Analyst UM

JOB REQUIREMENTS: Analyst, UM Location US- ID 2025-5368 CategoryAdministration Position Type Full-Time Remote Yes Company Navitus AboutUs Navitus - Putting People First in Pharmacy - Navitus was founded asan alternative to traditional pharmacy benefit manager (PBM) models. Weare committed to removing cost from the drug supply chain to makemedications 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 sharea passion for excellent service to our customers and eachother._____________________________________________________________________________________________________________________________________________________________________________________________________________.Current associates must use SSO login option atto be considered for internalopportunities. Pay Range USD $49,911.00 - USD $59,418.00 /Yr. STARBonus % (At Risk Maximum) 5.00 - Salaried Non-Management exceptpharmacists Work Schedule Description (e.g. M-F 8am to 5pm) M-F 8am to5pm, CT Remote Work Notification ATTENTION: Navitus is unable to offerremote work to residents of Alaska, Hawaii, Maine, Mississippi, NewHampshire, New Mexico, North Dakota, Rhode Island, South Carolina, SouthDakota, West Virginia, and Wyoming. Overview Navitus Health Solutions isseeking an Analyst, Utilization Management to join our team TheAnalyst, Utilization Management role is to be the subject matter expertfor configuration in the prior authorization (PA) system(s), in additionto reporting on PA related information. The Analyst is responsible foraiding in the creation and revision of PA documents, systemconfiguration set-up, maintenance, support, and troubleshooting PA tools(including test, demo, and production environments) related to businesslogic and processes, as well as understanding interfaces with otherapplications. This position involves maintenance of the PA criteriaand/or PA notification workflow rules engine including creation ofsystem overrides, creation and execution of notifications to externalentities, management of automatic role assignment, accurate andefficient interdepartmental communication, and management of drug listsrequired for execution of approvals. Is this you? Find out more belowResponsibilities How do I make an impact on my team? Requires deepsubject matter expert knowledge of the PA Criteria and revision processand/or PA Notification process Understand business processes and howthey relate to technical setup in the PA system, making suggestions andchanges that will improve business processes Configure and testadministration... For full info follow application link. Navitus HealthSolutions is an Equal Opportunity Employer:Disabled/Veterans/Male/Female/Minority/Other APPLICATIONINSTRUCTIONS: Apply Online: ipc.us/t/D5DA889AD284425C

Created: 2025-12-25