145 applicants

Company

Navitus Health Solutions · 1 week ago

Tester, Benefit Configuration

United States

Full-time

Remote

Entry Level

$19.60/hr - $21.26/hr

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Health CareInformation Technology

H1B Sponsor Likely

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Responsibilities

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

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

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

Qualification

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Benefit configuration testingClaims adjudication systemHIPAA complianceNCPDP standardsMicrosoft WordMicrosoft ExcelCompliance program objectivesCooperative interaction

Required

Associate degree or equivalent work experience

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

Benefits

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

Company

Navitus Health Solutions

Navitus Health Solutions LLC is a full service, URAC-accredited pharmacy benefit management company.

Founded in 2003

Appleton, Wisconsin, USA

1001-5000 employees

https://www.navitus.com/

H1B Sponsorship

Navitus Health Solutions has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

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Trends of Total Sponsorships

2022 (1)