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NAVITUS HEALTH SOLUTIONS LLC Coordinator I Accumulator Remote in APPLETON, Wisconsin

JOB REQUIREMENTS: 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. 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. 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 requires knowledge of both the technical and operational sides of the business. The Accumulator Coordinator will work closely with Information Technology, Benefit Configuration, Eligibility and Client Services teams to understand the interdependences of each functional area. Individuals in this role will have direct authority to make sound business decisions regarding client accumulator data and will demonstrate the ability to continually prioritize day to day workload to meet individual, departmental and organizational goals. This position may include after-hour and/or weekend hours depending on workload. Is this you? Find out more below! 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 processes. Performs accumulator updates timely and accurately to prevent member access to care issues, missed performance guarantees and potential liquidated damages. Works 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 processes. Requests, validates and confirms full file data feeds from clients to ensure system integrity through audits and reconciliation. Collaborates directly with client and/or Client Services team to report data file... For full info follow application link. Navitus Health Solutions is an Equal Opportunity Employer: Disabled/Veterans/Male/Female/Minority/Other ***** APPLICATION INSTRUCTIONS: Apply Online: ipc.us/t/178062BC72C14907

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