Navitus Health Solutions · 15 hours ago
Sr. Analyst, Technical Operations
Appleton, WI, US
Full-time
Hybrid
Mid, Senior Level
3+ years expNavitus Health Solutions is a company committed to making medications more affordable through innovative pharmacy benefit management. They are seeking a Senior Technical Operations Analyst who will provide technical, business, and training support within the Technical Operations Department, ensuring operational compliance and facilitating process improvements.
Health CareInformation Technology
Responsibilities
Assigned processes 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), and Retiree Drug Subsidy (RDS)
Provides technical expertise to facilitate training, create and maintain documentation, and provide ongoing support of Medicare D operational processes
Trains Technical Operations Analysts on all Medicare D procedures related to the processes assigned
Works in partnership with the Technical Operations Business Analysts to manage changes to existing processes that are required for Technical Operations. This includes scope definition, business requirements, user acceptance testing, implementation, and maintenance of ongoing production
Interfaces with and provides input and oversight to internal operational areas and with external customers to improve the quality of customers' implementations and ongoing experience with Navitus Health Solutions
Requests/runs reports and analyzes data to identify or further define issues and provide ongoing quality assurance
Develops test plans and coordinates user/system testing
Knowledgeable user in 3D for reporting needs that support the Technical Operations processes
Other duties as assigned
Qualification
Required
Bachelor/Associate Degree in business related field; or equivalent combined education and experience required
3 to 5 years' experience in one or more of the following: Healthcare Insurance, Pharmaceutical, customer service, data analysis, or equivalent experience
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
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.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
George Hepburn
SVP and Chief Financial Officer
Peter Beste
CFO
Recent News
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