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Navitus Health Solutions LLC jobs

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LEAD, QUALITY ASSURANCE-REMOTE

Develop and implement a robust testing strategy encompassing all aspects of the modernization project. Participate in teams to develop comprehensive test strategies, plans, impact analysis, specifications, and test cases for effec...

CompanyNavitus Health Solutions Llc
AddressMadison, WI
CategoryManufacturing
Job typeFull-Time
Date Posted 2 weeks ago See detail

Lead, Quality Assurance-Remote

Navitus Health Solutions Llc

Madison, WI

Develop and implement a robust testing strategy encompassing all aspects of the modernization project. Participate in teams to develop comprehensive test strategies, plans, impact analysis, specifications, and test cases for effec...

2 weeks ago seen See more...

Pharmacist, Clinical Operations

Navitus Health Solutions Llc

Phoenix, AZ

Verifies prescriptions for pharmaceutical preparations and devices for patients at company facilities; maintains accurate and detailed records of all prescription transactions, and submits appropriate claims for third-party reimbu...

3 weeks ago seen See more...

Sr. Analyst, Network Contracting-Remote

Navitus Health Solutions Llc

Austin, TX

Support the network contracting management division by preparing contracting and strategy analytics, including new contracts and contract renewals. Assist with preparation and attend meetings with strategic pharmacy partners. Plan...

3 weeks ago seen See more...

Investigator I, SIU-Remote

Navitus Health Solutions Llc

Madison, WI

Assist SIU team in the development, execution and maintenance of the Navitus fraud and abuse program, including controls and guidance. Independently investigate cases of potential abuse in accordance with the investigation protoco...

a month ago seen See more...

Investigator I, SIU-Remote

Navitus Health Solutions Llc

Appleton, WI

Assist SIU team in the development, execution and maintenance of the Navitus fraud and abuse program, including controls and guidance. Independently investigate cases of potential abuse in accordance with the investigation protoco...

a month ago seen See more...

Pharmacy Auditor I-Remote

Navitus Health Solutions Llc

Appleton, WI

Audit pharmacy claims in a pre-pay or post-pay status, identifying aberrancies for outreach to pharmacies for education and correction. Analyze data sets to trend over time identifying outliers of that data set when compared to ot...

a month ago seen See more...

Pharmacy Auditor I-Remote

Navitus Health Solutions Llc

Madison, WI

Audit pharmacy claims in a pre-pay or post-pay status, identifying aberrancies for outreach to pharmacies for education and correction. Analyze data sets to trend over time identifying outliers of that data set when compared to ot...

a month ago seen See more...

Sr. Developer, Business Intelligence-Remote

Navitus Health Solutions Llc

Madison, WI

Use Qlikview, QlikSense, SQL Server Management Studio, Oracle SQL Developer and other product tools to create applications and data models for reporting needs,. Identify inter-departmental dependencies and downstream impacts of ch...

a month ago seen See more...

Pharmacy Auditor I-Remote

Navitus Health Solutions Llc

Austin, TX

$45,931 - $58,508 a year

Audit pharmacy claims in a pre-pay or post-pay status, identifying aberrancies for outreach to pharmacies for education and correction. Analyze data sets to trend over time identifying outliers of that data set when compared to ot...

a month ago seen See more...

Pharmacist, Clinical Resident

Navitus Health Solutions Llc

Madison, WI

$56,000 a year

Responsible for support and input to clinical programs such as: Health Management, Drug Utilization Review, Formulary development, and Prior Authorization programs to encourage appropriate, high-quality, cost-effective drug therap...

a month ago seen See more...

Clinical Account Executive (RPh)-Remote

Navitus Health Solutions Llc

Madison, WI

Manage the clinical relationships with clients. Develop and implement a clinical plan that meets the goals and objectives of the client and is in alignment with corporate business strategy. Identifies expansion opportunities, and...

a month ago seen See more...

Intake Specialist I-Remote

Navitus Health Solutions Llc

Remote

$18.13 - $22.60 an hour

Responsible for placing phone calls to new and existing Specialty Pharmacy patients. Responsible for enrolling patients into specialty services which may include, patient care management, copay assistance programs, billing informa...

a month ago seen See more...

Analytics Technical Writer Summer Intern

Navitus Health Solutions Llc

Madison, WI

Compile valuable Subject Matter Expert (SME) topics and documentation by working with team members. Create clear and concise documentation for both the Analytics team and business users. Edit and proofread documentation for accura...

a month ago seen See more...

Pharmacy Technician, Telehealth English/Hmong Bilingual-Remote

Navitus Health Solutions Llc

Appleton, WI

Place outbound phone calls to members to offer MTM services and other commercial programs outside of traditional MTM. Field inbound phone calls from members to initiate MTM or other CEC services. Conduct telephonic comprehensive m...

a month ago seen See more...

Manager, Privacy-Remote

Navitus Health Solutions Llc

Remote

$75,287 - $101,614 a year

Exercise daily oversight of privacy operations including workload, report quality, staff development, and presentation of information to clients or external authorities. Conduct internal reviews or audits to ensure that operationa...

a month ago seen See more...

Coordinator, Client Services-Remote

Navitus Health Solutions Llc

Appleton, WI

$45.2K - $57.2K a year

Facilitate existing client meetings Analyze any new or revised client requirements to ensure accuracy Make decisions regarding the resolution of eligibility, accumulator and claims extract file issues Make decisions regarding the...

a month ago seen See more...

Pharmacy Technician, Telehealth English/Hmong Bilingual-Remote

Navitus Health Solutions Llc

Madison, WI

$34.5K - $43.6K a year

Place outbound phone calls to members to offer MTM services and other commercial programs outside of traditional MTM. Field inbound phone calls from members to initiate MTM or other CEC services. Conduct telephonic comprehensive m...

a month ago seen See more...

Manager, System Integration - Remote

Navitus Health Solutions Llc

Appleton, WI

$109,359 - $150,368 a year

Lead, mentor and inspire a team of System Integration engineers, providing clear direction, setting performance expectations, and fostering a collaborative and innovative work environment. Collaborate with architects and technical...

a month ago seen See more...

Assoc. Product Manager, Technical Operations-Remote

Navitus Health Solutions Llc

Appleton, WI

$56,758 - $73,853 a year

Responsible for the operational oversight and management of applications and products within the CEC, and in collaboration with subject matter experts (SMEs) from other departments and the division. Develops a working knowledge of...

a month ago seen See more...

Government Programs Regulatory Trainer

Navitus Health Solutions Llc

Appleton, WI

$63,773 - $83,750 a year

Monitor new regulatory requirements and assess applicability to training curriculum. Assess regulatory training needs for new and existing employees. Set strategy and timeline for the Medicare Part D training program and collabora...

2 months ago seen See more...

Specialist, Workforce Management-Remote

Navitus Health Solutions Llc

Appleton, WI

$23.30 - $29.67 an hour

Run and review volume forecasts, shrinkage analysis reports, headcount requirements, new hire/modified shift requirements, and average handle time analysis to ensure accurate scheduling. Conduct and document routine data validatio...

2 months ago seen See more...

Medicare Services Executive-Remote

Navitus Health Solutions Llc

Appleton, WI

$63,773 - $83,750 a year

Serves as primary Medicare Part D Point of Contact for the client Support the Lead Client Services Executive with Strategic Business Plans and Medicare Part D VALUE Summaries Provide Final Rule, Call Letter, Technical Specificatio...

2 months ago seen See more...

Coordinator, Workforce Management

Navitus Health Solutions Llc

Appleton, WI

$19.84 - $25.04 an hour

Perform live monitoring of service queues to identify issues that impact our service levels Utilize tools to perform intraday monitoring on agent adherence and provide recommendations based on those observations Utilize our WFM to...

2 months ago seen See more...

Business Analyst, Clinical Services-Remote

Navitus Health Solutions Llc

Appleton, WI

$63,773 - $83,750 a year

Document and validate business requirements, use cases, and stories for use in small and large projects as well as process improvement efforts. Analyze and verify requirements/user stories for completeness, consistency, comprehens...

2 months ago seen See more...

Manager, Privacy-Remote

Navitus Health Solutions Llc

Appleton, WI

$75,287 - $101,614 a year

Exercise daily oversight of privacy operations including workload, report quality, staff development, and presentation of information to clients or external authorities. Conduct internal reviews or audits to ensure that operationa...

2 months ago seen See more...

Government Programs Regulatory Trainer

Navitus Health Solutions Llc

Remote

$63,773 - $83,750 a year

Monitor new regulatory requirements and assess applicability to training curriculum. Assess regulatory training needs for new and existing employees. Set strategy and timeline for the Medicare Part D training program and collabora...

2 months ago seen See more...

Client Services Executive-Remote

Navitus Health Solutions Llc

Madison, WI

$70,692 - $95,413 a year

Delegate, support and provide guidance to colleagues in Senior CSC and CSC roles Pull data from 3-D and other Navi-tools to deliver facts-based presentations (including Strategic Business Plans, VALUE Summaries, and Performance St...

2 months ago seen See more...

Analyst, Accumulator/Claim Extract-Remote

Navitus Health Solutions Llc

Madison, WI

$48,458 - $61,726 a year

Provide superior customer service utilizing a high-touch, customer centric approach focused on collaboration and communication Contribute to a positive team atmosphere Innovate and create value for the customer Analyze and assess...

2 months ago seen See more...

Lead, Quality Assurance-Remote

Navitus Health Solutions Llc

Remote

$67,599 - $88,775 a year

Develop and implement a robust testing strategy encompassing all aspects of the modernization project. Participate in teams to develop comprehensive test strategies, plans, impact analysis, specifications, and test cases for effec...

2 months ago seen See more...

Sr. Director, Clinical Account Management (Remote)

Navitus Health Solutions Llc

Madison, WI

Establishes and oversees execution of departmental strategic initiatives that support the organizations goals and growth. Directs, manages, and develops departmental staff through the creation of training opportunities focused on...

2 months ago seen See more...

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