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Navitus Health Solutions

Analyst, Medicare Audit – Reporting

Navitus Health Solutions

. Work with the Manager to execute goals and objectives for Prior Authorization Operations Medicare reporting needs .

Posted 4/23/2026full-timeRemote • Idaho • 🇺🇸 United StatesJuniorMid-Level💰 $52,656 - $62,686 per yearWebsite

About the role

Key responsibilities & impact
  • Work with the Manager to execute goals and objectives for Prior Authorization Operations Medicare reporting needs
  • Execute on reporting requests, audit deliverables, monthly/quarterly Medicare reports, Ad Hoc report requests from clients and/or other internal departments, and support Manager in testing new reporting enhancements
  • Execute on project work associated with Navitus’ Prior Authorization Operations Medicare reporting from inception through completion
  • Troubleshoot for reporting issues or questions
  • Ensure controls are in place that adequately ensure quality in Prior Authorization Medicare report deliverables
  • Work with end users to suggest enhancements to the system or workflow processes to meet the needs of the business.
  • Identify enhancement requirements for new processes, services and changes to existing processes and services to achieve department business and strategic goals
  • Other duties as assigned

Requirements

What you’ll need
  • Associate degree in business or mathematics preferred or equivalent experience
  • 2 years of applicable Medicare Prior Authorization processing experience, or 2 years of Medicare reporting experience is required
  • Participate in, adhere to, and support compliance program objectives
  • The ability to consistently interact cooperatively and respectfully with other employees.

Benefits

Comp & perks
  • 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!

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools
Medicare reportingPrior Authorization processingreporting requestsaudit deliverablesAd Hoc reportingtroubleshootingquality controlenhancement requirementsproject management
Soft Skills
cooperative interactionrespectful communication
Certifications
Associate degree in businessAssociate degree in mathematics