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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



Business Analyst, PMO (772)

Navitus Health Solutions. Wisconsin (WI), Appleton

Position Summary The Business Analyst's I role is to elicit, analyze, specify, and validate the business needs of project stakeholders, whether customers or end-users. This includes interviewing stakeholders and gathering and compiling user requirements to convey to development teams throughout the software lifecycle. This Business Analyst I will also have...

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

Member Services Specialist I (774)

Navitus Health Solutions. Wisconsin (WI), Appleton

The Member Services Specialist (MSS) will answer, research, and troubleshoot incoming Customer Care calls from members, providers, and pharmacies. The MSS will give accurate and timely responses to inquiries. The MSS will work with other team members to meet the departmental performance metrics and the MSS's main priority will always...

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

Member Services Specialist I (773)

Navitus Health Solutions. Wisconsin (WI), Appleton

The Member Services Specialist (MSS) will answer, research, and troubleshoot incoming Customer Care calls from members, providers, and pharmacies. The MSS will give accurate and timely responses to inquiries. The MSS will work with other team members to meet the departmental performance metrics and the MSS's main priority will always...

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

Business Analyst I, CAPS (678)

Navitus Health Solutions. Wisconsin (WI), Appleton

Position Summary The Business Analyst I -- CAPS role is to elicit, analyze, specify, and validate the business needs for various Navitus claim adjudication projects. This includes interviewing stakeholders/sponsors, gathering and compiling requirements to convey to development teams throughout the software lifecycle. This Business Analyst I -- CAPS will also...

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

Patient Care Assistant, Specialty Pharmacy (647)

Navitus Health Solutions. Wisconsin (WI), Madison

Job Summary: The person employed as a Patient Care Assistant will assist with customer service and clinical programs of Lumicera Specialty Pharmacy. The primary responsibility of this position is to effectively schedule medication shipments, communicate with patients, physicians, pharmacists, and payers in the fulfillment and patient care of specialty pharmacy...

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

Project Manager Analyst - CAPS (622)

Navitus Health Solutions. Wisconsin (WI), Appleton

The Project Manager / Analyst I, CAPS is responsible for providing project management and business analyst process oversight to various Navitus claim adjudication projects. The Project Manager/Analyst I, CAPS role is to plan and report project progress to management, analyze and verify requirements for completeness, consistency, comprehensibility, feasibility, and conformity...

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

Rebate Account Specialist (596)

Navitus Health Solutions. Wisconsin (WI), Madison

The Pharmacy Accounting and Rebates Specialist is responsible for analyzing, understanding and implementing PBM to pharmaceutical manufacturer rebate submission and reconciliation processes. This individual will work closely with the Associate Manager of Industry Relations to assure complete accurate and timely manufacturer rebate submissions. In addition the Pharmacy Accounting and Rebates...

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

Business Analyst, Government Programs-Med D (704)

Navitus Health Solutions. Wisconsin (WI), Appleton

Job Summary: The Business Analyst provides business analysis support to the development, implementation, and maintenance of all products within the Technical Operations Department. The Business Analyst will interact with key operating departments related to Technical Operations business development and operational compliance. The Business Analyst also understands the roles and responsibilities...

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

Programmer Analyst, CAD.NET (548)

Navitus Health Solutions. Wisconsin (WI), Appleton

Job Summary: The Programmer Analyst's role is to define, develop, test, analyze, and maintain new software applications in support of the achievement of business requirements. This includes writing, coding, testing, and analyzing software programs and applications. The Programmer Analyst will also research, design, document, and modify software specifications throughout the...

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

Benefit Configuration Analyst I (525)

Navitus Health Solutions. Arizona (AZ), Phoenix

Job Summary: The Benefit Configuration Analyst I (Formerly Benefit System Architect) is responsible for performing tasks related to the setup and maintenance of Navitus' pharmacy claims system (NaviClaimRx and/or other applications). The primary functions of this position involve ensuring Navitus is able to provide a versatile adjudication system that allows...

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