(Remote – U.S. Based*)
🧾 About the Role
Navitus is hiring a Manual Claims Coordinator to help process complex pharmacy and Direct Member Reimbursement (DMR) claims. This is a hybrid role that touches customer support, pharmacy operations, and benefit accuracy. You’ll be key to making sure claims are handled quickly and correctly—while supporting audits, compliance, and team-wide success.
✅ Position Highlights
• Pay: $18.67–$21.96 per hour
• Employment: Full-time
• Schedule: Monday–Friday, 8:00 AM – 5:00 PM
• Location: Remote (U.S.-based, with state restrictions*)
• PTO: 20 days + 9 paid holidays
• Paid Leave: 4 weeks parental leave
• Retirement: 401(k) with 5% company match (immediate vesting)
• Perks: Education & adoption assistance, FSA, comprehensive health/dental/vision
📋 What You’ll Own
• Process all manual pharmacy and DMR claims, ensuring accuracy
• Interpret plan designs and rules for multiple clients
• Manage physical and digital intake of claim materials
• Prepare and send member and pharmacy communications
• Support large batch uploads and claim verification
• Participate in internal and external audits
• Assist with client implementations and updates
• Document and maintain training materials and workflow guides
• Suggest process improvements and help troubleshoot issues
• Occasionally support after-hours work as needed
🎯 Must-Have Traits
• Associate’s degree or equivalent experience
• Experience in claims, pharmacy, or customer service is a plus
• Strong Microsoft Word and Excel skills
• Excellent attention to detail and documentation habits
• Effective communicator and multitasker
• Willing to learn internal systems and benefit plan structures
• Comfortable working cross-functionally and independently
💻 Remote Requirements
• Must reside in the U.S.
• Navitus does not hire in: AK, HI, ME, MS, NH, NM, ND, RI, SC, SD, WV, or WY
• Stable internet and a distraction-free work environment
💡 Why It’s a Win for Remote Job Seekers
• Meaningful, accuracy-driven work
• Break into the pharmacy benefits management (PBM) space
• Strong training, supportive team, and solid career runway
• Comprehensive benefits package
✍️ Call to Action
If you’re organized, detail-minded, and ready to support timely pharmacy reimbursements, apply now to join Navitus as a Manual Claims Coordinator.