Implementation file support analyst- Remote

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.  

We are 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.

The Fire Extract Analyst, Client Operations position is a highly motivated professional with at least 3 years of successful vendor management. This role will interface with brokers, consultants, and clients to manage projects that could include but is not limited to transitioning clients to EpiphanyRx from their current PBM, implementing new services/programs, and facilitating a change in vendor relations. The position is responsible for building deep relationships with EpiphanyRx vendors and their clients so they learn to trust us and have confidence that their needs will be successfully met as seamlessly as possible. This role must have strong relationship skills to work with internal and external partners including subject matter experts across both Navitus and ERx,. which will be key to successful vendor relationships. Excellent communication skills are necessary to ensure that all team members are kept well informed of the requirements, any changes, progress status and any potential issues. This position will additionally be responsible for supporting other client projects as needed and contribute towards team goals.

Is this you?  Find out more below!

How do I make an impact on my team?  

• Requests historical files from advisor or client, and reviews layout as needed.
• Determine system hierarchy requirements and build in CRM.
• 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.
• The VMCO is the 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.
• Support other client related projects that require program management services. Act as intermediary between vendors, ERx clients, and internal partners. Serve as a project lead as needed. …