Job Details

Pharmacy Network Reporting Specialist

Navitus Health Solutions is seeking a Pharmacy Network Reporting Specialist to join our team!

The Reporting Specialist, Pharmacy Network will play a key role in supporting the analytical operations of the Provider Services department. The Specialist will be responsible for understanding business processes, the supporting data, and performing an array of analyses and report creations that facilitate critical business decision-making processes. The objective is to utilize and harness data in an effective manner to best serve our providers, clients, and promote strategic initiatives.

The Specialist supports the evaluation of both the adequacy and performance of our provider networks via data modeling, analysis, and reporting. This position will communicate and work cross functionally with various teams at Navitus to deliver intuitive analyses and reports. The Specialist will be responsible for completing reports and projects as requested by teams to support Provider Services, Client Services, Implementation, and Sales. This position will be responsible for understanding a wide range of data points from multiple sources and for completion of a variety of analytical projects and reports.

Is this you? Find out more below!

Responsibilities

• Responsible for completing reports and projects, such as detailed Geo Access and Member Disruption, as requested by Navitus teams in a timely manner.
• Understand intermediate data relationship concepts and transform data into information that can be proactively used to improve business decisions.
• Create pharmacy directories for our clients and their members that clearly identify the pharmacy services available to them and where they are located.
• Deliver reports and directories on a weekly, monthly, quarterly or annual basis as required by government sponsored health plans and other clients.
• Perform quality assurance to ensure reports are accurate and in compliance with all regulations and requirements.
• Periodic and detailed reporting of activities and opportunities to Provider Services team and cross-functional leadership.
• Identify, advocate, and implement continual process improvement of policies and procedures to maximize quality and efficiencies.
• Assist with internal department and corporate projects as required.
• Coordinate task completion within department and cross-functionally.
• Solve moderately complex problems.
• Participate in, adhere to, and support compliance program objectives.
• Other related duties as assigned/required.

Qualifications

• Associate's degree required; Bachelor's degree preferred. Emphasis in business, information systems, economics, or statistics preferred
• Minimum of 1 year of work experience in a business setting
• PC Skills: Microsoft Excess, Access, and other applications as required
• 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!

Location

Remote

Country

US