Analyst III, Network Configuration

This is a fully remote position, open to applicants in United States.

📋 Description

• Efficiently manage both scheduled and urgent configurations for new client implementations and/or network additions, terminations, and modifications in a timely and precise manner.

• Acquire and sustain advanced expertise in adjudication system screens and functionalities to develop both standard and custom configurations.

• Ensure adherence to HIPAA, NCPDP, and internal business standards set by Navitus.

• Conduct quality assurance peer reviews for network plan additions and modifications.

• Investigate root causes, troubleshoot solutions, and propose corrective actions.

• Utilize workflow management, issue resolution, and reporting tools to address complex customer inquiries and requests.

• Provide support to internal customers through client meetings, audits, and the implementation of new programs.

• Respond to network setup inquiries and offer guidance on the network configuration process.

• Maintain a comprehensive understanding of both legacy and emerging products and systems.

• Drive process enhancements, cost-saving initiatives, and automation projects.

• Evaluate future business requirements and offer recommendations to leadership.

• Develop and maintain training materials, work instructions, and policies.

• Assist with client and sales presentations and address assigned RFP inquiries.

• Undertake additional responsibilities as assigned.

⛳️ Requirements

• An Associate’s degree or equivalent work experience is required.

• Generally, 2-3 years of experience with a strong understanding of Navitus systems and processes.

• Capability to perform tasks independently, adhere to instructions, and make informed decisions.

• Experience in guiding and mentoring associates in current to lower-level positions.

• Background in supporting mid-sized to large clients with moderate to high complexity.

• Proficiency in supporting health plan businesses with minimal supervision.

• Intermediate to advanced experience with Navi-ClaimRx.

• Intermediate to advanced proficiency in Microsoft Office applications (Word, Excel, PowerPoint).

• Familiarity with Formulary Management.

• Experience utilizing Request Management tools (Connectus, Service Desk, Responsive).

• Knowledge of Government Programs Error Management (GEMS).

• Experience with reporting tools (3D QlikView/QlikSense).

• Engage in, comply with, and support the objectives of the compliance program.

• Ability to consistently interact cooperatively and respectfully with colleagues.

🏝️ Benefits

• Comprehensive industry-leading benefits for Health, Dental, and Vision insurance.

• 20 days of paid time off.

• 4 weeks of paid parental leave.

• 9 paid holidays.

• 401K company match up to 5% - No vesting required.

• Adoption Assistance Program.

• Flexible Spending Account.

• Educational Assistance Plan and support for Professional Memberships.

• Referral Bonus Program – up to $750!

• STAR Bonus % (At Risk Maximum) 5.00.