Navitus Health Solutions

Financial Planning and Analysis

• Support initiatives tied to the Board-approved plan, including financial assessment and tracking of each initiative.
• Establish standardized reporting and frameworks to evaluate costs, benefits and ROI for transformation programs.
• Develop KPIs and dashboards to monitor value delivery, including cost savings and margin improvements.
• Maintain line-of-sight from investment to EBITDA impact, run-rate, and closing the “benefit realization gap” often seen in large-scale transformations.
• Proactively prepare reports and analysis, forecast initiative results, and make recommendations to keep initiatives on or ahead of track.
• Own budgeting oversight, monthly forecasting, and variance analysis for transformation initiatives.
• Challenge initiative teams on effort estimates, vendor quotes, and resourcing plans to ensure costs reflect true delivery complexity.
• Provide financial leadership and analytics to guide decisions on resource allocation and cost-benefit trade-offs.
• Ensure alignment between program milestones and financial outcomes, not just “on time/on budget” but “value realized”.
• Collaborate with Legal, Compliance, and other teams to ensure adherence to regulatory requirements and adherence to GAAP, AICPA, and other standards reflective of best practices.
• Support Strategic Transformation Officer and collaborate with value stream owners to integrate finance into transformation strategy.
• Act as a bridge between finance, operations, and technology, ensuring compliance and risk management.
• Other duties as assigned.

Enterprise Transformation Partner – Finance Lead

Product Manager

• Serve as fully accountable business owner for several product lines.
• Responsible for the full product lifecycle including building strategic roadmaps, developing/documenting product requirements, leading product development efforts and managing day-to-day product business needs.
• Work cross functionally to understand internal and external client needs, provide product training and troubleshoot product issues and questions.
• Present product capabilities to clients and prospects.
• Own strategic relationships with key partners including negotiations and performance management.
• Own financial and operational product success metrics and performance reporting.

Senior Product Manager, Product Management

Human Resources

• Partner with business leaders to develop and implement HR strategies that support business goals.
• Provide guidance and support on organizational design, workforce planning and talent development planning to support the business strategy and organizational goals.
• Lead and support performance management, succession planning, and associate engagement initiatives.
• Lead performance improvement and support with divisional leadership to ensure alignment with company performance policy, practices, and standards and provide leadership training to support positive performance measures.
• Manage complex associate relations issues, conduct effective, thorough, and objective investigations and ensure compliance with policies, procedures, and laws.
• Collaborate with Centers of Excellence (COE) such as Talent Acquisition, Total Rewards, Learning and Development and HR Generalists to achieve company and business unit initiatives and needs.
• Analyze HR metrics and trends to develop solutions, programs, and policies in partnership with the HR COE Leadership.
• Develops and analyzes data to guide business leaders in planning and execution of people related strategies.
• Drive change management initiatives and foster a culture of continuous improvement ensuring success. Proactively challenge the status quo and / or innovative ideas to ensure decisions are consistent with organizational standards, policy, and culture.
• Coach and develop managers on effective leadership and people management practices.
• Works closely with management and team members to improve work relationships, build morale, and increase productivity and retention.

Human Resources Business Partner

Account Manager

• Develops and maintains a trusted advisor relationship with existing customers and stakeholders to enhance customer experience and retention
• Collaborates with multiple internal stakeholders and external vendor partners to ensure best in class customer service and benefit solutions delivered efficiently and effectively
• Facilitates client meetings to advise and advance resolution of open action items and/or provide routine status updates
• Facilitates the process for new benefit changes on behalf of client and provide direction on how those changes need to be implemented
• Responds to client inquiries, issues and concerns in a timely, concise and accurate manner
• Provides clients with system support and collaboration tools
• Supports client renewal activities in partnership with the Account Executive and Clinical Account Executive
• Supports clients by executing regular account maintenance such as reporting, member-specific requests, open enrollment support and other tasks as needed
• This role may require participation in conference calls, attendance at meetings or, travel outside of normal business hours
• Other duties as assigned

Business Analyst

• Identifies and manages changes to existing Technical Operations processes; this includes scope definition, business requirements, user acceptance testing, and implementation
• Establishes processes that are scalable and efficient, and ensures smooth transition to operational maintenance by the Technical Operations Analysts
• Develops project plans to ensure the quality and timeliness of project deliverables
• Ensures technical processes supporting government programs have the appropriate controls, oversight, and reporting, and are compliant with regulatory requirements from end to end
• Identifies key metrics to monitor the compliance and accuracy of the process, establishing oversight methods that are operationally efficient and effective
• Provides SME assistance when process metrics indicate a possible risk to compliance or accuracy, and leads any corrective action required following root cause analysis
• Reviews regulatory guidance, and identifies changes needed to existing Technical Operations processes and/or new processes which need to be established to remain compliant
• Performs data analysis using SQL or business intelligence software
• Develops a solid working knowledge of Navitus’ claims processing system
• Other duties as assigned

Business Analyst, Government Programs, Med-D

Technical Writer

• Translates complex technical concepts into content rich with information and data visualization and other value-added materials, included but not limited to board presentations, sales presentations, infographics, newsletters, emails and videos
• Develops creative strategies (audience analysis, frequency, methods) that support the goals and influences positive change in support of a transformation-focused culture
• Measures and reports on the effectiveness of technical campaign initiatives
• Ensures that changes and updates in policy or other company announcements are relayed in a timely and consistent manner
• Develops strategic and integrated campaigns in support of the transformation efforts for all internal and external customer segments
• Works to improve technical content on key Transformation division activities
• Engage with executive leadership to understand technical content needs, collect information and produce well-written and compelling work product
• Helps increase adoption of new technical content tools/information
• Enables clear business communications and clarity of technical direction, driving increased understanding of the vision and roadmap, and affirming integrity of leadership
• Other duties as assigned

Technical Content Creator

Manager

• Possess thorough understanding and develops working relationships with multiple business areas that Analytics team supports, e.g., Sales, Implementation, Account Management, Legal, Government Programs, etc
• Leads large complex cross departmental projects and initiatives that bring business value.
• Develops new analytic solutions and data products
• Attends client meetings and RFP presentations, conducts demos of Navitus’ client facing tools offerings tailored to client’s specific needs
• Works with the business to prioritize analytics requests backlog using objective criteria such as Cost of Delay, criticality, ROI, etc
• Displays leadership qualities necessary for managing large number of people.
• Coaches staff through regular 1x1 meetings, mentors and develops talent by providing constructive feedback, growth, and learning opportunities
• Provides leadership and guidance to staff on data analysis approaches relative to designing, prototyping, testing, training, and implementing practical business solutions that bring value and have tangible ROI
• Collaborates with cross functional leadership in the development and implementation of strategic planning that aligns with company needs and priorities
• Provides consultative guidance and feedback to internal and external customer on the business dashboards and KPIs, challenges and asks questions
• Collaborates with IT, Architecture and Data Governance to facilitate creation of data structures that would allow more efficient reporting for internal and external client needs
• Other duties as assigned.

Manager, Analytics, Data

Operations

• Assignments may include one or more of the following: Employer Group Waiver Plan (EGWP) enrollment administration and oversight, Retro-eligibility processes, Financial Information Reporting (FIR), Plan Finder Submission, Coordination of Benefits (COB), Reject Management, Prescription Drug Event (PDE) error management and reconciliation, Medicaid Encounter Data, Affordable Care Act (ACA) Claims Submission, Explanation of Benefits (EOB), Retiree Drug Subsidy (RDS), and Claim Auditing
• Oversee the schedules for the processes assigned, adjust schedules when necessary to ensure deadlines are met, and alert management when schedules are at risk
• Ensure process documentation accurately reflects the current process and update when necessary
• Assist subject matter experts (SME) in defining and documenting process steps, providing input on requirements for technical specifications
• Review and research errors and prioritize reconciliation efforts in accordance with State and Federal guidance
• Effectively communicate with Employer Groups, Clients, State/Federal Agencies, external vendors and Navitus internal departments to address action items, problems, and manage expectations to ensure timely and accurate issue resolution
• As needed, may require working outside of normal business hours to complete time sensitive processes

Technical Operations Analyst, Government Programs

Supply Chain

• Develop and execute a comprehensive specialty pharmacy supply chain strategy aligned with organizational goals including securing optimal pricing, discounts, rebates, and incentives.
• Lead the creation, distribution, and evaluation of Requests for Proposals (RFPs) for wholesalers, GPO partners, and other supply chain partners to ensure competitive bids and favorable terms.
• Establish supply chain best practices to maintain partnerships and ensure consistency in process.
• Establish policies and procedures for procurement, contracting, and inventory management to ensure compliance and efficiency.
• Build and maintain strong partnerships with pharmaceutical manufacturers to secure favorable pricing and access to specialty medications.
• Expand partnership expansion by recruiting pharmacies into the organization’s Group Purchasing Organization (GPO) network, emphasizing the value of manufacturer and wholesaler discounts.
• Establish KPs and reporting systems to monitor contract compliance, rebate realization, and overall financial performance of supply chain agreements.
• Innovate new products and relationship structures that enable growth in pharmacy relationships and broaden market impact.
• Negotiate agreements with GPOs to optimize purchasing power and cost savings and that are inclusive of participation by other pharmacies.
• Monitor market trends, analyze pricing models and competitive benchmarks and regulatory changes impacting manufacturer and GPO contracts to inform contract strategy and maintain a competitive advantage.
• Drive initiatives to recruit pharmacies into the organization’s Group Purchasing Organization (GPO) network, emphasizing the value of manufacturer and wholesaler discounts.
• Partner with finance, operations, and clinical teams to align supply chain strategies with organizational objectives and patient care priorities.
• Evaluation of the purchasing and relationship structures for continual improvement of the efficiency and effectiveness of the GPO and manufacturer relationships.
• Support the development and creation of annual budgets and monthly forecasts related to the procurement of specialty pharmaceutical products for specialty pharmacy.
• Mentoring and developing associates, interviewing, hiring and training associates, planning, assigning and directing work, appraising performance, rewarding and disciplining associates, and addressing complaints and resolving problems.
• Other duties as assigned.

VP, Procurement and Supply Chain – Specialty Pharmacy

Director

• Develop, manage, and maintain capital project delivery and maturity roadmaps and strategies in collaboration with organization leaders that identify milestones, dependencies, synergies, risks, and gaps.
• Utilize delivery and maturity roadmaps to proactively develop strategies that improve performance, mitigate risks, and plan for future needs of the department and organization.
• Evaluate and improve enterprise program and project delivery policies, procedures, templates, and standards that are aligned with business goals and industry standards to ensure consistent customer experience and successful project completion.
• Partner with senior leadership and act as a primary liaison to ensure transparency and alignment on project portfolio performance with the goal to create awareness of, and support for, capital project priorities.
• Facilitate executive-level reporting and decision-making through clear, actionable insights to ensure resources are aligned to the greatest value.
• Develop working expertise of each project and program to understand, communicate, and proactively manage dependencies, risks, and successes through monitoring of milestones, timeline, budget, and scope.
• Ensure adherence to standards and compliance requirements through project audits, reporting, quality outcome tracking, value realization evaluations, and project archiving policies to ensure portfolio health and historical integrity.
• Select, lead and develop a high-performing team of leaders, program managers, project managers, business analysts, and coordinators.
• Provide coaching, mentoring, and career development opportunities to ensure individual and team success.
• Proactively plan EPMO resources needed to support capital projects.
• Collaborate with key technology and business leaders to understand and support the availability of other skilled resources to deliver on capital projects.
• Establish partnerships with vendors supporting the EPMO.
• Other duties as assigned.

Director, Capital Projects

Program Manager

• Define, maintain, and monitor progress toward the program vision aligned to initiative and organization strategy to include critical milestones for delivery and value realization
• Establish, communicate, and enforce governance frameworks for communications, decision-making, risk management, performance management, and resource allocation to ensure consistent, effective, and proactive alignment through the program lifecycle
• Act as the bridge between executive leadership and program team members, translating goals into action plans that meet leadership expectations
• Develop and manage integrated program plans, including milestones, dependencies, and critical paths
• Create and manage program budgets, ensuring fiscal responsibility and alignment with capital investment priorities
• Monitor financial performance
• Provide overall program oversight, ensuring execution across budget, timeline, scope, dependencies, issues, and risks
• Develop and manage mitigation strategies
• Create progress and performance visibility through impactful dashboards and program metrics
• Lead issue resolution and decision-making, escalating when necessary and facilitating major program decisions through actionable insights
• Deliver executive-level communication and coordination, including status reporting and strategic updates
• Organize and facilitate steering committee meetings and ensure alignment on key decisions
• Serve as the central point for program communications, approving and overseeing messaging
• Ensure communications appropriate for the entire organization and external customers are planned, consistent, transparent, and meet desired intent
• Ensure compliance with strategic initiative audit requirements, enterprise architecture standards, and software delivery frameworks
• Manage and direct program managers, reviewing status reports and ensuring adherence to governance standards
• Ensure necessary talent is available for successful delivery
• Oversee direct reports and matrixed project team members, fostering collaboration and accountability
• Lead, mentor, coach, and develop team members.

Program Director – Strategic Initiatives

Project Manager

• Prepare for and facilitate a new TPA or employer client Kick-off Meeting for the purposes of requirements gathering and discovery
• Assist the Client with facilitating any impact analysis to best determine the appropriate requirements to ensure a smooth and successful implementation
• Ensure all requirements are documented in the standard project templates and tools and then obtain approval from the Client before initiating builds
• Create and maintain a high-level project plan
• Continuously monitor progress in terms of the status of the project and report back to internal management and subject matter team members and the Client using weekly status report formats
• Assist with escalated client issues, member issues, project issues, etc. as identified or requested by the client through direct support or through the support of the Navitus subject matter experts assigned to the project
• Provide go-live support either through remote access or internal on-site access. This requires working on January 1st of each year and other non-business days as needed
• Facilitate Post Implementation Review meetings with a new TPA or employer client
• Travel to Client sites as needed
• Other duties as assigned

Implementation Project Manager – TPA/Employer

Security Engineer

• Define and execute the company’s IT strategy aligned with business objectives and growth plans.
• Identify and evaluate emerging technologies to drive innovation and deliver strategic advantage.
• Collaborate with executive leadership, other subsidiaries, and business units to align technology initiatives with organizational priorities.
• Oversee design and implementation of secure, scalable applications, infrastructure, and architectures that meet business and compliance requirements.
• Ensure reliable technology operations, including infrastructure, networks, data management, and security protocols.
• Direct teams employed by the business unit, as applicable, responsible for engineering, development, data warehouse platforms and core technology infrastructure.
• Develop and maintain company-wide cybersecurity programs to meet industry standards and contractual obligations.
• Monitor threats, manage incident response, and implement preventative measures and collaborate with other subsidiary teams where applicable.
• Ensure compliance with data privacy regulations.
• Manage subsidiary disaster recovery and business continuity plans for technology and collaborate with enterprise response.
• Direct software development, implementation, and delivery execution across the subsidiary.
• Optimize applications, cloud solutions, and development for scalability and performance.
• Align with IT governance frameworks for transparency and accountability.
• Identify and mitigate technology-related risks; analyze investments, ROI, and advise executive leadership.
• Select and manage technology vendors and partners, ensuring cost-effective solutions.
• Create and manage the technology budget, optimizing resource allocation and in/out-sourcing balance.
• Ensure data accuracy, integrity, and compliance with established governance and security policies.
• Other duties as assigned.