Returning Candidate? Log back in! Supervisor, Technical Operations Location US- ID 2024-3988 Category Administration 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 $82,558.70 - USD $101,333.00 /Yr. Work Schedule Description (e.g. M-F 8am to 5pm) M-F 7:30am-4:00pm, CST Overview

Due to growth, we are adding Technical Operations Supervisor to our Government Programs Technical Operations department!  

 

The Supervisor Technical Operations is responsible for leading Technical Operations team members. This individual will interact with key operating departments related to Technical Operations business development and operational compliance and understands the roles and responsibilities of the business area and how it fits within the entire corporation. The Supervisor Technical Operations proactively reviews and develops an understanding of Government Programs regulations and related CMS and/or specific state guidance. The Supervisor Technical Operations assists in the review and analysis of special projects and may lead these projects as necessary, including help develop and execute test scenarios/plans, and coordinate user/system testing. The Supervisor Technical Operations will be proficient at data reporting and analysis using the standard tools for reporting at Navitus.

 

Is this you? Find out more below!

Responsibilities

How do I make an impact on my team? 

Leads a team responsible for monitoring compliance with regulatory requirementsUnderstands Government Programs Technical Operations, with emphasis on processes assigned to the Supervisor’s team. This includes being the process subject matter expert and performing functions to support Government Programs processes and translating them into documented process stepsAs Process Owner, leads the Quality Oversight Meetings to ensure process compliance and reliability for all assigned processes. Is a self-directed leader ensuring appropriate action is taken for process defects, non-compliance, and/or inefficiencies for assigned processesEnsures technical processes supporting government programs have the appropriate controls, oversight and reporting on the end-to-end process. If process controls are absent, the expectation is to identify, define, and implement new ones as neededDevelops and maintains clear and concise documentation for all assigned processes using proficient Technical Writing skills. Maintains process support documentation that other stakeholders may utilize to understand the complex processes performed by the teamEstablishes processes that are scalable and efficient and ensures smooth transition to operational maintenance by the Technical Operations Staff. Identifies key metrics to monitor the compliance and accuracy of the process establishing oversight methods that are operationally efficient and effective. Provide SME assistance when process metrics indicate possible risk to compliance or accuracy and lead any corrective actionSeeks opportunities to initiate and manage projects to improve existing processes delivering enhanced quality and efficiency. Assists in review and analysis of special projects and may lead these projects as necessaryReviews and develop a working knowledge of all new and existing client plan designsOther duties as assigned Qualifications

What our team expects from you?

B.S. degree in Computer Science, Financial Recoveries, Healthcare Insurance, management, business, statistics or related field or equivalent experienceTwo+ years supervisory experience preferredKnowledge or experience in insurance processes and/or government programs such as Medicare or Medicaid will be an advantageParticipate 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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