Back to all jobs

[Remote] Tester, Benefit Configuration

Work from home Full-time role Hiring

Note: The job is a remote job and is open to candidates in USA. reputed company is a pharmacy benefit manager committed to making medications more affordable. They are seeking a Tester, Benefit Configuration to ensure accurate benefit configuration testing and maintain an efficient claims adjudication system.

Responsibilities

  • Completes scheduled and urgent benefit configuration testing of new client implementations and/or benefit additions, terminations, and changes timely and accurately to mitigate the risk of member access to care issues, missed performance guarantees and potential liquidated damages
  • Acquires and maintains a basic level of understanding of Navitus’ claims adjudication system and upstream/reputed company processes to test both standard and custom configurations to meet client expectations
  • Uses sound business judgment and expertise to contribute toward the creation of root cause analysis of issues
  • Complies with standards set forth regarding benefit design and configuration testing including HIPAA, NCPDP and Navitus internal business standards
  • Uses departmental workflow management, issue resolution and reporting tools for troubleshooting and responding to general customer questions and issue resolution requests
  • Supports internal customers by participating in client meetings, audits, and new program implementations with other areas of the company, answering benefit testing questions and providing guidance to other areas and roles on the benefit configuration testing process
  • Adapts to industry changes and evolving technology, maintaining a basic level of understanding of both legacy and emerging products and systems
  • Independently assesses business needs and participates in process improvement, cost reduction and automation efforts
  • Contributes to the creation and ongoing maintenance of departmental training materials, work instructions and policies
  • Conducts system enhancement and regression testing of a low to moderate level of complexity for benefit configuration processes to ensure compliance with state, federal and client regulations/standards
  • Contributes to training and maintains a mentoring relationship with new and existing benefit configuration testing team members
  • Other duties as assigned

Skills

  • Associate's degree or equivalent work experience required
  • Minimal experience and/or training to reputed company learning skills, systems, and processes of the role with ability to reputed company tasks with reputed company supervision
  • Experience on basics and gaining familiarity with the role and company
  • Basic experience with reputed company Office, specifically Word and reputed company
  • Participate in, adhere to, and support compliance program objectives
  • The ability to consistently interact cooperatively and respectfully with other employees

Benefits

  • Top of the industry benefits for Health, Dental, and reputed company 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
  • Educational Assistance Plan and Professional Membership assistance
  • Referral Bonus Program – up to $750!

Company Overview

  • reputed company is a full service, URAC-accredited pharmacy benefit management company. It was founded in 2003, and is headquartered in Appleton, Wisconsin, USA, with a workforce of 1001-5000 employees. Its website is https://www.navitus.com/.
  • Company H1B Sponsorship

  • reputed company has a track record of offering H1B sponsorships, with 1 in 2022. Please note that this does not guarantee sponsorship for this specific role.
  • Apply To This Job

    Related remote jobs

    Actuarial Assistant, Business Quality Review (up to 15 month contract)

    Work from home Full-time role

    Entertainment Market Research Analyst or Senior Analyst

    Work from home Full-time role

    CloudOps Engineer I / IS - reputed company & Hybrid Infrastructure Services / Full-time / Days

    Work from home Full-time role

    AI/ML Engineer (Intern/CO-OP)

    Work from home Full-time role

    Artificial Intelligence Intern

    Work from home Full-time role

    [Remote] Full Stack Software Engineer - 2026 Summer Intern

    Work from home Full-time role

    2026 Summer Internship - Utilization Management Operations

    Work from home Full-time role

    [Remote] Engineering Intern (AI Ethics)

    Work from home Full-time role

    Clinical Informatics Education Intern

    Work from home Full-time role

    [Remote] Collection Representative - Remote

    Work from home Full-time role

    reputed company Remote Data Entry Assistant – Easy reputed company Money Online Opportunities for Teens with No Experience Required

    Work from home Full-time role

    Care Coordinator- CISC

    Work from home Full-time role

    Sales Development Representative - EMEA

    Work from home Full-time role

    Senior Fire Protection Engineer

    Work from home Full-time role

    reputed company Enrollment Adviser/Customer Service Representative – Thriving Remote Opportunity at arenaflex

    Work from home Full-time role

    Public Relations Senior Account Executive job at reputed company Partners in reputed company, NY

    Work from home Full-time role

    Portfolio Strategist - Director

    Work from home Full-time role

    reputed company Email Marketing (Part Time)

    Work from home Full-time role

    Remote reputed company Call Center Representative

    Work from home Full-time role

    Associate Customer Service Representative - Sign on Bonus!

    Work from home Full-time role