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.
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.
Product Manager (PM) – Medicare Part D EGWP
The Product Manager (PM) manages day-to-day activities for our Medicare Part D EGWP product. The PM works collaboratively within a cross-functional environment as the Medicare Part D EGWP subject matter expert. The PM plays a key role in the annual processes to file plan benefits to the federal government and is responsible for the detailed benefit requirements definition for all client implementations and re-implementations.
- Manages activities related to annual plan submission of EGWP plans to CMS
- Creates and maintains Medicare benefit specification documents for all EGWP client implementations
- Develops and maintains templates for annual EGWP beneficiary materials, ensuring compliance with CMS regulations
- Provides oversight for managing translations and web posting of annual Medicare Member materials
- Leads various projects focused on enhancing the Medicare Part D EGWP product offering
- Administers CMS Star Ratings and Display Measure tracking and reporting for all Navitus Part D clients
How do I make an impact on my team?
- Lead activities related to annual plan submission of EGWP plans to CMS
- Create and maintain Medicare benefit specification documents for all EGWP client implementations
- Develop and maintain templates for annual EGWP beneficiary materials, ensuring compliance with CMS regulations
- Provide oversight for managing translations and web posting of annual Medicare Member materials
- Provide guidance and training to Account Management teams related to Medicare Part D EGWP topics
- Develop and maintain subject matter expertise related to Medicare Advantage and Part D Communications & Marketing Guidelines
What our team expects from you?
- Bachelor’s Degree or a minimum of five years of Medicare Part D experience is required
- 5+ years work experience with a Medicare Advantage or Medicare Part D Plan in a product management or business analyst role
- Project management experience
- Experience working in a cross-functional business environment with ability to work closely with both internal and external business partners
- PBM experience, including PBM claims adjudication experience, is preferred
- Knowledge of Medicare Advantage and Part D Communications & Marketing Guidelines
- Experience articulating regulatory requirements
- Experience with interfacing with external clients
- Participate in, adhere to, and support compliance program objectives
What can you expect from Navitus?
- Hours/Location: Monday-Friday 8:00am-5:00pm, CST-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, Eight paid holidays, 401K, Short-term and Long-term disability, College Savings Plan, Paid Parental Leave, Adoption Assistance Program, and Employee Assistance Program
