Trainer, Benefit Configuration
United States
Company
NavitusAbout 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.Pay Range
USD $52,656.00 - USD $62,686.00 /Yr.Work Schedule Description (e.g. M-F 8am to 5pm)
M-F 8am-5pm, CSTRemote Work Notification
ATTENTION: Navitus is unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming.Overview
Due to growth, we are adding Benefit Configuration Trainer to our team!
This position ensures efforts are in alignment with the Claim Adjudication Operations (CAO) team to leverage technology and process improvement for the purpose of meeting the business needs of Navitus customers, clients, members and pharmacies by accurately administering benefits. The Trainer, Benefit Configuration facilitates and completes the new hire training program within CAO. This position requires knowledge of both the technical and operational sides of the business utilizing Navitus’ adjudication system and other applications. The Trainer, Benefit Configuration will closely collaborate with CAO coaches and benefit configuration analysts and testers. This position will ensure CAO is able to provide a versatile training program that encompasses the continuous changes in the pharmacy benefit industry.
This position may include after-hour and/or weekend hours with other eligible team members depending on workload.
Is this you? Find out more below!
Responsibilities
How do I make an impact on my team?
- Leads foundational training including scheduling, overview, presentation, assessment, documentation, peer review and oversight for configuration of the claims adjudication platform
- Acquires and maintains an intermediate to advanced level of knowledge and interpretation of multiple adjudication system screens and functions on a field-by-field level to train both standard and custom configurations to meet client expectations
- Recommends, creates and maintains training documents such as visuals and practice examples
- Collaborates with leaders, coaches and/or peers throughout foundational training
- Adapts to industry changes and evolving technology, maintaining an intermediate to advanced level of understanding of both legacy and emerging products and systems
- Functions as a subject matter expert (SME), the main source of contact and lead mentor for peers within foundation training
- Contributes toward departmental performance and service level guarantees and achieves individual, departmental and corporate performance goals around accuracy and timeliness
- Maintains up-to-date knowledge of all departmental formulary management, workflow management, issue resolution and reporting tools
- Complies with standards set forth regarding benefit design and configuration including HIPAA, NCPDP and Navitus internal business standards
- Other duties as assigned
Qualifications
What our team expects from you?
- Associate degree or equivalent work experience required
- 2 years’ experience in benefit configuration and/or benefit configuration testing or system training
- Experience with these additional applications at an intermediate to advanced level: Microsoft Office (Word, Excel, PowerPoint, Teams)
- 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
#LI-Remote
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.
Location : Address
RemoteLocation : Country
US ApplyJob Profile
Hawaii Maine Mississippi New Hampshire New Mexico No remote work for residents of Alaska Rhode Island South Carolina South Dakota West Virginia Wyoming
Benefits/Perks20 days paid time off 401k company match 4 weeks 4 weeks paid parental leave 9 Paid Holidays Adoption Assistance Creativity Dental Diversity Flexible Spending Account Health Paid holidays Paid parental leave Paid Time Off Parental leave Remote work Vision Insurance
Tasks- Collaborate with teams
- Create training documents
- Ensure compliance
- Issue resolution
- Lead training
- Maintain knowledge of systems
Adjudication Systems Benefit configuration Claim adjudication Claims Adjudication Collaboration Compliance Creativity Documentation Excel Formulary management Health HIPAA Insurance Issue Resolution Microsoft Office NCPDP Pharmacy Presentation Process Improvement Reporting Testing Training Word Workflow Management
Experience2 years
EducationAssociate degree Business Equivalent work experience Training
TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9