Returning Candidate? Log back in! Supervisor, Claim Adjudication Operations Location US- ID 2025-4706 Category Administration Position Type Full-Time Remote Yes Company Navitus About Us Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new ideas and share a passion for excellent service to our customers and each other._____________________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities. Pay Range USD $61,968.00 - USD $74,660.00 /Yr. Work Schedule Description (e.g. M-F 8am to 5pm) M-F 8am to 5pm Remote Work Notification ATTENTION: Epiphany is unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming. Overview

Navitus Health Solutions is seeking a Supervisor, Claim Adjudication Operations to join our CAO Client department!

 

The Supervisor, Claim Adjudication Operations ensures the streamlined operation of the Claim Adjudication Operations team in alignment with customer-focused objectives. This individual will plan, design, coordinate and align resources to support the daily activities of the team. The supervisor will work closely with their team to identify, recommend, develop, implement, support, and improve customer-focused solutions.

 

Is this you? Find out more below!

Responsibilities

How do I make an impact on my team? 

Provide superior customer service utilizing a high-touch, customer centric approach focused on collaboration and communicationDevelop and sustain a culture of operational excellence that creates value for the customerOrganize, plan, and align resources for day-to-day activities based on customer prioritiesManage staffing, including recruitment, supervision, performance management, scheduling, development, evaluation, and disciplinary actionsMake decisions and remove barriers enabling the team to deliverCultivate an environment of adherence to procedures and guidelinesOther duties as assigned Qualifications

What our team expects from you?

A two or four year degree and/or a minimum of four years of work experience is requiredProfessional PBM industry work experience is preferredKnowledge of applicable data privacy practices and laws is preferredHealthcare industry practices and HIPAA knowledge would be a plusUnderstanding of human resource management principles, practices, and procedures would be a plusParticipate in, adhere to, and support compliance program objectivesThe ability to consistently interact cooperatively and respectfully with other employees

What can you expect from Navitus? 

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! 

 

 

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