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The person employed as a Patient Care Assistant will be responsible for assisting Specialty Pharmacy staff to effectively communicate with patients, physicians, pharmacists and payers in the fulfillment of medication orders for patients. This person must have the ability to apply common sense understanding to assess patient needs in situations involving several variables. This position requires th
Posted 1 day ago
The Accumulator Coordinator I ensures efforts are in alignment with the ITCO Client Team to support customer focused objectives and the IT Vision, a collaborative partner delivering innovative ideas, solutions and services to simplify people's lives. The Accumulator Coordinator I position is responsible for successful implementation and maintenance of member data for all Client combined benefit ne
Posted 1 day ago
The Prior Authorization Specialist (PAS) will review, process, and troubleshoot incoming Prior Authorization requests for various medications. The Prior Authorization Specialist (PAS) will accurately process the requests according to regulatory and client specific guidelines. The PAS will work with other team members to meet the departmental performance metrics and maintain compliance. The PAS wil
Posted 1 day ago
Ensure efforts delight the customer. 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. Collaborate with developers, programmers, and designers in conceptualizing and development of new software programs and applications. Analyze and as
Posted 2 days ago
The Navitus Grievance and Appeals process is an essential function to Navitus' compliance with CMS regulations, accrediting body standards, other applicable regulatory requirements and member expectations. The Navitus Grievance and Appeals department serves as the central repository for all Appeals, Redeterminations and Complaints received by Navitus when the responsibility has been delegated to N
Posted 2 days ago
The Supervisor role is responsible for coordinating team activities and supervising staff in accordance with company policies and procedures. The Supervisor will develop and promote best practices and standards for project and team activities including utilization of Agile Scrum framework. Additionally, the Supervisor will ensure adherence to project commitments, deliverables and provide daily wor
Posted 2 days ago
The Systems Trainer, Enterprise Initiatives, ensures efforts are in alignment with the Enterprise Services team to support customer focused objectives and the IT Vision, a collaborative partner delivering innovative ideas, solutions and services to simplify people's lives. The Systems Trainer, Enterprise Initiatives, is responsible for creating training materials across a multitude of Navitus appl
Posted 3 days ago
The Clinical Coordinator LPN is an active registered nurse responsible for assisting in the management of manufacturer programs, clinical monitoring and performance. The primary purpose of this position is to provide telephonic education to patients and caregivers following the Clinical Protocols and working within the nursing scope of practice and guidelines. This individual will offer clinical i
Posted 3 days ago
The person employed as a Patient Care Assistant will be responsible for assisting Specialty Pharmacy staff to effectively communicate with patients, physicians, pharmacists and payers in the fulfillment of medication orders for patients. This person must have the ability to apply common sense understanding to assess patient needs in situations involving several variables. This position requires th
Posted 4 days ago
The Software Engineer serves as a lead role in the analysis, design, development, testing, and maintenance of existing software applications in support of the achievement of business requirements. As a senior team member, the Software Engineer acts as a leader to ensure adherence to project timelines and deliverables and mentors less experienced team members as required. The Software Engineer coll
Posted 4 days ago
Under direction from the Pharmacist in Charge and other pharmacists in the Specialty Pharmacy, the Pharmacy Technician is primarily responsible for assisting the pharmacist in obtaining all the necessary information for dispensing and adjudicating a medication correctly. The Pharmacy Technician's main objective is to answer phone calls and contact the doctors and patients via fax or phone or other
Posted 5 days ago
Under direction from the Supervisor, Specialty Pharmacy Services and pharmacists in the Specialty Pharmacy, the Prior Authorization Specialist I is primarily responsible for obtaining information and assisting providers and insurance companies in triaging prior authorizations for patients of the specialty pharmacy. The Prior Authorization Specialist's main objective is to answer phone calls and co
Posted 8 days ago
The Programmer Analyst ensures efforts are in alignment with the Claim Adjudication Technology team to support customer focused objectives and the IT Vision, a collaborative partner delivering innovative ideas, solutions and services to simplify people's lives. The Programmer Analyst's role is to define, develop, test, analyze, and maintain existing applications in support of the achievement of bu
Posted 9 days ago
The Associate Manager, Clinical Informatics will work closely with our account management and clinical account management teams, to support the needs of our clients. They will use logic and analytic skills to manage client analyses in response to specific business questions and be able to communicate the findings, including methodology and estimated outcomes. This person will be responsible for an
Posted 9 days ago
The Software Engineer ensures efforts are in alignment with the IT Member Services Department to support customer focused objectives and the IT Vision, a collaborative partner delivering innovative ideas, solutions and services to simplify people's lives. The Software Engineer serves as a lead role in the analysis, design, development, testing, and maintenance of existing software applications in
Posted 9 days ago
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