Navitus Health Solutions · 10 hours ago
Tester, Benefit Configuration
United States
Full-time
Remote
New Grad, Entry Level
$20.44/hr - $24.33/hrNavitus Health Solutions is a company focused on making medications more affordable by providing innovative pharmacy benefit management solutions. They are seeking a Tester, Benefit Configuration to ensure accurate benefit configuration testing and support the claims adjudication process, thereby meeting the business needs of their customers and clients.
Health CareInformation Technology
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
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
Qualification
Required
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
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
Educational Assistance Plan and Professional Membership assistance
Referral Bonus Program – up to $750!
Company
Navitus Health Solutions
Navitus Health Solutions LLC is a full service, URAC-accredited pharmacy benefit management company.
Founded in 2003
1001-5000 employees
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
Represents job field similar to this job
Trends of Total Sponsorships
2022 (1)
Funding
Current Stage
Late StageLeadership Team
George Hepburn
SVP and Chief Financial Officer
Peter Beste
CFO
Recent News
Company data provided by crunchbase