WI3668356

1

Vocational Degree

Associate Degree

$19.03 + hourly

Unspecified

40

JOB REQUIREMENTS: Pharmacy Benefits Reinvented- As the industry\'s
alternative pharmacy benefit manager (PBM), we\'re committed to making
prescriptions more affordable for you and your members. Here at Navitus,
our team members work in an environment that celebrates creativity,
fosters diversity and encourages growth. We welcome new ideas and share
a passion for excellence. The Benefit Configuration Tester I test\'s
configuration and maintenance activities of Navitus Benefit
Configuration Analysts (BCA) who are responsible for the configuration
of Navitus\' pharmacy claims processing system. The primary functions of
the Benefit Configuration Tester I involve performing the necessary
configuration testing ensuring Navitus is able to set up and maintain a
versatile claims adjudication system Is this you? Find out more below!
How do I make an impact on my team? Provide superior customer service
utilizing a high-touch, customer centric approach focused on
collaboration and communication Analyze and test requests including
pharmacy network rates and formulary management configuration with a
high degree of accuracy Mitigate the risk of errant adjudication of
claims, especially those with a financial impact to Navitus, members,
clients, or pharmacies Acquire understanding of Navitus\' claims
adjudication system and upstream/downstream processes Execute batch
testing where applicable Is responsible for complying with departmental
standards along with established turnaround times Comply with standards
set forth regarding benefit design and configuration including HIPAA,
NCPDP, and Navitus internal business standards Utilize departmental work
flow management, issue resolution, and reporting tools Contribute toward
departmental performance and service level guarantees and achieve
individual performance goals around accuracy and timeliness Assist in
the development of process improvements that focus on efficiency and
accuracy Ability to communicate effectively at all levels within the
organization (written, verbal/presentation, and active listening) What
our team expects from you? Associate degree or equivalent work
experience is required Two years previous work experience PBM or managed
care is preferred, but not required Previous testing experience is
preferred Two years of Excel formula and/or macro experience is 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? Hours/Location:
Monday - Friday 8:00am-5:00pm CST, Remote Paid Volunteer Hours
Educational Assistance Plan and Professional Membership assistance
Referral Bonus Program - up to \$750! Top of the industry benefits for
Health, Dental, and Vision insurance, Flexible Spending Account,
Paid\... For full info follow application link. Navitus Health Solutions
is an Equal Opportunity Employer:
Disabled/Veterans/Male/Female/Minority/Other \*\*\*\*\* APPLICATION
INSTRUCTIONS: Apply Online: ipc.us/t/6A46E217A872453F