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  1. Home
  2. chevron_right
  3. Healthcare & Nursing
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  5. Analyst, Tech. Operations Government Programs
Navitus Health Solutions logo

Analyst, Tech. Operations Government Programs

Not Disclosed•Full-TimeRemote

location_onRemote

Apply Now

About Navitus

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. Our tagline, "Putting People First in Pharmacy," reflects our core mission.

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.

About the Role

Navitus Health Solutions is seeking an Analyst, Tech. Operations Government Programs to join our team. This role is critical for executing Government Programs processes accurately, efficiently, and in full compliance with CMS regulations.

In this position, you will serve as a vital link between internal operations and external stakeholders, including Employer Groups, Clients, State/Federal Agencies, and external vendors. Your work ensures timely and accurate issue resolution while managing complex processes such as EGWP enrollment, financial reporting, and claims adjudication. You will also play a key role in maintaining process documentation and collaborating with subject matter experts to define technical requirements.

Hiring Process

Current associates must use the SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or handicap.

Equal Opportunity

We are committed to providing equal employment opportunity to all applicants and employees and comply with all applicable nondiscrimination regulations, including those related to protected veterans and individuals with disabilities.

Work location

Work model: Remote

location_on

Remote

Key Responsibilities

  • check_circleManage Prescription Drug Event error reconciliation and Medicaid Encounter Data

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Hybrid Pharmacist - 4 Days Retail/1 Day Remote

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  • check_circleReview and research errors to prioritize reconciliation efforts per State and Federal guidance
  • check_circleAssist subject matter experts in defining process steps and documenting technical specifications
  • check_circleAdminister Employer Group Waiver Plan enrollment and oversee related processes
  • check_circleExecute Government Programs processes accurately and in compliance with CMS regulations
  • check_circleOversee process schedules and adjust timelines to ensure deadlines are met
  • check_circleCommunicate with external agencies and internal departments to resolve issues and manage expectations
  • Requirements

    • verifiedBachelor/Associate Degree in business related field; or equivalent of an associate degree and 2 years of work experience, or 4 years of work experience and a high school diploma or equivalent
    • verifiedExperience in pharmaceutical claims adjudication systems, retail pharmacy, or in a health plan organization is preferred

    Nice to Have

    Experience in pharmaceutical claims adjudication systems, retail pharmacy, or in a health plan organization.

    Benefits & Perks

    check_circleTop of the industry benefits for Health, Dental, and Vision insurancecheck_circle20 days paid time offcheck_circle4 weeks paid parental leavecheck_circle9 paid holidayscheck_circle401K company match of up to 5% with no vesting requirementcheck_circleAdoption Assistance Programcheck_circleFlexible Spending Accountcheck_circleEducational Assistance Plan and Professional Membership assistancecheck_circleReferral Bonus Program up to $750
    Navitus Health Solutions cover image
    Navitus Health Solutions logo
    Company

    Navitus Health Solutions

    Industry

    Hospitals and Health Care

    Headquarters

    Madison, WI

    Open Roles

    1

    We are committed to helping humans by making medications more affordable for the people who need them.

    Navitus Health Solutions operates within the hospitals and health care industry, headquartered in Madison, Wisconsin. The organization functions as a pharmacy solutions provider that introduced one of the earliest transparent pharmacy benefit management models over two decades ago. Its approach distinguishes itself by redirecting 100% of negotiated rebates and discounts directly to health plans and plan sponsors, contrasting with traditional models that retain these funds. The clinical framework focuses on managing expenditures from the outset, prioritizing member health outcomes while simultaneously reducing overall costs. Through portfolio brands such as Navitus, Lumicera, and Archimedes, the company delivers comprehensive services to a diverse network of stakeholders. Ownership by SSM Health and Costco Wholesale Corporation supports its operations serving more than 18 million members. The client base encompasses 800 entities, including public and private sector employers, unions, health plans, and health systems. This structure enables the organization to manage cost trends over time, generating both immediate value and long-term savings for its partners. For further details regarding their services and offerings, interested parties may visit www.navitus.com.
    View company profilearrow_forwardlanguageWebsitelinkLinkedIn
    Quick Overview

    Experience

    1+ yrs (Entry Level)

    Education

    Bachelor's in business related field or equivalent experience

    Job Type

    Full-Time

    Skills Required

    Pharmaceutical Claims Adjudication SystemsRetail PharmacyHealth Plan OrganizationEmployer Group Waiver PlanRetro-Eligibility ProcessesFinancial Information Reporting
    Not Disclosedarrow_forward
    Recrutus

    Curating the world's most innovative career opportunities. We bridge the gap between visionary talent and industry-leading companies.

    Search roles by city, category, skill, or job type — explore verified employers, salary benchmarks, and remote-friendly teams across India and beyond.

    publiclanguageshare
    Job seekers
    Browse jobsCompanies hiringRemote jobsJobs by locationJobs by cityJobs by categoryCareer guidesCareer blogSalary insights
    Job types
    Contractor jobsFull-Time jobsIntern jobsOther jobsPart-Time jobsPer-Diem jobsTemporary jobs
    Top states
    Jobs in TexasJobs in New YorkJobs in CaliforniaJobs in FloridaJobs in TennesseeJobs in VirginiaAll states →
    Top categories
    Healthcare & Nursing jobsLogistics & Warehouse jobsEngineering jobsAccounting & Finance jobsSales jobsIT jobsHospitality & Catering jobs
    Popular skills
    CDL-A jobsRegistered Nurse jobsBLS jobsExcel jobs
    Featured employers
    Company
    About usFAQContactPrivacy policyUS privacy notice

    Recrutus helps candidates discover roles that match their skills and helps teams reach qualified applicants faster. Browse by metro, discipline, or work style — from internships to senior leadership.

    © 2026 Recrutus. All rights reserved.
    Terms of serviceCookie policyAcceptable useDMCA policyEmployer termsCandidate terms
    Plan Finder Submission
    Coordination Of Benefits
    Reject Management
    Prescription Drug Event
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