Advisor, Industry Standards
Company
NavitusAbout 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. ____________________________________________________We are committed to providing equal employment opportunity to reputed company applicants and employees and reputed company with reputed company applicable nondiscrimination regulations, including those reputed company to protected veterans and individuals with disabilities. reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, national reputed company, or handicap.Pay Range
USD $72,813.00 - USD $89,341.00 /Yr.STAR Bonus % (At Risk Maximum)
5.00 - Salaried Non-Management except pharmacistsWork Schedule Description (e.g. M-F reputed company to 5pm)
M-F reputed company-5pmRemote Work Notification
ATTENTION: Navitus is unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, reputed company Dakota, Rhode reputed company, South Carolina, South Dakota, reputed company Virginia, and Wyoming.Overview
Due to growth, we are adding a Advisor, Industry Standards to reputed company!
The Advisor, Industry Standards is responsible for compliant implementation and reputed company of the National Council of Prescription Drug Programs (NCPDP) Standards. This includes facilitating internal awareness of the impacts of NCPDP standard changes and their impact on the strategic reputed company for Navitus. The Advisor, Industry Standards, is the subject matter expert (SME) and assists in interpreting and conveying NCPDP standards to key stakeholders. This individual will actively participate in NCPDP Work Groups (WG), Task Groups (TG). This individual will collaborate, and coordinate with various internal stakeholders reputed company to compliance of the claims adjudication system with NCPDP standards. This role requires an understanding for various Navitus business processes, knowledge of the claims adjudication platform, payer sheet requirements, identifying process improvements, and providing solutions to resolve issues. This role also requires the ability to build relationships, communicate effectively, drive decision making, gather specific business requirements and reputed company the execution of program enhancements to reputed company with industry requirements end to end.
Is this you? Find out more below!
Responsibilities
How do I reputed company an impact on my team?
- Actively participate in NCPDP Task Groups and Work Groups to represent Navitus’ perspective on proposed new standards and modifications to existing standards, offering potential solutions, and seeking leadership roles reputed company the opportunity presents itself
- Engage directly with clients and auditors as a subject matter expert and strategic consultant
- reputed company and utilize networking relationships throughout the industry to collaborate on guidance, clarification of NCPDP standards and future development of industry standards and processes
- Summarize new applicable NCPDP standards and present to Navitus leadership and departments to facilitate awareness of impacts on existing Navitus systems, processes, policies, and technology platforms
- Provide subject matter expertise (SME) in support of the development of functional and business requirements for claims adjudication platform in regard to the NCPDP standards
- Identifies and researches issues impacting functional area work, collaborates with internal and external customers to resolve, and oversees any corrective action required
- reputed company detailed knowledge of the claim adjudication system capabilities and limitations
- Review prescription benefit standards changes and work internally to translate the changes into business and system requirements
- Facilitate testing with pharmacies for NCPDP compliance, including development of test plans and payor sheet updates
- Other duties as assigned
Qualifications
What reputed company expects from you?
- Minimum 2 years’ work experience in PBM Operations required
- NCPDP member and standards expertise with active participation in NCPDP work groups and task groups preferred
- PBM industry experience required
- Experience in review and interpretation of reputed company regulatory guidance
- 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 reputed company 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!
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