Supervisor, Claim Adjudication Operations

Navitus Health Solutions, LLC; United States; Remote; USD 61,000 - 75,000; Full time

Job summary

Navitus Health Solutions is seeking a Supervisor for Claim Adjudication Operations to ensure streamlined team operations aligned with customer objectives. The role emphasizes superior customer service and operational excellence, along with managing staff and resources effectively. With a commitment to diversity and employee growth, Navitus offers a competitive salary and comprehensive benefits, enhancing the overall work experience.

Benefits

Health, Dental, and Vision insurance

20 days paid time off

4 weeks paid parental leave

9 paid holidays

401K company match up to 5%

Adoption Assistance Program

Flexible Spending Account

Educational Assistance Plan

Professional Membership assistance

Referral Bonus Program – up to $750!

Qualifications

• Minimum four years of work experience required.
• Knowledge of data privacy practices preferred.
• Healthcare industry and HIPAA knowledge a plus.

Responsibilities

• Provide superior customer service focused on collaboration.
• Organize and plan resources for daily activities.
• Manage staffing including recruitment and performance management.

Skills

Customer Service

Operational Excellence

Collaboration

Communication

Education

Two or four year degree

Professional PBM industry experience

Job description

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.

Pay Range

USD $61,968.23 - USD $74,660.31 /Yr.

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, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming.

Overview

Due to growth, we are adding a Supervisor, Claim Adjudication Operations to our CAO Client department.

The Supervisor, Claim Adjudication Operations ensures the streamlined operation of the Claim Adjudication Operations team in alignment with customer-focused objectives. This individual will plan, design, coordinate and align resources to support the daily activities of the team. The supervisor will work closely with their team to identify, recommend, develop, implement, support, and improve customer-focused solutions.

Is this you? Find out more below!

Responsibilities

How do I make an impact on my team?

• Provide superior customer service utilizing a high-touch, customer centric approach focused on collaboration and communication
• Develop and sustain a culture of operational excellence that creates value for the customer
• Organize, plan, and align resources for day-to-day activities based on customer priorities
• Manage staffing, including recruitment, supervision, performance management, scheduling, development, evaluation, and disciplinary actions
• Make decisions and remove barriers enabling the team to deliver
• Cultivate an environment of adherence to procedures and guidelines
• Other duties as assigned

Qualifications

What our team expects from you?

• A two or four year degree and/or a minimum of four years of work experience is required
• Professional PBM industry work experience is preferred
• Knowledge of applicable data privacy practices and laws is preferred
• Healthcare industry practices and HIPAA knowledge would be a plus
• Understanding of human resource management principles, practices, and procedures would be a plus
• 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