27 administrative assistant i jobs found

Overview Navitus Health Solutions is seeking a Sr. Account Executive to join our team!   The Sr. Account Executive (Sr. AE) is a senior level individual contributor responsible for full strategic ownership of complex client accounts within the health plan and employer PBM space. This role leads sophisticated client relationships and books of broker, consultants and/or TPA Agents, serving as the primary strategic partner for Company level clients with high customization, elevated service needs, and complex benefit designs. The Sr. Account Executive independently manages account strategy, resolves complex situations, leads Quarterly Business Reviews (QBRs), and engages executive level client and consultant stakeholders while collaborating closely with internal partners including Sales, Clinical Account Executives, Analytics, Operations, and Product teams.   This position plays a critical role in advancing organizational goals for the organization by strengthening long‑term...

Overview Due to growth, we are adding a Pharmacist I, Clinical Prior Authorization to our team!   The Pharmacist I, Clinical Prior Authorization will be responsible for: performing Prior Authorizations; perform duties related to Drug Utilization Review including concurrent, retrospective, and prospective components; and support Customer Care with clinical calls requiring pharmacist intervention. The Pharmacist I, Clinical Prior Authorization is also responsible for interfacing with physicians, pharmacists, and specialty pharmacy providers with respect to beneficiaries’ benefits and therapeutic interventions, and reviewing/evaluating the health surveys and utilization data for program management and development.   Is this you? Find out more below! Responsibilities How do I make an impact on my team?   Responsible for support and input to clinical programs such as: Health Management, Drug Utilization Review, Formulary development, and Prior...

Overview Lumicera Health Services is seeking a Sr. Trade Negotiator  to join our team!   The Sr. Trade Negotiator will be responsible for establishing, maintaining, and enhancing effective relationships with pharmaceutical manufacturers. This position will lead contract negotiations related to rebates and discounts from an owned portfolio of manufacturers and support other manufacturer engagements while applying an understanding of manufacturer contract agreements to meet the current and future needs of downstream clients. This role also supports the administration of affiliation agreements, performance programs, reimbursement structures, and payments related to those contracts. The Sr. Trade Negotiator is client-facing and responsible for communicating rebate information and financial modeling to internal and external stakeholders. This role also supports downstream clients for formulary decision-making needs through appropriate cost modeling, rebate forecasting, and...

Overview Clarventa is adding a new position, the Director, GPO Strategic  Accounts  to join our team!   The Director, GPO Strategic Accounts is responsible for leading and managing high-impact relationships across health systems and specialty pharmacy clients within our Group Purchasing Organization (GPO). This leader will drive strategic growth, strengthen client partnerships, ensure client satisfaction, and identify opportunities to expand the value and services we provide across our customer base.   This role operates at the intersection of strategic account management, business development, and sales strategy. The Director will be responsible for building and developing a high-performing account management function while establishing the structure, processes, and expectations necessary to successfully retain and grow strategic accounts. This individual will bring strong commercial instincts, an understanding of the sales lifecycle, and the ability to identify...

Company Description It started with a simple idea: what if surgery could be less invasive and recovery less painful? Nearly 30 years later, that question still fuels everything we do at Intuitive. As a global leader in robotic-assisted surgery and minimally invasive care, our technologies-like the da Vinci surgical system and Ion-have transformed how care is delivered for millions of patients worldwide. We're a team of engineers, clinicians, and innovators united by one purpose: to make surgery smarter, safer, and more human. Every day, our work helps care teams perform with greater precision and patients recover faster, improving outcomes around the world. The problems we solve demand creativity, rigor, and collaboration. The work is challenging, but deeply meaningful-because every improvement we make has the potential to change a life. If you're ready to contribute to something bigger than yourself and help transform the future of healthcare, you'll find your purpose here....

Company Description It started with a simple idea: what if surgery could be less invasive and recovery less painful? Nearly 30 years later, that question still fuels everything we do at Intuitive. As a global leader in robotic-assisted surgery and minimally invasive care, our technologies-like the da Vinci surgical system and Ion-have transformed how care is delivered for millions of patients worldwide. We're a team of engineers, clinicians, and innovators united by one purpose: to make surgery smarter, safer, and more human. Every day, our work helps care teams perform with greater precision and patients recover faster, improving outcomes around the world. The problems we solve demand creativity, rigor, and collaboration. The work is challenging, but deeply meaningful because every improvement we make has the potential to change a life. If you're ready to contribute to something bigger than yourself and help transform the future of healthcare, you'll find your purpose here....

Company Description It started with a simple idea: what if surgery could be less invasive and recovery less painful? Nearly 30 years later, that question still fuels everything we do at Intuitive. As a global leader in robotic-assisted surgery and minimally invasive care, our technologies-like the da Vinci surgical system and Ion-have transformed how care is delivered for millions of patients worldwide. We're a team of engineers, clinicians, and innovators united by one purpose: to make surgery smarter, safer, and more human. Every day, our work helps care teams perform with greater precision and patients recover faster, improving outcomes around the world. The problems we solve demand creativity, rigor, and collaboration. The work is challenging, but deeply meaningful because every improvement we make has the potential to change a life. If you're ready to contribute to something bigger than yourself and help transform the future of healthcare, you'll find your purpose here....

Overview Navitus Health Solutions is seeking a Pharmacist, Population Health to join our team!   The Pharmacist, Population Health will be responsible to perform duties related to the development, implementation, outcomes reporting, and ongoing administration and support of Navitus Clinical Programs including Drug Utilization Review (i.e., RDUR, CDUR), Health Management (i.e., clinical edits, Asthma Management, COPD Management, Pharmacogenomics, Pharmacoadherence, Prescriber Insights, MTM), and other strategic clinical initiatives (i.e., Residency Program) across all lines of business. The Pharmacist, Population Health will also provide support to other clinical areas including Account Management, Lumicera, Drug Information and Pipeline, and the Pharmacy and Therapeutics (P&T) Committee.    Additionally, the Pharmacist, Population Health is responsible for reviewing, evaluating, and sharing the health outcomes and utilization data for program management and...

Overview Navitus Health Solutions is seeking a Coordinator I, Provider Credentials to join our team!   The Coordinator I, Provider Credentials is responsible for facilitating the receipt, processing, first level evaluation, and creation of Internal and external reports of provider credentials. The Coordinator I, Provider Credentials will work extensively with NCPDP, HMS, DEA, States’ provider databases, and Federal databases. The individual(s) in this position will report to the Manager of Provider Services and support Pharmacy Relations Contract Analyst(s) to ensure that all pharmacy providers are appropriately credentialed according to federal and state regulations and statutes. The Coordinator I, Provider Credentials is also accountable for ensuring the pharmacy credentialing process meets Navitus’ policies, complies with URAC standards, and ensures that Navitus does not allow non-qualified pharmacies to participate and non-qualified prescribers to process claims. The...

Overview Navitus Health Solutions is seeking a Sr. Analyst, Channel Partner to join our team!   The Sr. Analyst, Channel Partner supports the channel partner division in its efforts to bolster our downstream sales and collaborations. This role independently drives and coordinates day-to-day operational activities for reseller clients, such as health plans, TPAs, and coalitions, from RFP intake through delivery. Among other job responsibilities, this position assesses incoming RFPs and channel opportunities, identifies requirements and appropriate stakeholders, establishes timelines, and works cross-functionally to drive deliverables through completion and ensure internal and external expectations are achieved. The Sr. Analyst serves as the operational foundation by maintaining reporting accuracy, coordinating opportunity execution, supporting partner enablement activities, and ensuring cross-functional alignment across growth initiatives. This Sr. Analyst proactively...

Overview Lumicera Health Services is seeking a Sr. Analyst, Health System Pharmacy Financial Performance  to join our team!     The Sr. Analyst, Health System Pharmacy Performance serves as a senior individual contributor responsible for financial analysis and insights supporting specialty pharmacy and health system pharmacy performance. The role works closely with Finance, Pharmacy Operations, Contracting, Analytics, Account Management, 340B, and health system partners to evaluate complex financial, reimbursement, claims, purchasing, inventory, payer, drug, and operational data.    The role advances pharmacy revenue integrity, organizational growth, and profitability by delivering actionable insights that improve reimbursement and margin performance, identify financial risks and opportunities, inform strategic decisions, and support health system pharmacy initiatives. The analyst independently determines analytical approaches, develops recommendations, and...

Overview Due to growth, we are adding a Manager, Pricing and Underwriting to our team .   The Manager, Pricing and Underwriting supports and manages core functions across the full scope of pricing, underwriting, and risk analysis. This position reports to the Director, Pricing and Underwriting and will provide leadership to Supervisors and Analysts. The Manager is responsible for developing pricing recommendations, evaluating financial risk, maintaining underwriting models, and supporting pricing decisions for new business, renewal business, client retention, and RFP opportunities.   Is this you? Find out more below! Responsibilities How do I make an impact on my team?   Manage pricing and underwriting functions for new business, renewal business, client pricing requests, RFP responses, finalist presentations, and ad hoc financial analyses. Lead, coach, and train supervisors, and analysts, to support accurate, timely, and consistent pricing,...

Overview Navitus Health Solutions is seeking a Pharmacy Reimbursement Administrator to join our team!   The Pharmacy Reimbursement Administrator (PRA) works in partnership with the Provider Relations Coordinators, IT Client Operations, and others to continually review, monitor, and update procedures to improve efficiencies of claims adjudication administration. The PRA will test and review pharmacy networks to ensure that claims are adjudicating per Navitus’ pharmacy contract agreements. The PRA is responsible for the process of pharmacy remittances, including the accuracy of data in pharmacy electronic payments (EFT) and/or 835-remittance advice and the oversight of recoveries of funds from pharmacies. The PRA is responsible for recuperation of monies from pharmacy providers in negative balance status, as well as developing and providing reports to Navitus associates of all reimbursement, recovery, and remittance activities. Day-to-day activities include submitting service...

Overview Lumicera Health Services is seeking a Payer Contracting Executive  to join our team!   The Payer Contracting Executive serves as a dedicated negotiator focused on expanding payer access across commercial, Medicare Part D, and Medicaid opportunities. The primary responsibility of this position is to lead payer negotiations end to end, including rate and term negotiation, network participation, performance guarantee structures, and renewal strategy, to grow covered lives and protect margin for the specialty pharmacy. The Payer Contracting Executive will develop and execute a payer access roadmap, identify and pursue networks in which Lumicera and its partner pharmacies are not currently participating, and secure agreements that maximize access to patients and members.   The Payer Contracting Executive will support Lumicera and all strategic partners for whom Lumicera provides shared services to help meet strategic goals and mitigate financial losses. This...

Overview Due to growth, we are adding a Director, Provider Relations to our team .   The Director, Provider Relations is responsible for developing and executing the strategic vision for provider engagement, provider operations, account management, and provider support functions across the Lumicera Direct business. As a key member of the commercial leadership team, this position is accountable for the growth, retention, satisfaction, operational performance, and long-term strategic development of Lumicera Direct provider partnerships. The Director leads through subordinate managers responsible for account management, inside sales, provider support operations, and provider engagement functions, while partnering closely with the Director, Provider Sales and VP, Sales to shape market strategy, establish organizational priorities, drive provider adoption and retention initiatives, and develop scalable processes that support sustainable growth.   Is this you? Find out...

Overview Lumicera is seeking a Pharmacist, Clinical Consultation to join our team!     This position is eligible for a 7.5% annual bonus.   The main duty of the Pharmacist, Clinical Consultation is to perform telephonic consultations with patients regarding the use of their specialty medication and management of their disease state. The Pharmacist, Clinical Consultation will perform medication reconciliation, screen for potential drug interactions, and provide side effect management recommendations. Additional tasks for this role include interpreting physicians' prescriptions, contacting prescribers for prescription clarification, and expediting the processing of orders. The individual in this position will be expected to meet department production metrics and service levels, support quality standards, resolve patient issues, and vary work priorities and activities to accommodate business needs. The Pharmacist, Clinical Consultation works...

Overview Due to growth, we are adding a Analyst, Pharmacy Contract Audit to our team!   The Analyst, Pharmacy Contract Audit is responsible for the oversight of Navitus’ contractual pharmacy network reimbursement accuracy. The individual in this position is expected to make independent assessments to confirm Navitus is conforming to contractual reimbursement obligations contained in Retail, Specialty, and Mail Order pharmacy agreements. The Analyst will continually review and monitor claims data, create, and update procedures, audit networks for price change accuracy, monitor compliance with Navitus pharmacy provider contracts, communicate findings, and work with applicable teams to remediate errors. The Analyst works closely with inter and intra-departmental resources to interpret and understand contractual terms, client network selections, and how they are operationalized in applicable systems. The Analyst will be knowledgeable of business operations, utilizing...

Overview Lumicera Health Services is seeking a Sr. Manager, Industry Relations  to join our team!       The Sr. Manager, Industry Relations leads the team responsible for establishing, maintaining, and enhancing effective relationships with pharmaceutical manufacturers that produce specialty pharmaceuticals, and directs the negotiation of distribution and procurement contracts to ensure the specialty pharmacy can obtain specialty pharmaceuticals and pricing that meet the demands of its payers and patients. The primary responsibility of this position is to develop and execute manufacturer and trade engagement strategies, oversee the clinical drug pipeline, and maximize access to products in which the specialty pharmacy has a strategic interest in dispensing, including limited distribution medications. The Sr. Manager will lead and develop the Trade Relations team and Proposal Analysts and support Lumicera and its strategic partners in achieving business objectives and...

Overview Navitus Health Solutions is seeking a Project Manager, Implementation HP Strategic Clients to join our team!   The Project Manager, Implementation HP Strategic Clients (IPM) will interface with health plans and strategic employer clients which may include a government program component to manage projects including transitioning clients to Navitus from their current PBM, implementing new services/programs, facilitating a change in vendor relations, i.e. TPA, disease management organization, etc. and more. This role is responsible for building early relationships with the clients so they learn to trust us and have confidence that their transition needs will be successfully met as seamlessly as possible. The IPM must have strong relationship skills to be able to work with not only the client team members, but also with the subject matter experts within Navitus, which will be key to a successful implementation. Excellent communication skills are necessary to ensure that...

Overview Due to growth, we are adding an Analyst, Contract Operations to our team .   This role is ideal for a data-driven professional with experience in pharmacy benefit management (PBM), managed care, pharmaceutical contracting, or healthcare analytics. A successful candidate will possess strong analytical skills, a solid understanding of pharmacy claims and manufacturer contracting, and the ability to translate complex data into actionable business insights.   The PBM Contract & Rebate Analyst supports the administration and optimization of Lumicera's pharmaceutical manufacturer discount and contracting programs. They are responsible for operational aspects of Lumicera’s discount programs including, but not limited to contract compliance through direct pharmaceutical manufacturers, third party entities, contract optimization, contract reconciliation and reporting, sales and request for proposal (RFP) support, internal and external audit support, and client...