Pharmacy Reimbursement Administrator

March 22

Apply Now

Receive Emails with Similar Jobs

Microsoft 365

WebsiteLinkedInAll Job Openings

Microsoft 365 is a cloud-based suite of productivity applications designed for individuals, families, businesses, and educational institutions. It includes popular tools such as Word, Excel, PowerPoint, Outlook, and Teams, providing users with the ability to create, collaborate, and share documents and data seamlessly across devices. Microsoft 365 enhances productivity with features like Microsoft Copilot, which integrates AI capabilities to assist users in their everyday tasks, ensuring secure storage and organization of files while facilitating effective teamwork and communication.

10,000+ employees

🤝 B2B

👥 B2C

☁️ SaaS

📋 Description

• Navitus Health Solutions is seeking a Pharmacy Reimbursement Administrator to join our Provider Services department! • The Pharmacy Reimbursement Administrator (PRA) works in partnership with the Provider Relations Coordinators, IT Client Operations, and others. • The PRA will test and review pharmacy networks to ensure that claims are adjudicating per Navitus’ pharmacy contract agreements. • The PRA is responsible for the process of pharmacy remittances, including the accuracy of data in pharmacy electronic payments (EFT) and/or 835-remittance advice • Day-to-day activities include submitting service requests for any necessary network updates, auditing networks for price change accuracy. • The individual in this position is expected to make independent assessments to confirm Navitus is conforming to contractual reimbursement obligations.

🎯 Requirements

• Associate Degree preferred or equivalent experience. • CPhT preferred • PBM or managed care is preferred, but not required • Previous testing experience is preferred • Participate in, adhere to, and support compliance program objectives • The ability to consistently interact cooperatively and respectfully with other employees

🏖️ Benefits

• 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!