Analyst III, Network Configuration

Navitus Health Solutions

Network configuration analyst administering pharmacy benefit networks for Navitus Health Solutions. Configuring claims systems, ensuring accurate adjudication, and supporting client implementations and network changes.

Posted 8/13/2026full-timeRemote • 🇺🇸 United StatesJuniorMid-Level💰 $54,236 - $64,567 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in client implementation and network configuration while ensuring compliance with HIPAA and NCPDP standards. Proficient in utilizing reporting and workflow management tools to support complex customer inquiries and drive process improvements.

Highest-signal resume keywords

Navitus Systems KnowledgeNavi-ClaimRx ProficiencyFormulary Management ExperienceGovernment Programs Error Management (GEMS)Reporting Tools (3D QlikView/QlikSense)

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Client ImplementationNetwork ConfigurationQuality AssuranceTroubleshootingProcess ImprovementCost ReductionAutomationTraining Material CreationIssue ResolutionCompliance Adherence

Soft Skills

Independent Decision-MakingCooperative InteractionGuidance and Education

Tools & Technologies

Microsoft Office (Word, Excel, PowerPoint)Request Management Tools (Connectus, Service Desk, Responsive)

Certifications & Qualifications

Associate’s Degree or Equivalent Work Experience

Industry Keywords

HIPAA ComplianceNCPDP StandardsHealth Plan BusinessClient SupportAudits

About the role

Key responsibilities & impact

Complete scheduled and urgent configuration of new client implementations and/or network additions, terminations, and changes timely and accurately
Acquire and maintain advanced knowledge of adjudication system screens and functions to design standard and custom configurations
Ensure compliance with HIPAA, NCPDP, and Navitus internal business standards
Perform quality assurance peer reviews of network plan additions and changes
Research root causes, troubleshoot resolutions, and recommend corrective action
Use workflow management, issue resolution, and reporting tools to troubleshoot complex customer questions and requests
Support internal customers through client meetings, audits, and new program implementations
Answer network setup questions and provide guidance on the network configuration process
Maintain understanding of legacy and emerging products and systems
Lead process improvement, cost reduction, and automation efforts
Assess future business needs and provide recommendations to leadership
Create and maintain training materials, work instructions, and policies
Support client and sales presentations and respond to assigned RFP questions
Perform other duties as assigned

Requirements

What you’ll need

Associate’s degree or equivalent work experience required
Typically 2-3 years of experience with strong knowledge of Navitus systems and processes
Ability to perform tasks independently, follow instructions, and make decisions
Experience guiding and educating associates in current to lower-level roles
Experience supporting mid-sized to large clients with moderate to high complexity
Experience supporting health plan business with minimal guidance
Intermediate to advanced experience with Navi-ClaimRx
Intermediate to advanced proficiency with Microsoft Office (Word, Excel, PowerPoint)
Experience with Formulary Management
Experience with Request Management tools (Connectus, Service Desk, Responsive)
Experience with Government Programs Error Management (GEMS)
Experience with Reporting tools (3D QlikView/QlikSense)
Participate in, adhere to, and support compliance program objectives
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!
STAR Bonus % (At Risk Maximum) 5.00