Navitus Health Solutions

Senior Operations Analyst

Navitus Health Solutions

full-time

Posted on:

Location Type: Remote

Location: Remote • Idaho • 🇺🇸 United States

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Job Level

Senior

About the role

  • Responsible accurate benefit and product implementations, adjudication and payment of claims.
  • Conduct data analysis and present insights with internal stakeholders to understand opportunities to improve.
  • Support internal department and corporate projects.
  • Manage network design projects.
  • Maintain accurate and timely processing of claims and reject management.
  • Lead for JIRA enhancements.
  • Provide and lead implementation of projects or clients as needed.
  • Provide on-going formal training to team members.
  • Manage projects cross-functionally as needed.
  • Ability to vendor and/or client-face as needed.
  • Participate in, adhere to and support compliance and diversity, equity, and inclusion program objectives.
  • Other duties as assigned.

Requirements

  • Bachelor's degree in business, marketing, or related area preferred.
  • 5 years of analyst experience required.
  • 5+ years in health care related operations roles required.
  • Knowledge of PBM operations and industry preferred.
  • PC skills; Microsoft Office, Email, and Internet.

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard skills
data analysisclaims adjudicationclaims processingproject managementnetwork designJIRA enhancementsvendor managementclient managementformal trainingcompliance
Soft skills
leadershipcommunicationcollaborationorganizational skillsinterpersonal skills
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