Company

Navitus Health Solutions LLCSee more

addressAddressMadison, WI
type Form of workFull-Time
CategoryInformation Technology

Job description

Job Description

Epiphany Rx powered by Navitus Health Solutions

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.

We are unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming.

The Vendor Manager, Client Operations (VMCO) is a highly motivated professional with at least 3 years of successful vendor management. The VMCO will interface with brokers, consultants, and clients to manage projects that could include but is not limited to transitioning clients to EpiphanyRx from their current PBM, implementing new services/programs, and facilitating a change in vendor relations. The position is responsible for building deep relationships with EpiphanyRx vendors and their clients so they learn to trust us and have confidence that their needs will be successfully met as seamlessly as possible. The VMCO must have strong relationship skills to work with internal and external partners including subject matter experts across both Navitus and ERx, , which will be key to successful vendor relationships. Excellent communication skills are necessary to ensure that all team members are kept well informed of the requirements, any changes, progress status and any potential issues. The VMCO will additionally be responsible for supporting other client projects as needed and contribute towards team goals.

Is this you? Find out more below!

How do I make an impact on my team?

  • Requests historical files from advisor or client, and reviews layout as needed.
  • Host the TPA implementation meetings.
  • Review data transmission process, file layouts, timing, etc..
  • Determine system hierarchy requirements and build in CRM.
  • Coordinate eligibility test files, updates, and production.
  • Coordinate claims extracts with all vendors (TPA, stop loss, advisor).
  • Coordinate ID card from TPA for approval.
  • The VMCO is the conduit to the Navitus eligibility and claims extract teams.
  • Manage data sharing policies and Non-Disclosure Agreements with vendors.
  • Troubleshooting any vendor issues to ensure quick resolution, including support of the account teams in helping to facilitate resolution of escalated file issues.
  • Suggesting and implement new vendor management processes, policies, and methods as needed.

What our team expects from you?

  • Bachelor's degree in business, marketing, or related area preferred
  • Knowledge of PBM or health care industry preferred
  • Prefer at least 3 years of vendor management (TPA’s, Consultants, Brokers, etc.), and working with external clients
  • PC skills such as Microsoft Office, Email, etc.
  • 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 Time Off, Eight paid holidays, 401K, Short-term and Long-term disability, College Savings Plan, Paid Parental Leave, Adoption Assistance Program, and Employee Assistance Program


Refer code: 6910598. Navitus Health Solutions LLC - The previous day - 2023-12-12 08:10

Navitus Health Solutions LLC

Madison, WI
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