If you’re detail-obsessed in the best way and you like being the person who catches issues before they hit real people, this role is for you. You’ll test pharmacy benefit configurations so claims process correctly, members don’t lose access to care, and clients stay compliant.
About Navitus
Navitus is a pharmacy benefit manager (PBM) built to do what the traditional model doesn’t: reduce cost in the drug supply chain and make medications more affordable. They’re big on service, process improvement, and doing things the right way. Their culture leans people-first, collaborative, and continuously improving.
Schedule
⦁ Full-time, remote
⦁ Monday–Friday, 8:00am–5:00pm
⦁ May include occasional after-hours and/or weekend work depending on workload
⦁ Remote work not available to residents of: Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, Wyoming
What You’ll Do
⦁ Complete scheduled and urgent benefit configuration testing for new client implementations and benefit additions, terminations, and changes
⦁ Document test results to ensure the claims adjudication system stays accurate and dependable
⦁ Learn and apply a working understanding of the claims adjudication system and related upstream/downstream processes
⦁ Test both standard and custom benefit configurations to match client expectations
⦁ Contribute to root cause analysis when issues pop up and help prevent repeat problems
⦁ Follow compliance standards tied to benefit design/testing, including HIPAA, NCPDP, and internal standards
⦁ Use workflow, issue resolution, and reporting tools to troubleshoot, respond to questions, and support resolution requests
⦁ Support internal teams by joining client meetings, audits, and program implementations to answer testing questions and provide guidance
⦁ Participate in process improvement, cost reduction, and automation efforts
⦁ Help maintain training materials, work instructions, and team policies
⦁ Support enhancement and regression testing for low-to-moderate complexity changes
⦁ Contribute to training and mentoring newer team members
What You Need
⦁ Associate degree or equivalent work experience
⦁ Minimal experience required, but you must be ready to learn systems and processes with close supervision
⦁ Basic Microsoft Office skills (especially Word and Excel)
⦁ Strong attention to detail and comfort documenting work clearly
⦁ Ability to work respectfully and cooperatively with others
⦁ Willingness to follow and support compliance program objectives
Benefits
⦁ $20.44 to $24.33 per hour
⦁ Health, dental, and vision insurance
⦁ 20 days paid time off
⦁ 4 weeks paid parental leave
⦁ 9 paid holidays
⦁ 401(k) match up to 5% with no vesting requirement
⦁ Flexible Spending Account
⦁ Adoption assistance program
⦁ Education assistance + professional membership assistance
⦁ Referral bonus program up to $750
These kinds of roles reward people who love clean processes and hate sloppy details. If that’s your vibe, don’t wait until the req is “no longer accepting applications.”
Happy Hunting,
~Two Chicks…