Teams at Navitus Health Solutions

Supports and maintains Navitus accreditation programs by interpreting standards, conducting audits, analyzing performance data, managing quality initiatives, coordinating accreditation surveys, and developing corrective action plans. Serves as a subject matter expert and liaison with accreditation organizations, clients, and internal stakeholders. Provides consultation and training, oversees quality management activities, maintains delegation agreements, and drives continuous improvement and accreditation readiness.

Configures pharmacy benefits in claim adjudication systems using client specifications, ensuring accurate and timely claims processing. Performs benefit updates, quality reviews, troubleshooting, testing, reporting, audits, and root cause analysis. Supports client meetings, implementations, process improvement, compliance, training, and mentoring while maintaining knowledge of plan designs, formularies, networks, and applicable standards.

Owns the Transformation Office operating system and enterprise transformation portfolio performance discipline. Leads governance cadences, executive reporting, accountability tracking, RAID and path-to-green management, integrated planning, risk escalation, and decision support. Partners with senior leaders, EPMO, Finance, Communications, Change Management, business owners, and technology teams to ensure transformation initiatives remain aligned, transparent, accountable, and on track.