Medicare Services Executive-Remote

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.

We are unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming.

The Medicare Services Executive (MSE) is a highly motivated professional with at least 3 years of successful experience interfacing directly with clients that provide Medicare Part D services to their members. The position is responsible for the co-development of long-term account strategy for their assigned Clients. Working with subject matter experts, the MSE will be responsible for delivering Medicare Part D guidance and tracking all Medicare Part D specific projects and issues.

The MSE will support retention efforts with the Client Services Executive through the achievement of corporate strategic goals relative to the client base and overall customer satisfaction. Efforts include solving client Medicare Part D issues relative to their delegated services, reporting, and will interface with the Clinical Account Executive for clinical issues. This position will require the ability to communicate across multiple organizational levels and the ability to lead projects is required.

Is this you? Find out more below!

How do I make an impact on my team?

• Serves as primary Medicare Part D Point of Contact for the client
• Support the Lead Client Services Executive with Strategic Business Plans and Medicare Part D VALUE Summaries
• Provide Final Rule, Call Letter, Technical Specification and/or HPMS Memo updates to clients to include, interpretations, progress of enhancement efforts, answer client questions and facilitate and complete client requests
• Assists the Client Services Executive in the evaluation of unmet Medicare Part D Performance Guarantees and responses provided to clients.
• Facilitate review and resolution of Medicare Part D client issues
• Serves as Liaison to the Client and Project Leader for annual re-implementations.
• Creates the benefit matrixes required to describe and communicate the Plan Sponsors’ Medicare products and provides to all business units supporting the annual re-implementations
• Supports the Program Manager and Implementation Team on new client implementations.
• Assists the Medicare Part D Program Manager with Contract and Scope Definition Document maintenance
• Attends Client Facing Value Summaries at least twice annually, providing overviews of projects, compliance, and annual re-implementation efforts

What our team expects from you?

• Bachelor's degree in business, marketing, healthcare, or related area preferred
• At least 3 years of successful experience interfacing directly with clients
• Knowledge of PBM or health care industry required.
• Knowledge of Medicare Part D is preferred
• Willingness to travel as needed to meet goals.
• Excellent verbal and written communication, presentation and negotiation skills required.
• Valid State Driver’s License and current Automobile Insurance Policy
• Participate in, adhere to, and support compliance program objectives
• The ability to consistently interact cooperatively and respectfully with other employees

What can you expect from Navitus?

• Hours/Location: Monday-Friday 8:00am-5:00pm CST, Appleton WI Office or Remote
• Paid Volunteer Hours
• Educational Assistance Plan and Professional Membership assistance
• Referral Bonus Program – up to $750!
• Top of the industry benefits for Health, Dental, and Vision insurance, Flexible Spending Account, Paid Time Off, Nine paid holidays, 401K, Short-term and Long-term disability, College Savings Plan, Paid Parental Leave, Adoption Assistance Program, and Employee Assistance Program

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