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Navitus Health Solutions Company Profile

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Company Name: Navitus Health Solutions
Profile:

Challenging the status quo of pharmacy benefits management.

Our Mission: Navitus Health Solutions is a full-service pharmacy benefit company committed to lowering drug costs, improving health, and providing superior customer service in a manner that instills trust and confidence.

Stewardship of our clients' programs is not just what we do—it is our top priority. We take great pride in achieving a perfect score on the 2012 Pharmacy Benefit Management Institute (PBMI) customer satisfaction report, which reflects our people-first commitment.

We Share a Clear View to take transparency and full pass-through to new heights to deliver extraordinary value and put financial control in our clients’ hands. Our focus is on improving member well-being and optimizing value—as evidenced by our year-over-year drug trend rate, which is consistently well below the national trend, and outstanding generic fill rate. An extensive suite of customizable PBM services enables us to tailor solutions to meet each client’s specific needs.

Since our inception in 2003, we have challenged the status quo. Robert Palmer, Navitus' founder, believed that the current state of the PBM industry could no longer stand as the benchmark for decision-makers to select their PBM providers; and the business model must challenge the status quo to ensure complete alignment of interests between the PBM and its clients. True to these beliefs, our independent and full disclosure business model ensures complete alignment of our interests with those of our clients and their members by:

  • Putting people first with our stewardship-driven model
  • Delivering clinically appropriate, lowest-net-cost therapies and the highest quality standards of care, consistent with our URAC PBM accreditation
  • Basing true value on lowest-net PMPM drug cost
  • Considering all network discounts and rebates the contract floor—not the contract ceiling
  • Providing full pass-through of all network rate and manufacturer rebate upside performance and negotiated pricing improvements immediately over the contract life
  • Engaging members to drive adherence and improved health
  • Providing unsurpassed reporting and business support
  • Providing advanced technology to meet all regulatory requirements and to support data integration and health information exchanges for coordination across provider networks
  • Supporting client-specific pricing strategies, such as 340B and GPO pricing

Our business model and government preparedness activities enable us to assist our clients in navigating the complexities of health care reform. We are already well-positioned to address the Patient Protection and Affordable Care Act (PPACA), as demonstrated by our full pass-through pricing; full transparency and full disclosure operations; clinically-appropriate, lowest-net-cost therapies; and consumer engagement, prevention and adherence with interventions and targeted solutions that encourage optimal behavior.

We put people first, provide the tools to drive better outcomes, and use data to Share a Clear View to support informed decisions.

We invite you to Share a Clear View with us.

www.navitus.com



Clinical Account Executive (Pharmacist) (493)

Navitus Health Solutions. Arizona (AZ), Phoenix

Requisition Number: 493 Job Title: Clinical Account Executive (Pharmacist) Area of Interest: Pharmacy Programs City: Phoenix State / Province: Arizona Requirements: MBA or equivalent experience, and Marketing experience are a plus.    A minimum of a Bachelor degree in Pharmacy is required.  Knowledge of the PBM industry, PBM clinical programs, pharmacy...

Position type Full-Time
Job Category Managed Care (PBM / Insurance / Mail Order)
Sub Category Pharmacist

Software Test Specialist I (382)

Navitus Health Solutions. Wisconsin (WI), Appleton

Requisition Number: 382 Job Title: Software Test Specialist I Area of Interest: IT- Claims System City: Appleton State / Province: Wisconsin Requirements: Education:  A bachelor’s or associate’s degree in the field of computer science with focus on Software Testing or Quality Assurance or equivalent work experience is preferred. Certified Pharmacy...

Position type Full-Time
Job Category Managed Care (PBM / Insurance / Mail Order)
Sub Category Technician

Rebate Account Specialist (405)

Navitus Health Solutions. Wisconsin (WI), Madison

Requisition Number: 405 Job Title: Rebate Account Specialist Area of Interest: Rebates Account Management City: Madison State / Province: Wisconsin Requirements: Required Skills: A bachelor's degree preferred or applicable work experience--Pharmacy Technician, Trade or Industry Relations, and/or claims processing experience. Proficient in Word and Excel.  Ability to function independently as well...

Position type Full-Time
Job Category Managed Care (PBM / Insurance / Mail Order)
Sub Category Technician

Member Services Specialist (462)

Navitus Health Solutions. Wisconsin (WI), Madison

Requisition Number: 462 Job Title: Member Services Specialist Area of Interest: Customer Care - Member Services City: Madison State / Province: Wisconsin Requirements: Education:  A high school degree or equivalent. Post high school education desired such as L.P.N. or Certified Pharmacy Technician.   Experience:  Excellent customer service, phone etiquette and typing skills required. Basic...

Position type Full-Time
Job Category Managed Care (PBM / Insurance / Mail Order)
Sub Category Technician

Medicare Clinical Programs Coordinator (461)

Navitus Health Solutions. Wisconsin (WI), Appleton

Requisition Number: 461 Job Title: Medicare Clinical Programs Coordinator Area of Interest: Clinical Pharmacy Programs and Services City: Appleton State / Province: Wisconsin Requirements: Education:  A minimum of a High School diploma plus specialized knowledge relating to business software applications is required.  This position requires at least 1 year experience as...

Position type Full-Time
Job Category Managed Care (PBM / Insurance / Mail Order)
Sub Category Technician

Client Services Coordinator (423)

Navitus Health Solutions. Arizona (AZ), Phoenix

Requisition Number: 423 Job Title: Client Services Coordinator Area of Interest: Client Services City: Phoenix State / Province: Arizona Requirements: Education:   Bachelor's degree in business, marketing, or related area preferred Certified Pharmacy Technician Certificate (CPhT) preferred    Job Qualifications:  Knowledge of pharmacy benefits management, insurance or health care industry...

Position type Full-Time
Job Category Managed Care (PBM / Insurance / Mail Order)
Sub Category Technician

Supervisor, Pharmacy Claims Audit (451)

Navitus Health Solutions. Wisconsin (WI), Madison or Appleton

Requisition Number: 451 Job Title: Supervisor, Pharmacy Claims Audit Area of Interest: Pharmacy Network Contracting City: Madison State / Province: Wisconsin Requirements: Education:      4-year College degree required. Pharmacy technician certification required.  Experience:   3 – 4 years in knowledge of pharmaceutical claims adjudication systems, PBM, retail pharmacy or health insurance strongly...

Position type Full-Time
Job Category Managed Care (PBM / Insurance / Mail Order)
Sub Category Supervisory/Management
Technician

Benefit Configuration Analyst I (243)

Navitus Health Solutions. Wisconsin (WI), Appleton

Requisition Number: 243 Job Title: Benefit Configuration Analyst I Area of Interest: Plan Administration, Claims System City: Appleton State / Province: Wisconsin Requirements: Education:  An associate degree or equivalent work experience is required. Pharmacy Technician or similar experience is preferred. Experience:   Two (2) years of pharmacy technician experience is preferred.  One (1)...

Position type Full-Time
Job Category Managed Care (PBM / Insurance / Mail Order)
Sub Category Technician

Provider Services Specialist - Operations (344)

Navitus Health Solutions. Wisconsin (WI), Madison

Requirements: Education:  College or 2 year Technical Degree or equivalent experience is required.  Advanced technical education and pharmacy technician certification a plus. Experience:  2-5 years business-setting experience.  Retail pharmacy experience or experience in a managed care pharmacy setting desired.  Prior experience analyzing medical and/or pharmacy claims or credentials are highly desired.  Ideal candidate will be able...

Position type Full-Time
Job Category Managed Care (PBM / Insurance / Mail Order)
Sub Category Technician

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