All roles

Open role

[Remote] Business Analyst, Government Programs, Med-D

Remote · Qatar Full-time

Note: The job is a remote job and is open to candidates in USA. Navitus Health Solutions is seeking a Business Analyst to join their team. The Business Analyst provides support for the development, implementation, and maintenance of products within the Technical Operations Department, ensuring compliance with Government Programs regulations and facilitating effective data reporting and analysis.

Responsibilities

  • 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

Skills

  • Bachelor's degree in business-related field, or equivalent combination of education and experience
  • Participate in, adhere to, and support compliance program objectives
  • The ability to consistently interact cooperatively and respectfully with other employees
  • 3+ years' Analyst experience with writing requirements, developing solutions, implementing process improvements, and conducting testing in a business environment preferred

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 Plan and Professional Membership assistance
  • Referral Bonus Program – up to $750!

Company Overview

  • Navitus Health Solutions LLC is a full service, URAC-accredited pharmacy benefit management company. It was founded in 2003, and is headquartered in Appleton, Wisconsin, USA, with a workforce of 1001-5000 employees. Its website is https://www.navitus.com/.
  • Company H1B Sponsorship

  • Navitus Health Solutions has a track record of offering H1B sponsorships, with 1 in 2022. Please note that this does not guarantee sponsorship for this specific role.
  • More open positions

    [Remote] Lead Product Manager, Consumer Apps

    Work from home Full-time role

    [Remote] Cloud Network Engineer

    Work from home Full-time role

    [Remote] Sr. Insurance Recruiter (Contract)

    Work from home Full-time role

    [Remote] Associate Quality Assurance Engineer

    Work from home Full-time role

    [Remote] ServiceNow Solutions Architect - Customer Workflows

    Work from home Full-time role

    [Remote] Systems Administrator (Monday to Friday, 12 PM to 9 PM EST Shift)

    Work from home Full-time role

    Remote Overnight Customer Service Representative | 3rd Shift (11PM-7AM) - Consumer Loan Approval & Financial Services Specialist

    Work from home Full-time role

    Transaction Coordinator (Remote)

    Work from home Full-time role

    Netflix Remote Part Time Jobs- Entry Level – US

    Work from home Full-time role

    Head Start Early Childhood Specialist - Region IV (REMOTE)

    Work from home Full-time role

    Music & Entertainment Manager

    Work from home Full-time role

    Professional Services Operations & Governance Partner

    Work from home Full-time role

    Analyst, Data Exchange - Eligibility

    Work from home Full-time role

    Experienced Customer Onboarding & Success Manager - French Bilingual – careerzynith

    Work from home Full-time role

    Virtual Speech Language Pathologist (SLP) Job in Schools

    Work from home Full-time role

    Virtual Health Coach (MD, DO, MBBS, or equivalent) - Remote

    Work from home Full-time role

    Inpatient Corporate Coding Coordinator - Remote based in US

    Work from home Full-time role

    Customer Service Agent: Portuguese (morning shift)

    Work from home Full-time role

    Bharani- Prompt Creation Specialist- Chinese (Simplified)

    Work from home Full-time role

    <

    Work from home Full-time role

    Assoc Regulatory Affairs Specialist

    Work from home Full-time role