This is a detail-driven testing role that protects patients’ access to medication by ensuring pharmacy benefits are configured correctly before changes go live. If you’re organized, process-minded, and you like work where accuracy actually matters, this role is a solid entry point into claims operations and healthcare systems.
About Navitus
Navitus Health Solutions is a pharmacy benefits organization built as an alternative to traditional PBM models, focused on making medications more affordable by removing cost from the drug supply chain. Their culture supports diversity, creativity, and growth while prioritizing excellent service to clients, members, and pharmacy partners.
Schedule
Full-time remote role
Monday–Friday, 8am–5pm
May include after-hours and/or weekend work depending on workload (shared among eligible team members)
Remote eligibility excludes residents of: AK, HI, ME, MS, NH, NM, ND, RI, SC, SD, WV, WY
What You’ll Do
- Perform and document scheduled and urgent benefit configuration testing for new client implementations and benefit additions, terminations, and changes
- Ensure testing is completed accurately and on time to reduce risk of access-to-care issues, missed performance guarantees, and potential liquidated damages
- Build a working understanding of the claims adjudication system and related upstream/downstream processes
- Test standard and custom configurations to meet client expectations and business needs
- Contribute to root cause analysis for issues using sound judgment and process awareness
- Follow benefit design and configuration standards, including HIPAA, NCPDP, and internal business standards
- Use workflow tools, issue tracking, and reporting tools to troubleshoot and respond to questions and requests
- Support internal teams through client meetings, audits, and program implementations by answering testing questions and providing guidance
- Adapt to industry changes and evolving technology across both legacy and emerging systems
- Participate in process improvement, cost reduction, and automation efforts
- Help create and maintain training materials, work instructions, and team policies
- Perform enhancement and regression testing of low-to-moderate complexity to support compliance with state, federal, client, and operational standards
- Mentor and support new and existing team members as part of ongoing training
What You Need
- Associate’s degree or equivalent work experience
- Ability to learn new systems and processes with close supervision (minimal experience required to start)
- Basic Microsoft Office skills, especially Word and Excel
- Strong attention to detail, documentation habits, and comfort working in structured workflows
- Ability to work respectfully and cooperatively while supporting compliance objectives
Benefits
- Health, Dental, and Vision insurance
- 20 days paid time off
- 4 weeks paid parental leave
- 9 paid holidays
- 401(k) match 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)
Pay Range: $20.44 – $24.33/hr.
If you want a role that’s less “call center chaos” and more “systems + accuracy + real-world impact,” this is one to grab.
Happy Hunting,
~Two Chicks…