Quality Assurance Supervisor

Navitus Health Solutions

Supervisor ensuring Quality Assurance Benefit Configuration aligns with business needs at Navitus. Overseeing team roles while maximizing service excellence in pharmacy benefit management.

Posted 6/10/2026full-timeRemote • Idaho • 🇺🇸 United StatesMid-LevelSenior💰 $63,827 - $76,900 per yearWebsite

About the role

Key responsibilities & impact

Oversee roles within the Quality Assurance team to support accurate and timely configuration and data transfers of client hierarchy, benefits, and networks.
Provide superior customer service utilizing a high-touch, customer centric approach focused on collaboration and communication.
Ensure team efforts delight the customer.
Cultivate a positive team atmosphere.
Outreach and collaborate with business partners for day-to-day work and contribute to action plan creation.
Partner with Sr. Manager to support client relationships across multiple lines of business and various complexity levels.
Oversight of work on Kanban boards, meeting turnaround times, and performance guarantees.
Run department Kanban board(s) and huddles, including sizing of work requests.
Responsible for capacity reporting and production control numbers.
Populate client trackers regarding status of requests, barriers, and resolution for service excellence.
Resource assignment of day-to-day work, audits, and root cause analysis/CAP.
Address barriers of direct reports by guiding and influencing discussions while maintaining a forward-thinking approach.
Maximize the skillset of the department through volumes of high workload to maintain claim adjudication accuracy for client and member satisfaction.
Responsible for performance measures and workload monitoring of direct reports.
Perform 1:1s to elicit feedback from department associates, provide mentorship, discuss career development, address performance, and provide workload and project guidance.
Address escalations from direct reports, along with contributing to action plans.
Perform workforce management duties for direct reports, including, but not limited to, overtime needs, time out of the office and time tracking.
Provide technical/operations support for audits involving configuration and/or data file information.
Other duties as assigned.

Requirements

What you’ll need

Bachelor’s degree or equivalent work experience is required.
4 years of relevant experience required.
Knowledge of one or more responsibilities as defined above is strongly preferred.
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.
Experience as a member of a multi-disciplinary team is 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.

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

data transferscapacity reportingperformance measuresworkload monitoringroot cause analysisauditsconfigurationdata file informationclaim adjudication accuracycustomer service

Soft Skills

collaborationcommunicationmentorshipteam atmospherecustomer centric approachguiding discussionsinfluencingfeedback elicitationproblem solvinginterpersonal skills

Certifications

Bachelor's degreeHIPAA knowledgecompliance program certification