Analyst, Benefit Configuration
Navitus Health Solutions
Job Description
<h3>Company</h3>Navitus<h3>About Us</h3>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. We are committed to providing equal employment opportunity to all applicants and employees and comply with all applicable nondiscrimination regulations, including those related to protected veterans and individuals with disabilities. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or handicap.<h3>Pay Range</h3>USD $20.19 - USD $23.11 /Hr.<h3>STAR Bonus % (At Risk Maximum)</h3>0.00 - Ineligible<h3>Work Schedule Description (e.g. M-F 8am to 5pm)</h3>M-F 8am to 5pm<h3>Remote Work Notification</h3>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.<h3>Overview</h3><p><a href="https://himalayas.app/companies/navitus-health-solutions">Navitus Health Solutions</a> is seeking a Analyst, Benefit Configuration to join our team!</p><p>The Analyst, 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 Analyst, Benefit Configuration configures benefits in the claim adjudication system based on specifications from internal customers and external clients. This role applies knowledge of highly diverse plan designs, formularies, and networks across multiple lines of business, ensuring that claims adjudicate accurately and timely.</p><p>This position may include after-hour and/or weekend hours with other eligible team members depending on workload.</p><h3>Is this you? Find out more below!</h3><h3>Responsibilities</h3><h3>How do I make an impact on my team?</h3><ul>
<li>Completes scheduled and urgent benefit additions, terminations, and changes timely and accurately to prevent member access to care issues, missed performance guarantees and potential liquidated damages.</li>
<li>Acquires and maintains a basic level of knowledge and interpretation of multiple adjudication system screens and functions on a field-by-field level to design both standard and custom configurations to meet client expectations.</li>
<li>Complies with standards set forth regarding benefit design and configuratio