives. Valeris fosters a culture that encourages individuality and provides opportunities for creativity, growth, and success while fostering a team environment. We are a diversity-driven organization with an inclusive approach to delivering patient-centric solutions that eliminate barriers for patients and increase access to life-altering medications. The Training Specialist position is responsible for helping our new hires gain the skills and acumen needed to succeed in their new positions. They will facilitate refresher and skills training to ensure current employees excel in their current roles. Using principles of adult learning, the Training Specialist will develop instructional materials and deliver training programs for the Valeris team. The position will modify instructional materials in response to evaluations from learners and organizational changes. This role interacts with individuals from multiple departments and plays a key part in building the Learning and Development function. Responsibilities Design and develop training materials for new programs and maintain existing materials (e.g., instructor-led training, eLearning modules, job aids, activities, and desk drops). Lead new hire training sessions covering specified areas such as computer and platform usage, new hire onboarding, refresher training, and system or process upgrade training. Deliver required compliance training for new hires prior to their active support of any assigned program. Measure trainee progress to evaluate training effectiveness and determine readiness for trainees to perform in their assigned roles. Document areas of concern for trainees and review findings with Program Leadership. Collaborate with Program Leadership to remain informed of changes in policies, procedures, regulations, and technologies. Update the SharePoint site to ensure content is current, accurate, grammatically correct, and user-friendly. Maintain and promote a positive learning environment in all training settings. Adhere to all training deadlines and corporate policies related to access and handling of confidential data. Ensure all SOPs are followed consistently across training delivery and documentation. Perform additional tasks or projects as assigned. Qualifications Minimum Qualifications College degree in Communication, Education, or a related field and/or equivalent experience in training Experience designing training materials and delivering training in a corporate setting Experience managing and facilitating meetings with key stakeholders Excellent interpersonal skills, including the ability to quickly develop strong working relationships Excellent verbal and written communication skills Ability to work in a fast-paced, ever-changing environment Proven ability to mentor others to ensure their success Preferred Qualifications Degree in a related discipline such as Instructional Design, Organizational Psychology, Adult Education, etc. At least 2 years of experience working in the pharmaceutical industry and at least 1 year of training experience

Company Navitus About Us Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new ideas and share a passion for excellent service to our customers and each other._____________________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at ************************************ to be considered for internal opportunities. Pay Range USD $42,505.00 - USD $50,601.00 /Yr. STAR Bonus % (At Risk Maximum) 5.00 - Salaried Non-Management except pharmacists Work Schedule Description (e.g. M-F 8am to 5pm) M-F 7am-4pm 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 an Analyst, Tech. Operations Government Programs to join our team! The Analyst, Tech. Operations Government Programs has responsibility for executing Government Programs processes accurately, efficiently, and in compliance with CMS regulations. Is this you? Find out more below! Responsibilities How do I make an impact on my team? Assignments may include one or more of the following: Employer Group Waiver Plan (EGWP) enrollment administration and oversight, Retro-eligibility processes, Financial Information Reporting (FIR), Plan Finder Submission, Coordination of Benefits (COB), Reject Management, Prescription Drug Event (PDE) error management and reconciliation, Medicaid Encounter Data, Affordable Care Act (ACA) Claims Submission, Explanation of Benefits (EOB), Retiree Drug Subsidy (RDS), and Claim Auditing Oversee the schedules for the processes assigned, adjust schedules when necessary to ensure deadlines are met, and alert management when schedules are at risk Ensure process documentation accurately reflects the current process and update when necessary Assist subject matter experts (SME) in defining and documenting process steps, providing input on requirements for technical specifications Review and research errors and prioritize reconciliation efforts in accordance with State and Federal guidance Effectively communicate with Employer Groups, Clients, State/Federal Agencies, external vendors and Navitus internal departments to address action items, problems, and manage expectations to ensure timely and accurate issue resolution As needed, may require working outside of normal business hours to complete time sensitive processes Other duties as assigned Qualifications What our team expects from you? Bachelor/Associate Degree in business related field; or equivalent of an associate degree and 2 years of work experience, or 4 years of work experience and a high school diploma or equivalent 1+ years' work experience Experience in pharmaceutical claims adjudication systems, retail pharmacy, or in a health plan organization is preferred Participate in, adhere to, and support compliance program objectives The ability to consistently interact cooperatively and respectfully with other employees What can you expect from Navitus? Top of the industry benefits for Health, Dental, and Vision insurance 20 days paid time off 4 weeks paid parental leave 9 paid holidays 401K company match of up to 5% - No vesting requirement Adoption Assistance Program Flexible Spending Account Educational Assistance Plan and Professional Membership assistance Referral Bonus Program - up to $750! #LI-Remote Location : Address Remote Location : Country US

Company Navitus About Us Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new ideas and share a passion for excellent service to our customers and each other._____________________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at ************************************ to be considered for internal opportunities. Pay Range USD $120,525.00 - USD $150,656.00 /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 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 Do you have experience at a PBM? Navitus Health Solutions is seeking a Director, Technical Operations with no less than 5 years of experience at a PBM, health plan, or managed care environment to join our team! This is not a call center or general operations leadership roles. The Director, Technical Operations (DTO) is responsible for providing regulatory interpretation, operational expertise and oversight of technical programs for Government Programs which include enrollment/eligibility, regulatory encounter submission and reconciliation, claims adjudication accuracy, EOB Administration, recoveries processes, EGWP enrollment, coordination of benefits, reprocessing/refund/recoveries solution deliverables, M3P, vendor contract management and RDS Administration. The Director will recommend, develop, implement, monitor and evaluate department goals, objectives, processes, and policies and procedures within the scope of the department's responsibilities. The DTO is responsible for the development, implementation and ongoing oversight of the technical operations and activities needed to support Government Programs. This individual will ensure that policies, procedures, and CMS and state program requirements are implemented to achieve effective, efficient, auditable and compliant Medicare, Medicaid and Exchange Claims Adjudication. Is this you? Find out more below! Responsibilities How do I make an impact on my team? Supports annual department budget and staffing plans in support of Navitus's strategic and business initiatives. Monitors program regulations, guidance, and systems to determine needs and gaps that impact compliance and program operations. Provides direction and oversight for the development, modification and improvement of business processes and policies. Oversees the accurate and timely administration, coordination, reconciliation and reporting of eligibility changes including CMS enrollment submissions for EGWP offering; retroactive Medicare D low-income subsidy eligibility changes; retroactive eligibility changes and impact assessments for Medicaid and Exchange, and changes in the primary and supplemental other insurance file and COB changes. Oversees the processing of all CMS and state encounter data submissions and reconciliations. Ensures PDE, ED, and Exchange encounter submissions and manual and electronic claims adjustments to correct PDE/ED errors and recoveries are handled appropriately and timely. Oversees outcomes adherence to contractual and performance guarantee requirements and creates the vision for and oversees all related projects and process improvements. Oversees and ensure compliance with the Medicare, Medicaid and Exchange claims adjudication and COB regulatory requirements. Oversees and ensure compliance with the Medicare EOB regulatory requirements and administration as well as Medicare M3P administration and vendor management. Oversees and ensure compliance with reprocessing regulatory requirements and timelines. Ensures successful internal and external audits by working with claims adjudication and recoveries teams to maintain compliance with regulatory requirements and requirements for operational and financial controls. Implements new Medicare D, Medicaid and Exchange requirements impacting claims adjudications, RDS, EGWP enrollment, EOB administration, encounter data administration, Medicare Plan Finder, and retro-eligibility requirements. Other duties as assigned Qualifications What our team expects from you? Bachelor's Degree required. 5 years' experience in PBM, health plan, or managed care environment. Knowledge and experience in project management, claims adjudication, analytical tools and analysis, and technology solutions. Requires proven track record of process improvement, regulatory compliance, monitoring and metrics, and leading projects and teams. 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

*** THE SHIFT FOR THIS ROLE IS M-F 11A-8P EST ONLY *** Mercalis is an integrated life sciences commercialization partner that provides comprehensive solutions that span the entire healthcare value chain. Backed by proven industry expertise and results-driven technology, Mercalis helps navigate the complex life sciences marketplace by providing commercialization solutions to accelerate value and enhance patient lives. Mercalis fosters a culture that encourages individuality and provides opportunities for creativity, growth, and success while fostering a team environment. We are a diversity-driven organization with an inclusive approach to delivering patient-centric solutions that, eliminate barriers for patients, and increase patient access to life altering medications. As a Care Coordinator, you provide inbound and outbound phone support and may serve as the primary contact for payers, patients, caregivers, specialty pharmacies, site of care centers, specialty distributors, pharmacy compounders, and providers. You will facilitate a collaborative process that gauges, coordinates, and monitors patient benefits, product orders and appointment coordination with the purpose of facilitating the overall patient journey. This includes utilizing services offered through the Patient Support Program on behalf of a manufacturer (client). The primary function is to provide unparalleled customer service to key internal and external stakeholders as a dedicated contact by coordinating resources, exchanging information, and ensuring appropriate Responsibilities Care Coordinator may be regionally aligned and will serve as an expert on all aspects of benefit coordination, and other forms of available support and will be responsible for handling healthcare provider and/or patient interactions May serve as an advocate to patients regarding eligibility requirements, program enrollment, affordability support, and general access for prescribed therapy Establishes relationships, develop trust, and maintain rapport with healthcare providers and/or patients Serves as point of contact to health care providers for ongoing support and relationship development by acquiring and delivering detailed information regarding a program and/or a patient Strong working knowledge and ability to understand and explain benefits offered by all payer types including private/commercial and government (i.e., Medicare, Medicaid, VA and DOD); with expertise in Medicare Part B Navigates through payer challenges by asking appropriate questions to obtain the necessary result Acts as an assigned liaison to client contacts (e.g., regional contact for sales representatives) Maintains records in accordance with applicable standards and regulations to the programs/promotion Follows program guidelines and escalates complex cases according to SOPs, Call Guides, and other program materials. Liaison between Program Management, other internal stakeholders, and healthcare providers Provides unparalleled customer service, with attention to detail, while serving as a brand advocate and program representative; understands the importance of achieving quality outcomes and commits to the appropriate use of resources Works with all levels of Program Management on a day-to-day basis to maintain open lines of communication and share awareness regarding patient status, prescriber feedback/satisfaction, coordination challenges and program effectiveness Understands the nature of the disease states of patients of the program Assesses situations to act and intervene where needed to obtain a timely result Maintains a high level of ethical and professional conduct regarding confidentiality and privacy Helps maintain team morale by consistently demonstrating a positive attitude and strong work ethics Utilizes the necessary resources for conflict resolution as needed. Qualifications Associate or bachelor's degree and 2 years of reimbursement/insurance, healthcare billing, physician office, health insurance processing preferred, or in lieu of a degree, a High School diploma or equivalent with 5 years of reimbursement/insurance, healthcare billing, physician office, health insurance processing Call Center/HUB or customer service experience with progressive levels of responsibility within a service driven environment required Excellent communication skills; orally and in writing Strong working knowledge of prior authorization and appeals is required Strong knowledge of medical and pharmacy insurance terminology and reimbursement/insurance, healthcare billing, physician office, health insurance processing or related benefit coordination experience Excellent problem-solving and decision-making skills required Attention to detail and committed follow through in communication with patients, providers, and internal/external stakeholders Strong organizational skills for fast paced environment Ability to adapt to change while maintaining Program standards Strong team players are willing to jump in and help other team members when needed. Empathetic listening skills to interact effectively with patients and providers. Punctual, reliable with strong attendance record Strong customer service experience and skills Proficient with Microsoft products (Excel, Word, PowerPoint, and Outlook)