Navitus Health Solutions hiring Supervisor, Claim Adjudication Operations • Remote (Work from Home) | Himalayas
Navitus Health SolutionsNS

Supervisor, Claim Adjudication Operations

Navitus Health Solutions is a pharmacy benefit manager (PBM) founded in 2003 with a mission to make prescription medications more affordable through a transparent, 100% pass-through model. They serve nearly 18 million members across almost 800 clients.

Navitus Health Solutions

Employee count: 1001-5000

Salary: 62k-75k USD

United States only

Company

Navitus

About Us

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 https://employees-navitus.icims.com/ to be considered for internal opportunities.

Pay Range

USD $61,968.23 - USD $74,660.31 /Yr.

Work Schedule Description (e.g. M-F 8am to 5pm)

M-F 8am to 5pm CT

Remote Work Notification

ATTENTION: Navitus is unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming.

Overview

Due to growth, we are adding a Supervisor, Claim Adjudication Operations to our CAO Client department.

The Supervisor, Claim Adjudication Operations ensures the streamlined operation of the Claim Adjudication Operations team in alignment with customer-focused objectives. This individual will plan, design, coordinate and align resources to support the daily activities of the team. The supervisor will work closely with their team to identify, recommend, develop, implement, support, and improve customer-focused solutions.

Is this you? Find out more below!

Responsibilities

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
  • Develop and sustain a culture of operational excellence that creates value for the customer
  • Organize, plan, and align resources for day-to-day activities based on customer priorities
  • Manage staffing, including recruitment, supervision, performance management, scheduling, development, evaluation, and disciplinary actions
  • Make decisions and remove barriers enabling the team to deliver
  • Cultivate an environment of adherence to procedures and guidelines
  • Other duties as assigned

Qualifications

What our team expects from you?

  • A two or four year degree and/or a minimum of four years of work experience is required
  • Professional PBM industry work experience is preferred
  • Knowledge of applicable data privacy practices and laws is preferred
  • Healthcare industry practices and HIPAA knowledge would be a plus
  • Understanding of human resource management principles, practices, and procedures would be 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?

  • 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!

Location : Address

Remote

Location : Country

US

About the job

Apply before

Posted on

Job type

Full Time

Experience level

Mid-level
Manager

Salary

Salary: 62k-75k USD

Location requirements

Hiring timezones

United States +/- 0 hours

About Navitus Health Solutions

Learn more about Navitus Health Solutions and their company culture.

View company profile

We are Navitus Health Solutions, and for more than two decades, we've been dedicated to transforming the pharmacy benefit management (PBM) landscape. Founded in 2003, our core belief was that the traditional PBM model needed a fundamental shift to better serve the interests of plan sponsors and their members. This conviction led us to pioneer a 100% pass-through business model, a transparent approach designed to eliminate unnecessary costs and ensure that all negotiated rebates, discounts, and fees are returned directly to our clients. We're driven by a profound commitment to helping people access the medications they need at more affordable prices, ultimately enabling them to lead fuller lives.

Our journey began with a vision to disrupt the industry norms and establish a new standard for financial and operational transparency in pharmacy benefits. We're proud to have consistently upheld this unique model, which stands in contrast to other established PBMs. Our purpose is clear: to humanize the pharmacy benefit experience and to relentlessly pursue strategies that lower overall drug spend and the cost of care. We achieve this by providing full financial and operational disclosures, improving medication adherence, and offering alternative treatment options that can reduce long-term drug reliance. We proudly serve almost 18 million members through nearly 800 clients, a testament to the trust placed in our approach. Our mission is to make medications more affordable for those who need them, fostering a healthcare system where honesty and open communication build unwavering trust.

Claim this profileNavitus Health Solutions logoNS

Navitus Health Solutions

View company profile

Similar remote jobs

Here are other jobs you might want to apply for.

View all remote jobs

32 remote jobs at Navitus Health Solutions

Explore the variety of open remote roles at Navitus Health Solutions, offering flexible work options across multiple disciplines and skill levels.

View all jobs at Navitus Health Solutions

Remote companies like Navitus Health Solutions

Find your next opportunity by exploring profiles of companies that are similar to Navitus Health Solutions. Compare culture, benefits, and job openings on Himalayas.

View all companies

Find your dream job

Sign up now and join over 85,000 remote workers who receive personalized job alerts, curated job matches, and more for free!

Sign up
Himalayas profile for an example user named Frankie Sullivan