Returning Candidate? Log back in! Client Onboarding Advisor, Medicaid Location US- ID 2024-3045 Category Customer Service/Support Position Type Full-Time Remote Yes 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 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 $65,686.00 - USD $79,140.00 /Yr. Work Schedule Description (e.g. M-F 8am to 5pm) M-F 8am-5pm, CST Overview

Due to growth, we are adding a Client Onboarding Advisor to our Government Programs department.  

 

The Client Onboarding Advisor will play a key role during new client implementations to understand the client’s current processes, requirements and goals and will cross reference these to Navitus’ product offerings to strategize on how to meet the client’s needs. This individual is responsible for the creation and execution of onboarding plans created specifically for the client and will oversee the entire onboarding process end-to-end for their functional area. The Client Onboarding Advisor will act as a key member of the implementation team to ensure a positive, successful client and member experience in their transition to Navitus.

 

Is this you? Find out more below!

Responsibilities

How do I make an impact on my team? 

Provides oversight of daily operations required to support the Medicaid product.Provides support, maintenance, and distribution of Medicaid regulatory reporting.Develops and maintains deep subject matter expertise related to State Medicaid requirements for member materials, formulary/preferred drug list/clinical edits, prior authorization, grievances and appeals, FWA, customer care and pharmacy helpdesk, MIS / IT, third party liability, 340B, rebates, and reporting.Develops cross functional expertise in Medicaid to better understand upstream and downstream processes.Supports the development, implementation, and maintenance of Medicaid Compass processes and interfaces for the Medicaid Operations team.Develops the necessary tactical project plans and leads projects that enhance the Medicaid infrastructure and address regulatory and client specific changes.Develops and maintains product documentation and training materials for key processes and services. Provides ongoing subject matter expertise to key personnel, including Member Services, Grievance and Appeals, Technical Operations, Provider Networks, Technical Operations, IT, Client Services and Clinical.Analyzes the proposal documentation (or contract) for deliverables that need to be developed and resourced to ensure all planned deliverables align with requirementsDocuments current operational procedures, workflows, and limitations and presents these to clientsCollaborates with implementation team and client to understand business needs and goals, taking care to identify and translate differences in terminology and workflows between organizations to ensure optimal alignmentFor new functionality, develops and documents requirements, process maps, reporting needs, test plans, and approval criteria. Collaborates across other technical areas to develop project plans, resourcing, and deliveryObtains leadership approval for deliverables and partners with implementation or account management teams to seek client approval. Escalates any challenges or barriers to leadershipMay be responsible to compose high-quality, persuasive, and professional content on behalf of the functional area for proposals and maintain content in the Navitus proposal libraryMay be responsible for developing, editing, and ongoing maintenance of functional area’s responses in Navitus’ proposal library systemOther duties as assigned Qualifications

What our team expects from you?

A bachelor's degree or equivalent experience in the field of PBM administration requiredKnowledge of Medicaid Product preferred5+ years of healthcare and/or PBM industry experience preferredFunctional process management or technical application experience preferredParticipate in, adhere to, and support compliance program objectivesThe 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 insurance20 days paid time off4 weeks paid parental leave9 paid holidays401K company match of up to 5% - No vesting requirementAdoption Assistance ProgramFlexible Spending Account

 

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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.

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