Archimedes is a rapidly growing leader in the specialty drug benefit management space.  We are looking for a Case and Utilization Manager to coordinate care between physicians, patients and pharmacies. This is a great opportunity for a dependable and dedicated candidate with a passion for helping patients taking specialty medications to treat complex disease states. 

The Senior Client Support Representative is responsible for the overall performance of member services functions for a specific client. They work independently with limited supervision. They execute their role utilizing processes, technology, and customer service skills. They stand ready their client’s members with guidance, knowledge, escalation needs, appropriate overrides and other support functions through direct, proactive support of each member’s needs. A deep understanding of Archimedes culture and mission is vital to the success of this position.

The Call Center Team Lead will assist the Call Center Supervisor in managing the performance of the call center to meet established SLA's in addition to assisting with both Inbound and Outbound calls. A deep understanding of Archimedes’ culture and mission is vital to the success of this position. 

Archimedes is a rapidly growing leader in the specialty drug benefit management space. We are looking for a Member Services Representatives. This position is responsible for delivering excellent service to members utilizing processes and technology within a call center. If you are dependable with strong problem-solving and customer service skills apply now!  This is an in office position.

Due to growth, we are adding a Human Resources Generalist to our team!   This is a Hybrid position out of our Appleton WI locations.    The Human...

Navitus Health Solutions is seeking an Assoc. Product Manager, Medicaid and Exchange to join our team!   This position is responsible for overseeing the product development/management life cycle and tactical support of the Medicaid program for managed care clients and Exchange program for qualified health plan clients. The Assoc. Product Manager, Medicaid and Exchange (APM) provides oversight of daily operations required to support the Medicaid/Exchange program and subject matter expertise for key business functions, processes and the departments supporting Managed Medicaid/Exchange including SME support to the Implementation Team. The APM...

Navitus Health Solutions is seeking a Human Resources Generalist to join our team!   This is a Hybrid position out of our Madison WI location.   The Human Resources Generalist provides front-line HR support to enterprise HR functions, assisting in the execution of HR programs, policies, and procedures.  This role supports associate engagement, onboarding, training, benefits, leave administration, and compliance with employment laws. The HR Generalist serves as a key contact for associate relations and supports daily HR operations under the guidance of...

The Pharmacist, Clinical Retrospective Case Management will be divided into two areas: external clinical outreach activities related to high-cost case management and prior authorization of specialty medications, across pharmacy and medical benefits and specialty and traditional drugs. In addition, this role will have the opportunity to evaluate the data to identify actionable opportunities for specialty management and create clinical policies. The Pharmacist, Clinical Retrospective Case Management is responsible for being the clinical expert for all specialty medications across both the pharmacy and the medical benefit. This role will be able to successfully communicate with physicians, nurses, pharmacists, and members related to...

Lumicera Health Services is seeking a Manager, Learning and Development to join our team!    The Manager, Learning and Development (MLD) focuses on the programs and strategies that create and maintain a dynamic culture and learning organization. This role will conduct training needs assessments; design, implement/deliver, and evaluate training curriculum and materials for both classroom and virtual delivery; evaluate the effectiveness of the learning methods and refine programs accordingly. The MLD will develop,...

Lumicera Health Services is seeking a Sr. Manager, WFM and Technology to join our team!   The Sr. Manager, WFM and Technology (SM) manages the day-to-day operations, maintenance, and support of all systems used within operations. The Sr. Manager will have interactions at all levels of the organization, acting as a liaison between multiple groups including IT, vendors, client teams, and interdepartmental stakeholders. The Sr. Manager will ensure systems are fully functional and relevant to operational initiatives and will...

Due to growth, we are adding a Lead, Continuous Improvement (CI) to our team.   The Lead, Continuous Improvement (CI) is a key driver of process excellence across the organization. This role manages strategic initiatives using proven methodologies to deliver measurable, sustainable results aligned with organizational goals. Acting as a project leader, mentor, and coach, the CI Lead will foster a culture of continuous improvement and empower teams at all levels to achieve operational excellence.   Is...

Lumicera Health Services is seeking a Business Intelligence Developer to join our team!   The Business Intelligence Developer brings together theory and practice to identify and communicate data-driven insights that allow managers, stakeholders, and other executives in the organization to make informed decisions. The Business Intelligence Developer will have an intermediate understanding of the company’s databases, business intelligence (BI) tools, and existing reports and act as a resource in internal...

Lumicera Health Services is seeking a Clinical Liaison to join our team!   The Clinical Liaison will focus on integrating patient care and clinical coordination while leading the development, implementation and ongoing monitoring of programs and initiatives between to clinics and Lumicera Health Services.   Is this you? Find out more below!

The Manager, Contact Center is responsible for overseeing the daily operations of the contact center, ensuring a high level of customer satisfaction, team performance, and service quality. This role leads a team of supervisors, team leads, and member service representatives, driving performance through effective coaching, workforce planning, process improvement, and customer-centric leadership.

Archimedes - Transforming the Specialty Drug Benefit - Archimedes is the industry leader in specialty drug management solutions. Founded with the goal of transforming the PBM industry to provide the necessary ingredients for the sustainability of the prescription drug benefit – alignment, value and transparency – Archimedes achieves superior results for clients by eliminating tightly held PBM conflicts of interest including drug spread, rebate retention and pharmacy ownership and delivering the most rigorous clinical management at the lowest net cost. We are a rapidly growing leader in the specialty drug benefit management space. We are looking for a Senior Director of Operations to oversee work on-site in our Earth...

Lumicera Health Services is seeking a Reimbursement Specialist Team Lead to join our team!   Under direction from the Supervisor or Assoc. Manager, Specialty Pharmacy Services and pharmacists in the Specialty Pharmacy, the Reimbursement Specialist Team Lead is primarily responsible for following standard operating procedures to monitor, review and investigate claim submissions and responses. Additionally, the Reimbursement Team Lead will provide guidance and corrective action to applicable pharmacy staff. The Reimbursement Specialist Team Lead shall have knowledge of billing procedures and work to reduce discrepancies, inaccuracy, and outstanding balances. This...

Navitus Health Solutions is seeking an Account Management Trainer to join our team! The Account Management Trainer is a highly motivated professional with at least 2 years of successful experience in training or adult learning. While proficiency and deep knowledge of policies, procedures, tools, and applications are essential, these can be acquired over time. The Trainer is responsible for developing learning content, creating departmental training programs, drafting training schedules, and executing tactical and operational tasks to meet the training needs of Account Management team members.  Is this you? Find out more below!  

Navitus Health Solutions is seeking a Sr. Database Administrator to join our team!   The Sr. Database Administrator is expected to lead and provide guidance to junior Database Administrators, while at the same time, fulfilling all requirements of the Database Administrator 2 responsibilities. The Sr. Database Administrator must be able to create, update, configure, manage, and administer databases for the current and future versions of Oracle and SQL Server databases. The Database Administrator must be able to work in a dynamic environment with stakeholders and team members to manage Oracle and Sql Server database software over various...

Lumicera Health Services is seeking a Pharmacist, Clinical Operations to join our team!   The Pharmacist, Clinical Operations will be responsible for performing telephonic consultations with patients regarding the use of their specialty medication and management of their disease state. They will perform medication reconciliation, screen for potential drug interactions, and provide side effect management recommendations. Another main duty of this role will include a high volume of product verification to ensure accuracy of orders prior to shipment. The Pharmacist, Clinical Operations can expect to interpret prescribers’ prescriptions, contact prescribers and/or patients to verify information on prescriptions, and expedite the processing of orders. The individual...

Navitus Health Solutions is seeking a Pharmacist, Medicaid to join our team!   The Pharmacist, Medicaid is responsible for providing Medicaid clinical, operational, and educational support to Navitus teams. This position will serve as a subject matter expert for Medicaid clinical aspects. The Pharmacist, Medicaid will provide operational support for the delivery of Medicaid clinical information to various business units throughout Navitus, interpretation of Medicaid guidance and state regulations, and support of Medicaid clinical operation processes. This position will be an active member of the Government Clinical Services Team within the Health Strategies Division. The ability to have strong...

Due to growth, we are adding a Specialist, Workforce Management to our team!   The Specialist, Workforce Management. is responsible for supporting workforce management setup, scheduling, analysis, forecasting, etc. to ensure internal and external service levels commitments are achieved. The WFM Specialist performs basic troubleshooting with the workforce management systems including input and output systems and escalates as necessary. This individual will review available data or requests new reports to make recommendations on...

Lumicera Health Services is seeking a Client Accounts Supervisor (Supervisor, Trade Accounts) to join our team!   The Supervisor, Trade Accounts provides supports and/or leads the client acquisition and/or industry partnership opportunities and retention efforts for assigned business units. This includes the management of strategic industry relationships, implementation of service, and other sales-related initiatives for a variety of client and/or industry partner audiences—current, prospective, and consultant.   Successfully satisfies the needs of our industry partners through necessary account management and implementation support that results in significant market share and profitability and conveys a powerful corporate image to the...

Due to growth, we are adding a Business Intelligence (BI) Developer to our team!   This is a hybrid role in Madison WI    The Business Intelligence (BI) Developer brings together theory and practice to identify and communicate data-driven insights that allow managers, stakeholders, and other executives in the organization to make informed decisions. The BI Developer will have an intermediate...

Due to growth, we are adding a Client Services Executive (CSE) to our team!   The Client Services Executive (CSE) is responsible for the co-development of long-term account strategy for their assigned clients. Working with subject matter experts, the CSE will be for responsible for identifying “up sell” and expansion opportunities and communicating these opportunities appropriately to be incorporated into the annual strategic business plan....

Due to growth, we are adding a Sales Executive to our team!  

Due to growth, we are adding a Proposal Analyst to our team!   The Proposal Analyst role is critical to the client acquisition and retention efforts of Navitus Health Solutions. This position works cross-functionally at a variety of levels to maximize sales and retention through the timely creation and management of competitive responses to Requests for Proposals (RFPs) and other sales related documents for a variety of audiences. The Proposal Analyst ensures agreed upon strategies are incorporated into...

Due to growth, we are adding a Lead, Marketing and Sales Support to our team!  

Navitus Health Solutions is seeking an Administrator II, Applications Systems  to join our team!   The Administrator II, Applications Systems ensures efforts are in alignment with IT Enterprise Services to support customer-focused objectives and the IT Vision, a collaborative partner delivering innovative ideas, solutions, and services to simplify people’s lives. This role is responsible for application administration including server maintenance, application upgrades, application support and requests, disaster recovery planning, and providing any other support within the vendor purchased applications used at Navitus. This role is recognized as the go-to person when technical...

Navitus Health Solutions is seeking a Business Analyst to join our team!   The Business Analyst provides business analysis support for development, implementation, and maintenance of all products within the Technical Operations Department. The Business Analyst interacts with key operating departments related to Technical Operations business development and operational compliance. The Business Analyst also understands the roles and responsibilities of the business area and how it fits within the entire corporation. This individual develops an understanding of Government Programs regulations and related CMS and/or state-specific guidance, and is...

Navitus Health Solutions is seeking a Project Manager, Implementation HP Strategic Clients (IPM) to join our team!   The Project Manager, Implementation HP Strategic Clients (IPM) will interface with health plans and strategic employer clients which may include a government program component to manage projects including transitioning clients to Navitus from their current PBM, implementing new services/programs, facilitating a change in vendor relations, i.e. TPA, disease management organization, etc. and more. This role is responsible for building early relationships with the clients so they learn to trust us and have confidence that their transition needs will be successfully met as seamlessly as possible. The IPM must have strong relationship skills to be able to...

Join us as the HR Business Partner for our Technology division and help shape one of the fastest‑moving parts of our organization. You’ll partner directly with tech leaders using your experience supporting HR processes with IT and technical divisions to solve real people challenges, build high‑performing teams, and drive meaningful change. This is an addition to headcount for our organization.    We’re looking for a proactive, HRBP who shows up as a true partner with our IT and technical Operations team. This is someone who can navigate complexity, move quickly, and balance strategic thinking with hands‑on execution. If you thrive in dynamic environments and have experience working alongside the IT and Technical...

Navitus Health Solutions is seeking an Account Manager to join our team!    The Account Manager will be part of an account team that values our client relationships and operational excellence and will play an integral role as the face of our organization to clients daily. The Account Manager will be responsible for the operational execution of client strategies and plan design and serve as the voice of the customer cross-functionally throughout the organization. Through operational expertise, The Account Manager will be able to advise...

Navitus Health Solutions is seeking a Clinical Account Executive to join our team!   The Clinical Account Executive acts as manager and coordinator of the clinical relationship with existing clients. The objective of the clinical relationship with the client is to improve the quality of care while controlling or decreasing overall health care costs. This is accomplished by recommending, implementing, and evaluating clinical programs and services. The Clinical Account Executive may represent the company at internal and external meetings. The position is a key member of the Client Services Team and is responsible for the account relationship and ultimate retention of the account and growth of the business. This position translates clinical information into process...

Navitus Health Solutions is seeking a Tester, Benefit Configuration to join our team!   The Tester, Benefit Configuration ensures efforts are in alignment with the Claim Adjudication Operations (CAO) team to leverage technology and process improvement for the purpose of meeting the business needs of Navitus customers, clients, members, and pharmacies by accurately administering benefits. The primary functions of the Tester, Benefit Configuration involve performing and documenting benefit configuration testing ensuring Navitus maintains an accurate, efficient, and versatile claims adjudication system. This position...

  Reporting to the SVP and CEO, Specialty Pharmacy of Lumicera, the Vice President, Supply Chain will provide strategic leadership and operational oversight for all supply chain activities within our highly regulated specialty pharmacy business. This is a pivotal, high-impact role responsible for delivering lower costs to patient and clients through new and developing business initiatives built to leverage large-scale procurement economics and competitive wholesaler agreements  This is not a logistics or back‑end operations role. It is a front‑end, working procurement‑driven leadership position centered on...

Due to growth, we are adding a Finance Lead & Transformation Partner in an individual contributor role to our team! This is not an accounting, controller, or role in finance. Our ideal candidate is an individual contributor on

Due to growth, we are adding a Sr. Analyst, Data Governance to our team!    The Sr. Analyst, Data Governance role has a direct impact on maturing the organization forward; toward a data-driven...

Navitus Health Solutions is seeking a Telehealth RN Case Manager to join our team!     The Telehealth RN Case Manager will be a key contributor to the success of our Clinical Engagement Center focused on improving member’s health and wellness via tele-pharmacy and wellness coaching. This Telehealth RN is responsible for the delivery of the Medication Therapy Management (MTM) services for commercial and Medicare members. In addition, the Telehealth RN will assist in the development and execution of...

Due to growth, we are adding a Market VP, Sales to our team!   The Market VP, Sales will manage the entire scope of the sales process for new Navitus Health Solutions National Accounts business in the following markets: Employer, Government, Labor (municipal, Taft-Hartley), and Self-funded companies. The Market VP, Sales will work with Executive Sales leadership to develop and...

Due to growth, we are adding a Program Director, Strategic Initiatives

Navitus Health Solutions is seeking an Engineer, IT Support to join our team!   This is a full time position in Madison WI.   The Engineer, IT Support ensures efforts are in alignment with the Infrastructure team to support customer-focused objectives and the IT Vision: a collaborative partner delivering innovative ideas, solutions and services to simplify people’s lives. This role is responsible for on-site administration of Data Center facilities tests and troubleshooting hardware and software systems. This role is recognized...

Lumicera Health Services is seeking a Pharmacy Technician I to join our team!   Under direction from the Pharmacist-in-Charge and other pharmacists in the Specialty Pharmacy, the Pharmacy Technician I is primarily responsible for assisting the pharmacist in obtaining all the necessary information for dispensing and adjudicating a medication correctly. The Pharmacy Technician I’s main objective is to answer phone calls and contact the doctors and patients via fax or phone or other communication means. The Pharmacy Technician I is also responsible for accurately translating prescription information and all other...

Do you have experience at a PBM? Navitus Health Solutions is seeking a Director, Technical Operations with no less than 5 years of experience at a PBM, health plan, or managed care environment to join our team! This is not a call center or general operations leadership roles.   The Director, Technical Operations (DTO) is responsible for providing regulatory interpretation, operational expertise and oversight of technical programs for Government Programs which include enrollment/eligibility, regulatory encounter submission and reconciliation, claims adjudication accuracy, EOB Administration, recoveries processes, EGWP enrollment, coordination of benefits,...

Due to growth, we are adding an Assoc. Product Manager, eHealth to our team!   The Assoc. Product Manager, eHealth (APM) will be responsible for tactical support of Navitus eHealth services, which include e-prescribing (eRx), electronic prior authorization (ePA) and real time prescription benefits (RTPB). The APM will report to and provide support to the Manager, Digital Health. The APM will assist with and identify solutions for system enhancements, stability, and...

Due to growth, we are adding a Manager, Analytics & Data to our team!   The Manager, Analytics & Data is responsible for engaging internal and external customers to develop the enterprise data and analytics solutions that bring business value by providing critical, accurate and timely information. This role will be instrumental in promoting data-driven decision making and adoption of business intelligence...

Lumicera Health Services is seeking a Prior Authorization Specialist I to join our team!   Under direction from the Supervisor, Specialty Pharmacy Services, and pharmacists in the Specialty Pharmacy, the Prior Authorization Specialist I is primarily responsible for obtaining information and assisting providers and insurance companies in triaging prior authorizations for patients of the specialty pharmacy. The Prior Authorization Specialist’s main objective is to answer phone calls and contact the doctors and patients via fax or phone or other communication means to facilitate and document prior authorization approval. The Prior...

Navitus Health Solutions is seeking a Sr. Client Services Executive II to join our team!   The Sr. Client Services Executive II (SCSE) is a highly motivated professional with at least 7 years of successful experience interfacing directly with larger more complex clients preferably in healthcare, to manage existing PBM clients. The position is responsible for the co-development of long-term account strategy for their assigned Clients. Working with subject matter experts, the Sr. CSE will be responsible for identifying “up sell” and expansion opportunities and communicating these opportunities appropriately to be incorporated into the annual strategic...

Navitus Health Solutions is seeking an Sr. Account Manager - Health Plans with experience with Government Programs to join our team!   The Sr. Account Manager will be part of an account team that values our client relationships and operational excellence and will play an integral role as the face of our organization to clients daily.  The Sr. Account Manager will be responsible for leading projects and operational ownership for some of our most complex and strategic client accounts.  The Sr. Account Manager will be responsible for the operational execution of client strategies and plan design and serve as...

Due to Growth, we are adding a Manager, 340B Pharmacy Services to our team!   The Manager, 340B Pharmacy Services is responsible for optimizing successful and compliant participation in the federal 340B program for external partners of Lumicera Health System Solutions and Navitus Clients.   This role and the team will work cross-functionally with teams at Lumicera and Lumicera-operated pharmacies to deliver value for partners through designing, implementing, and continually improving workflows and processes in scope of the 340B program. In addition, this role will provide subject matter expertise and guidance for Navitus and...

Navitus Health Solutions is seeking a Sr. Analyst, Financial to join our team!   The Sr. Analyst, Financial performs various financial analysis, forecasting and strategic planning activities. The Financial Analyst compiles financial data in various formats to be used by Senior Leadership, SSM Health, and other key stakeholders in the organization.   Is this you? Find out more below!