Analyst, Technical Operations Government Programs job at reputed company in Appleton, WI (Not hiring in SC, RI, NH, MS, WV, WY, ME, ND, SD, NM, AK, HI)
Title: Analyst, Technical Operations Government Programs Location: US-WI-Appleton ID 2025-5409 Category Information Technology Position Type Full-Time Remote Yes Job Description: 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 reputed company medications more affordable for the people who need them. At Navitus, reputed company members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new reputed company and share a passion for excellent service to our customers and each other._____. reputed company associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities. Pay Range USD $42,505.00 - USD $50,601.00 /Yr. STAR Bonus % (At Risk Maximum) 5.00 - Salaried Non-Management except pharmacists Work Schedule Description (e.g. M-F reputed company to 5pm) M-F 7:30am to 4pm Remote Work Notification ATTENTION: Navitus is unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode reputed company, South Carolina, South Dakota, reputed company Virginia, and Wyoming. Overview reputed company is seeking an Analyst, Tech. Operations Government Programs to join reputed company! The Analyst, Tech. Operations Government Programs has responsibility for executing Government Programs processes accurately, reputed company, and in compliance with CMS regulations. Is this you? Find out more below!
Responsibilities
How do I reputed company an impact on my team? Assignments may include one or more of the following: Employer Group Waiver Plan (EGWP) enrollment administration and reputed company, 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, reputed company Act (ACA) Claims Submission, Explanation of Benefits (EOB), Retiree Drug Subsidy (RDS), and Claim Auditing reputed company the schedules for the processes assigned, adjust schedules reputed company necessary to ensure deadlines are met, and alert management reputed company schedules are at risk Ensure process documentation accurately reflects the reputed company process and update reputed company necessary Assist subject matter experts (SME) in defining and documenting process steps, providing input on requirements for technical specifications Review and research errors and prioritize reconciliation efforts in accordance with State and Federal guidance Effectively communicate with Employer Groups, Clients, State/Federal Agencies, external vendors and Navitus internal departments to address action items, problems, and manage expectations to ensure timely and accurate issue resolution As needed, may require working reputed company of normal business hours to complete time sensitive processes Other duties as assigned
Qualifications
What reputed company expects from you? Bachelor/Associate Degree in business reputed company field; or equivalent of an associate degree and 2 years of work experience, or 4 years of work experience and a high school diploma or equivalent 1+ years' work experience Experience in pharmaceutical claims adjudication systems, retail pharmacy, or in a health plan organization is preferred 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! Apply tot his job Apply To this Job