All roles

Open role

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

Remote · Ireland 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

    Book and Printing Sales Account Executive

    Work from home Full-time role

    Enquiry Centre Advisors

    Work from home Full-time role

    Hospice Chaplain (PRN)

    Work from home Full-time role

    [Remote] Social Media Manager, Lifestyle - Global HOKA

    Work from home Full-time role

    Remote Customer Experience Specialist – Home Retail & E‑Commerce Support (Full‑Time, Remote) at careerzynith

    Work from home Full-time role

    Remote Growth Associate - Now Hiring |No Experience Needed |Full Training Provided

    Work from home Full-time role

    Product Compliance Manager, Bitcoin & Digital Assets

    Work from home Full-time role

    Bi-Lingual Registered Dietitian, Remote

    Work from home Full-time role

    [Remote] Biology Expert or Specialist

    Work from home Full-time role

    Experienced Full Stack Customer Support Representative – Quiet Chat Support No Phone Calls Earn $25-$35/hr Start Immediately From Home

    Work from home Full-time role

    Product Marketing Manager

    Work from home Full-time role

    IRB Manager

    Work from home Full-time role

    Semiconductor Software Engineer

    Work from home Full-time role

    Channel Retail Sales Specialist

    Work from home Full-time role

    Distribution Customer Service Representative – Order Management, Shipping Coordination, Client Relations & Inventory Support

    Work from home Full-time role

    Transcriptionist, Flexible Time

    Work from home Full-time role