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Job details

Trainer, Benefit Configuration

Company

Navitus

About Us

Navitus - 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.

Pay Range

USD $52,656.00 - USD $62,686.00 /Yr.

Work Schedule Description (e.g. M-F 8am to 5pm)

M-F 8am-5pm, CST

Remote Work Notification

ATTENTION: Navitus is unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming.

Overview

Due to growth, we are adding Benefit Configuration Trainer to our team!

 

This position ensures efforts are in alignment with the Claim Adjudication Operations (CAO) team to leverage technology and process improvement for the purpose of meeting the business needs of Navitus customers, clients, members and pharmacies by accurately administering benefits. The Trainer, Benefit Configuration facilitates and completes the new hire training program within CAO. This position requires knowledge of both the technical and operational sides of the business utilizing Navitus’ adjudication system and other applications. The Trainer, Benefit Configuration will closely collaborate with CAO coaches and benefit configuration analysts and testers. This position will ensure CAO is able to provide a versatile training program that encompasses the continuous changes in the pharmacy benefit industry.

 

This position may include after-hour and/or weekend hours with other eligible team members depending on workload.

 

Is this you? Find out more below!

Responsibilities

How do I make an impact on my team? 

  • Leads foundational training including scheduling, overview, presentation, assessment, documentation, peer review and oversight for configuration of the claims adjudication platform
  • Acquires and maintains an intermediate to advanced level of knowledge and interpretation of multiple adjudication system screens and functions on a field-by-field level to train both standard and custom configurations to meet client expectations
  • Recommends, creates and maintains training documents such as visuals and practice examples
  • Collaborates with leaders, coaches and/or peers throughout foundational training
  • Adapts to industry changes and evolving technology, maintaining an intermediate to advanced level of understanding of both legacy and emerging products and systems
  • Functions as a subject matter expert (SME), the main source of contact and lead mentor for peers within foundation training
  • Contributes toward departmental performance and service level guarantees and achieves individual, departmental and corporate performance goals around accuracy and timeliness
  • Maintains up-to-date knowledge of all departmental formulary management, workflow management, issue resolution and reporting tools
  • Complies with standards set forth regarding benefit design and configuration including HIPAA, NCPDP and Navitus internal business standards
  • Other duties as assigned

Qualifications

What our team expects from you?

  • Associate degree or equivalent work experience required
  • 2 years’ experience in benefit configuration and/or benefit configuration testing or system training
  • Experience with these additional applications at an intermediate to advanced level: Microsoft Office (Word, Excel, PowerPoint, Teams)
  • 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?      • 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

 

 #LI-Remote

 

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.

Location : Address

Remote

Location : Country

US
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CEO of Navitus Health Solutions
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David Fields
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Average salary estimate

$57671 / YEARLY (est.)
min
max
$52656K
$62686K

If an employer mentions a salary or salary range on their job, we display it as an "Employer Estimate". If a job has no salary data, Rise displays an estimate if available.

What You Should Know About Trainer, Benefit Configuration, Navitus Health Solutions

Join Navitus as a Trainer, Benefit Configuration and become a pivotal part of our mission to make medications more affordable for everyone! At Navitus, we thrive on promoting diversity and creativity, all while providing exceptional service to our customers and each other. In this role, you'll be integral in shaping the future of our Claim Adjudication Operations (CAO) team. As a Trainer, your responsibility will be to create and facilitate an engaging and effective training program for new hires, ensuring they grasp the intricacies of our adjudication system. Your expertise will help train analysts and testers, allowing them to accurately administer benefits to our clients. You'll lead foundational training sessions, develop training materials, and adapt to the ever-evolving pharmacy benefit landscape. Collaborating with leaders and peers will be vital as you maintain your status as a subject matter expert. This position requires you to possess an Associate degree or equivalent experience, along with at least 2 years of experience in benefit configuration or related fields. The payment for this role ranges from $52,656 to $62,686 per year. If you're ready to make a significant impact while supporting our vision, we’re eager to hear from you!

Frequently Asked Questions (FAQs) for Trainer, Benefit Configuration Role at Navitus Health Solutions
What are the responsibilities of a Trainer, Benefit Configuration at Navitus?

The Trainer, Benefit Configuration at Navitus is responsible for delivering foundational training related to the claims adjudication platform. This involves leading scheduling, assessments, and documentation while maintaining an advanced knowledge of the adjudication systems used in benefit configuration. This role collaborates closely with coaches and analysts to ensure that training programs adapt to industry changes.

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What qualifications do I need for the Trainer, Benefit Configuration position at Navitus?

To succeed as a Trainer, Benefit Configuration at Navitus, candidates should possess an Associate degree or equivalent work experience and have a minimum of 2 years in benefit configuration or system training. Proficiency in Microsoft Office applications and a solid understanding of healthcare compliance regulations are also vital.

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How does Navitus support the growth of a Trainer, Benefit Configuration?

Navitus fosters an environment of continuous learning and growth. As a Trainer, Benefit Configuration, you'll have opportunities to enhance your skills in both technical and operational aspects through involvement in dynamic training programs, collaboration with industry experts, and access to ongoing training modules.

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Is remote work available for the Trainer, Benefit Configuration position at Navitus?

While most positions at Navitus are remote, it's essential to note that remote work is not available for residents in certain states such as Alaska, Hawaii, or Wyoming. Interested candidates should confirm their eligibility based on their state of residence.

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What benefits does Navitus offer to a Trainer, Benefit Configuration?

Navitus provides a comprehensive benefits package for Trainers, including top-tier health, dental, and vision insurance options. Additional benefits consist of 20 days of paid time off, parental leave, paid holidays, a 401K match, and an adoption assistance program, enhancing work-life balance and employee satisfaction.

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Common Interview Questions for Trainer, Benefit Configuration
Can you describe your experience with benefit configuration?

In answering this question, focus on specific instances where you have worked with benefit configuration systems. Highlight your familiarity with claims adjudication processes and any examples of how you've adapted training programs based on compliance regulations or industry changes.

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How do you approach creating a training program for new hires?

Discuss a comprehensive approach, emphasizing collaboration with other team members, understanding the needs of new hires, and your process for developing training resources that cater to different learning styles. Mention any metrics you would use to assess the program's effectiveness.

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What tools or software are you familiar with in the context of your role as a Trainer?

Be sure to mention your proficiency in Microsoft Office applications and any specific tools related to benefit configuration and training. Explain how you've utilized these applications in past roles to enhance training delivery.

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Can you provide an example of a time when you had to adapt training due to changes in the industry?

Provide a specific scenario where you had to pivot your training materials or methods in response to regulatory or technological changes. Explain how you communicated these changes to stakeholders and ensured staff were up to date.

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What is your experience working in a diverse team?

Discuss your understanding of the value of diversity in a corporate setting. Share scenarios where you have collaborated with individuals from different backgrounds and how that experience enhanced training sessions or team dynamics.

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How do you assess the effectiveness of training programs?

Explain the methods and metrics you would use to evaluate training success. This may include feedback from trainees, performance assessments, and ongoing evaluations of team performance post-training.

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What role does compliance play in your training methodology?

Discuss compliance as a critical component of benefit configuration and how you integrate it into training programs. Mention any specific compliance standards, such as HIPAA and NCPDP, and how you ensure these are consistently addressed.

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How do you stay updated with changes in the pharmacy benefit industry?

Highlight your methods for staying informed about industry trends, such as attending seminars, participating in professional development courses, or subscribing to relevant journals. Illustrate your commitment to lifelong learning.

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Describe how you would mentor a less experienced Trainer.

Emphasize your leadership skills and experience in mentoring. Discuss your approach to providing constructive feedback, sharing best practices, and fostering a cooperative learning environment.

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What motivates you in your role as a Trainer, Benefit Configuration?

Share your passion for teaching and influencing others in the pharmacy benefit space. Highlight how seeing others succeed as a result of your training motivates you to continuously improve your programs.

Join Rise to see the full answer

Navitus Health Solutions is a full-service pharmacy benefit company committed to lowering drug costs, improving health, and providing superior customer service in a manner that instills trust and confidence.

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Full-time, remote
DATE POSTED
March 29, 2025

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