Supervisor Claim Adjudication Operations (Remote)

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.

Pay Range

USD $58,461.00 – USD $70,435.00 /Yr.

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

M-F: 7:30am – 5pm CST, variable

Remote Work Notification

ATTENTION: We are 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

Navitus Health Solutions is seeking a Supervisor, Claim Adjudication to join our team!

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

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.

Location : Address

1025 West Navitus Dr.

Location : City

Appleton

Location : State/Province

WI

Location : Postal Code

54913

Location : Country

US