$46,000 - 59,000 yearly
Number of Applicants
:000+
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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.
In a post-adjudication work environment, the Pharmacy Desk Auditor I will review pharmacy claims submission data to identify payment errors, provide outreach and education to pharmacies, ensure legal compliance and Navitus PBM adherence to contract agreement rules. This position works collaboratively with the Pharmacy Audit team to meet all contract and internal timelines/deadlines. This role requires knowledge of pharmacy billing and operational practices.
The Pharmacy Desk Auditor I position requires a thorough knowledge of prescription medications including their use, packaging, dispensing, and billing processes. Attention to detail, awareness of key regulatory requirements, excellent communication skills and customer-centric skills for both internal and external customers is also required. This position can be office based or remote and may include limited travel.
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