Returning Candidate? Log back in! Coordinator, Accumulator Location US- ID 2024-4048 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 $19.60 - USD $23.06 /Yr. Work Schedule Description (e.g. M-F 8am to 5pm) M-F 8am to 5pm 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 Accumulator Coordinator to join our CAO Client department!

 

The Accumulator Coordinator ensures efforts are in alignment with the Claim Adjudication Operations (CAO) team to leverage technology and process improvement for the purpose of meeting the business needs of Navitus customers, clients, members, and pharmacies by accurately administering benefits. This role is responsible for the ongoing management of client accumulator processes and will function as the lead accumulator resource for assigned clients, as well as a back-up resource for peer coordinators when needed.

 

This position may include after-hour and/or weekend hours depending on workload.

 

Is this you? Find out more below!

Responsibilities

How do I make an impact on my team? 

Oversees, manages, and maintains accumulator data, processes and services for clients of low to moderate complexity. This includes understanding client needs, plan designs, monitoring of electronic file loads and subsequent reports and any additional accumulator related processesPerforms accumulator updates timely and accurately to prevent member access to care issues, missed performance guarantees and potential liquidated damagesWorks directly with client contacts and supports internal customers by participating in client meetings, audits and new program implementations with other areas of the company, answering accumulator questions and providing guidance to other areas and roles on accumulator processesRequests, validates and confirms full file data feeds from clients to ensure system integrity through audits and reconciliationCollaborates directly with client and/or Client Services team to report data file errors and accumulator reconciliation results on an agreed upon client scheduleEducates others on the accumulator process, providing talking points for Member Services to explain accumulators to members and pharmacies, and to Client Services and Government Programs to explain corrective outcomesConducts system enhancement and regression testing of a low to moderate level of complexity for accumulator related processes to ensure compliance with state, federal and client regulations/standardsAssists in the creation and ongoing maintenance of departmental training materials, work instructions and policiesOther duties as assigned Qualifications

What our team expects from you?

Associate degree or equivalent work experienceBasic experience with Microsoft Office, specifically Word and ExcelParticipate 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 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! 

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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