Store Operations Manager, GM
Insomnia Cookies
Coordinator, UM Operations
Navitus Health Solutions
full-time
Posted on:
Location Type: Office
Location: Appleton • Wisconsin • 🇺🇸 United States
Visit company websiteSalary
💰 $20 - $21 per hour
Job Level
Mid-LevelSenior
About the role
- Assume responsibility for letter fulfillment, monitoring automated fulfillment equipment
- Working with Navitus’ vendors to ensure uptime and proper inventory
- Troubleshoot failed member and prescriber fulfillment (automated and manual)
- Develop and maintain expert knowledge of Medicare D, Medicaid, and/or Exchange programs
- Properly prioritize prior authorization work queues to ensure requests meet internal and client expectations
- Adhere to governmental regulations and processes while executing mailing and faxing tasks
- Execute on project work associated with the various prior authorization products from inception through completion
- Assist with prior authorization reporting needs as assigned
- Develop, document, and maintain policies, procedures and associated training plans as needed
- Other duties as assigned
Requirements
- High school diploma required
- Associate degree or equivalent preferred
- Experience with a combination of administrative work, customer service experience, expertise working across multiple departments, technical and business acumen, and a track record of tangible success
- Experience in health insurance/pharmacy insurance or managed care organization preferred
- Participate in, adhere to, and support compliance program objectives
- The ability to consistently interact cooperatively and respectfully with other employees
Benefits
- 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 Program and Professional Membership assistance
- Referral Bonus Program - up to $750!
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
letter fulfillmentautomated fulfillment equipmentprior authorizationreportingpoliciesprocedurestraining plans
Soft skills
customer serviceinterpersonal skillsorganizational skillscommunicationproblem-solvingcollaborationprioritization
Certifications
high school diplomaassociate degree