Vendor Manager, Client Operations

Company Navitus

About Us

Navitus - 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._____________________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities. ____________________________________________________We are committed to providing equal employment opportunity to all applicants and employees and comply with all applicable nondiscrimination regulations, including those related to protected veterans and individuals with disabilities. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or handicap. Pay Range USD $60,214.00 - USD $72,547.00 /Yr. STAR Bonus % (At Risk Maximum) 5.00 - Salaried Non-Management except pharmacists Work Schedule Description (e.g. M-F 8am to 5pm) M-F 8am to 5pm CT Remote Work Notification ATTENTION: Navitus is 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.

Overview

Navitus Health Solutions is seeking a Vendor Manager, Client Operations to join our team! The Vendor Manager, Client Operations will interface with brokers, consultants, and coalitions to manage projects that could include but is not limited to transitioning clients to Navitus from their current PBM, implementing new services/programs, and facilitating a change in vendor relations. The position is responsible for building deep relationships with Navitus vendors and their clients so they learn to trust us and have confidence that their needs will be successfully met as seamlessly as possible. Is this you? Find out more below!

Responsibilities

How do I make an impact on my team?

• Request historical files from advisor or client, and review layout as needed.
• Host the TPA implementation meetings.
• Review data transmission process, file layouts, timing, etc..
• Determine system hierarchy requirements and build in CRM.
• Coordinate eligibility test files, updates, and production.
• Coordinate claims extracts with all vendors (TPA, stop loss, advisor).
• Coordinate ID card from TPA for approval.
• Validate eligibility files and extracts post go live.
• Conduit to the Navitus eligibility and claims extract teams.
• Manage data sharing policies and Non-Disclosure Agreements with vendors.
• Submit data and service requests, and ongoing monitoring to ensure accurate, timely completion.
• Troubleshoot any vendor issues to ensure quick resolution, including support of the account teams in helping to facilitate resolution of escalated file issues.
• Suggest and implement new vendor management processes, policies, and methods as needed.
• Identify and research expansion opportunities, in addition to the growing the client base with existing consultant/broker/TPA relationships.
• Other duties as assigned

Qualifications

What our team expects from you?

• Bachelor's degree in Business, Marketing, or related area preferred.
• 3 years of vendor management experience (TPA’s, Consultants, Brokers, etc.), and working with external clients preferred.
• Knowledge of PBM or health care industry preferred.
• PC skills such as Microsoft Office, Email, etc.
• Participate in, adhere to, and support compliance program objectives
• The ability to consistently interact cooperatively and respectfully with other employees

What can you expect from Navitus?

• Top of the industry benefits for Health, Dental, and Vision insurance
• 20 days paid time off
• 4 weeks paid parental leave
• 9 paid holidays
• 401K company match of up to 5% - No vesting requirement
• Adoption Assistance Program
• Flexible Spending Account
• Educational Assistance Plan and Professional Membership assistance
• Referral Bonus Program – up to $750!

#LI-Remote Location : Address Remote Location : Country US