Job Title

JOB REQUIREMENTS: Coordinator, Grievance and Appeals - Appleton, WILocation US-WI-Appleton ID 2026-5765 Category Administration PositionType Full-Time Remote No Company Navitus About Us Navitus - PuttingPeople First in Pharmacy - Navitus was founded as an alternative totraditional pharmacy benefit manager (PBM) models. We are committed toremoving cost from the drug supply chain to make medications moreaffordable for the people who need them. At Navitus, our team memberswork in an environment that celebrates diversity, fosters creativity andencourages growth. We welcome new ideas and share a passion forexcellent service to our customers and eachother._____________________________________________________________________________________________________________________________________________________________________________________________________________.Current associates must use SSO login option atto be considered for internalopportunities.____________________________________________________Weare committed to providing equal employment opportunity to allapplicants and employees and comply with all applicablenondiscrimination regulations, including those related to protectedveterans and individuals with disabilities. All qualified applicantswill receive consideration for employment without regard to race, color,religion, sex, national origin, or handicap. Pay Range USD $20.00 - USD$23.06 /Hr. STAR Bonus % (At Risk Maximum) 0.00 - Ineligible WorkSchedule Description (e.g. M-F 8am to 5pm) 8:30am to 5:00pm OverviewNavitus Health Solutions is seeking a Coordinator, Grievance and Appealsto join our teams This is an onsite role located at our Appleton, WIoffice. The Navitus Grievance and Appeals process is an essentialfunction to Navitus' compliance with CMS regulations, accrediting bodystandards, other applicable regulatory requirements, and memberexpectations. The Navitus Grievance and Appeals department serves as thecentral repository for all complaints received by Navitus and all appealrequests where the responsibility has been delegated to Navitus. TheNavitus Grievance & Appeals Coordinator serves to administrate theNavitus Grievance and Appeals processes as outlined by Client/PlanSponsors, departmental policies and procedures, and regulatorystandards. Coordinator, Grievance and Appeals serves as a liaison forNavitus members, prescribers and pharmacies regarding complaints orappeals related to denied pharmacy claims, membership and benefitissues, reimbursements and quality of care or service. Coordinator,Grievance and Appeals is responsible for presentation of the memberappeals as required to the Medical Director, Center forMedicare/Medicaid Services,... For full info follow application link.Navitus Health Solutions is an Equal Opportunity Employer:Disabled/Veterans/Male/Female/Minority/Other APPLICATIONINSTRUCTIONS: Apply Online: ipc.us/t/CE9B5C6A11E64099