Company Navitus About Us 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._____________________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities. Pay Range USD $105,271.00 - USD $131,588.00 /Yr. STAR Bonus % (At Risk Maximum) 7.50 - Pharm, Supvr, AsMgr, SrCSEII, PrgMgr, SrPrgMgr, SrProdMgr Work Schedule Description (e.g. M-F 8am to 5pm) M-S 8am- 6pm CT Remote Work Notification ATTENTION: Navitus is 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. Overview Navitus Health Solutions is seeking a Pharmacist II, Clinical Prior Authorization to join our team! The Pharmacist II, Clinical Prior Authorization will be responsible for performing utilization management reviews, performing duties related to drug utilization review, mentoring new hires, testing of the prior authorization system, identifying queue priorities, updating team resources, responding to questions raised by the team, and supporting Customer Care with clinical calls requiring pharmacist intervention. The Pharmacist II, Clinical Prior Authorization will interact daily with other Prior Authorization staff and Customer Care agents. The Pharmacist II, Clinical Prior Authorization will also interact with a number of other roles at Navitus including other Utilization Management Pharmacists, Clinical Account Executives, Program Managers, and Medical Directors. Is this you? Find out more below! Responsibilities How do I make an impact on my team? - Assist and participate in the Coverage Determination (Certification, Prior Authorization, Exception to Coverage, etc.) process by reviewing all requests which are not clearly approvable based on specified criteria (algorithms), make approval and denial coverage determinations - Monitor the quality and efficiency of the Coverage Determination process including coverage criteria, denial language, and communication with prescribers - Facilitate adjustments to staff priority in order to address queued work with the appropriate priority - Facilitate communication and education to clients, members, and internal staff regarding clinical daily issues and objectives - Provide clinical support to operational departments in support of member/patient quality of care - Provide clinical support of formulary decisions made by the Pharmacy and Therapeutics Committee - Assist Customer Care, Account Management, and other internal customers in responding to and resolving pharmacy-related inquiries from members, clients, providers, or pharmacies - Other duties as assigned Qualifications What our team expects from you? - A minimum of a Bachelor’s Degree in Pharmacy or Pharm D - Current unrestricted licensure as an RPh in the State of the home office of the pharmacist, or the ability to gain reciprocity within 4 months of employment is required - Two years’ work experience in a clinical setting, or clinical or managed care pharmacy practice residency preferred; and at least 1 year experience as a Navitus Clinical Prior Authorization Pharmacist, or in a comparable role - Knowledge of PBM industry, formulary management, pharmacy claims and managed care principles and practices desired - Exceptional clinical skills and ability to apply sound clinical judgment to a variety of situations is necessary - Ability to reason and translate clinical information into a manner appropriate for clinical systems and clinical/non-clinical audiences - Emphasis on problem-solving skills, including identifying and accepting a challenging situation and creating and implementing a solution - Requires attention to details in order to ensure projects are clinically, editorially, and systems accurate and can be operationalized - Participate in, adhere to, and support compliance program objectives - The ability to consistently interact cooperatively and respectfully with other employees What can you expect from Navitus? - Top of the industry benefits for Health, Dental, and Vision 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! #LI-Remote Location : Address Remote Location : Country US

Description We're growing - Join our award winning culture as we serve members in your area! The RN Care Manager (RN CM), as part of an interdisciplinary team (IDT) with a Care Manager, serves Lakeland Care's (LCI) members, the frail elderly, adults with physical disabilities, and adults with intellectual/developmental disabilities. The RN Care Manager does not provide hands-on care; it provides care management and service coordination to LCI members. The RN care manager arranges for provision of services and supports based on a comprehensive assessment of the member's identified outcomes and needs. The IDT monitors the provision of services based on the member-centered plan per LCI policy and procedures, and Department of Health Services (DHS) contract requirements. Position requires traveling in the field/community visiting members. Responsibilities & Competencies: - Coordinate and participate in home visits and care conferences involving the member, their supports, and providers. - Coordinate acute and primary care services, care transitions, and related follow-up care. - Conduct in-person comprehensive, strengths-based assessment of the member's outcomes, needs and risks; perform reassessment as condition changes. - Develop, coordinate, monitor and evaluate the members’ outcome-based member-centered plans, considering cost and effectiveness in authorizing services and choosing providers. - Implement risk mitigation strategies to promote the member’s health, safety and independence while respecting the member’s rights to appeal and grieve. - Maintain member records as required by DHS contract and LCI policy. - Build and maintain an effective and collaborative working relationship with Care Manager partner and various departments/stakeholders. - Participate in team meetings and on-going trainings to stay abreast of policies, procedures, and state/federal regulations. - Maintain the confidentiality of member information and protected health information (PHI) in accordance with HIPAA and state/federal regulations. - Provide nursing care in accordance with the Nurse Practice Act. Requirements - Current License to practice as a Registered Nurse in the State of Wisconsin. - Bachelor’s degree in nursing strongly preferred. - Two (2) or more years of skilled nursing experience preferred, ideally in gerontology/disabilities and/or home care. - Ability to access members’ homes which are not required to comply with the ADA regulations. - Ability to lift up to 25lbs. - Current driver’s license, acceptable driving record and proof of adequate insurance. ------------------------------------------------------------------------------------------------- Lakeland Care is a Wisconsin-based non-profit organization that focuses on creating a world we all want to live in. With long-standing roots as a managed care organization (MCO), we provide long-term care services to eligible elders and individuals with physical and intellectual or developmental disabilities. Currently we serve members in 22 counties and have 11 offices throughout the Central to North East region of Wisconsin. Our Mission Empowering individuals. Strengthening communities. Inspiring futures. Our Vision To create a world we all want to live in. Our Core Values Kindness – We believe kindness is always possible and that no compassionate act is ever wasted. Inclusion – We believe that open hearts and open minds are the only path to a brighter future. Trust – We believe that honesty is still in style and that promises still have power. We are an equal employment opportunity employer functioning under an Affirmative Action Plan. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law. We are an organization that participates in E-Verify.

• Review donor applications relative to FDA and ASRM guidelines • Lead member welcome calls with applicants who have been approved for the Split program to start them on their egg freezing and egg donation journeys • Support other clinical operations processes, such as coordination of outside monitoring • Engage one-on-one with our members over email for scheduling and program questions • Support other elements of our member onboarding process as needed, such as approving donor profiles for our intended parent platform, including helping donors’ personalities shine • Surface observations, issues, and insights with relevant team members & create efficiencies in processes you own to optimize the Split program application process and member experience

Job Description The Position The U.S. Women’s Health Clinical Liaison (CL) reports into the U.S. Field Team Lead and acts as a liaison for healthcare providers, supporting the clinical use of implantable contraception for trained clinicians with Implanon/Nexplanon. THIS ROLE CAN BE 100% REMOTELY BASED. Responsibilities - Support the clinical use of implantable contraception for trained clinicians with Implanon/Nexplanon by demonstrating insertion and removal techniques using placebo models. - Participate in company-sponsored local, regional and national education programs. - Provide field-based support for the Implanon/Nexplanon Insertion Related and Removal Events management program. - Maintain full comprehension and knowledge of the Package Insert for Implanon and Nexplanon. - Serve as a conduit of information between internal stakeholders and health care providers while adhering to company, FDA and local health authority mandated compliance. - Conduct peer-level scientific discussions and maintain a reliable presence to ensure external stakeholders have a Medical Affairs contact within Organon. - Perform all duties in accordance with Global Standards of Business Practices, Policies and Procedures as well as all applicable government and industry regulations and guidelines. - Embrace a customer-focused approach in all aspects of work. - Provide advanced, one-on-one training for healthcare providers to be trainers for Nexplanon Clinical Training. Required Education, Experience and Skills - Certified RN, Master’s, or Doctorate-prepared Advanced Practice Nurse, or Certified Nurse Midwife. - Three plus years prior experience in the biopharmaceutical industry or healthcare environment, with special emphasis on prior experience in women’s health and contraception and a strong customer focus. - Three plus years of clinical and/or research experience (beyond that obtained in degree program) in a relevant disease area(s) and demonstrated scientific excellence in Women’s Health/Contraception. As an alternative, if clinical/research requirement is not met, > 5 years of pharmaceutical experience in a relevant therapeutic area and / or demonstration of scientific excellence in that therapeutic area may be considered. - Demonstrated business and market knowledge, including quality management - Demonstrated effective organizational skills, including ability to set goals and align priorities, and manage budgets - Experience in organized healthcare system with the ability to organize, prioritize and work effectively in a constantly changing environment - Ability to be effective in the pharmaceutical industry through the understanding of ethical guidelines, laws, and regulations relevant to the biopharmaceutical industry, including pharmacovigilance requirements - Excellent interpersonal, communication, and networking skills. - Deep therapeutic competency, staying abreast of trends and new information in women’s health/ contraception therapeutic/translational science area. - Knowledge of national and society women’s health treatment guidelines, clinical research processes, ethical guidelines, laws, and regulations relevant to the biopharmaceutical industry and its external stakeholder environment. - Must be able to organize, prioritize, and work effectively in a constantly changing environment. - Ability to travel up to 50% of the time including overnights and reside in the indicated territory. Preferred Experience and Skills - Five years of scientific excellence in Women’s Health as demonstrated by relevant experience in clinical practice and independent research and publication. - Prior working experience within the given geography and established relationships with relevant therapeutic area stakeholders. - Demonstrable effective leadership skills (by example and through accomplishments), and the ability to step forward to handle challenges within scope of authority. - Strong working knowledge of Microsoft Office Suite (Word, PowerPoint, Excel). #LI-Remote Who We Are: Organon delivers ingenious health solutions that enable people to live their best lives. We are a $6.5 billion global healthcare company focused on making a world of difference for women, their families and the communities they care for. We have an important portfolio and are growing it by investing in the unmet needs of Women’s Health, expanding access to leading biosimilars and touching lives with a diverse and trusted portfolio of health solutions. Our Vision is clear: A better and healthier every day for every woman. US and PR Residents Only For more information about personal rights under Equal Employment Opportunity, visit: EEOC Poster EEOC GINA Supplement OFCCP EEO Supplement OFCCP Pay Transparency Rule Organon is an Equal Opportunity Employer. We are committed to fostering a culture of inclusion, innovation, and belonging for all employees and job applicants. We ensure all employment practices are conducted without regard to race, color, religion, sex, sexual orientation, age, gender identity or gender expression, national origin, disability, veteran status, or any other characteristic protected by state or federal law. Search Firm Representatives Please Read Carefully Organon LLC., does not accept unsolicited assistance from search firms for employment opportunities. All CVs / resumes submitted by search firms to any employee at our company without a valid written search agreement in place for this position will be deemed the sole property of our company. No fee will be paid in the event a candidate is hired by our company as a result of an agency referral where no pre-existing agreement is in place. Where agency agreements are in place, introductions are position specific. Please, no phone calls or emails. Applicable to United States Positions Only: Under various U.S. state laws, Organon is required to provide a reasonable estimate of the salary range for this job. Final salary determinations take a number of factors into account including, but not limited to, primary work location, relevant skills, education level, and/or prior work experience. The applicable salary range for this position in the U.S. is stated below. Benefits offered in the U.S. include a retirement savings plan, paid vacation and holiday time, paid caregiver/parental and medical leave, and health benefits including medical, prescription drug, dental, and vision coverage in accordance with the terms and conditions of the applicable plans. Annualized Salary Range (US) $152,300.00 - $259,200.00Please Note: Pay Ranges are Specific to local market and therefore vary from country to country Employee Status: Regular Relocation: No relocation VISA Sponsorship: Travel Requirements: Organon employees must be able to satisfy all applicable travel and credentialing requirements, including associated vaccination prerequisites. Flexible Work Arrangements: Shift: Valid Driving License: Hazardous Material(s): Number of Openings: 1