The Engineer, Development Operations (DevOps) is responsible for designing and implementing secure, scalable, and automated cloud infrastructure and CI/CD pipelines using Azure DevOps, GitHub Actions, and various Infrastructure-as-Code tools. This role focuses on enabling efficient software delivery, enforcing DevSecOps practices, and supporting microservices, data workflows, and machine learning environments. The Engineer collaborates closely with development, data, and security teams to ensure high availability, observability, rapid software delivery, and compliance across cloud-native platforms.
The Engineer, Cloud specializes in architecting and automating secure, scalable Azure environments. This role focuses on designing infrastructure-as-code solutions and is responsible for deploying core Azure services, managing hybrid workloads, and implementing infrastructure-as-code using Terraform, Bicep, and ARM templates. Ensures network security, cost optimization, and high availability across IaaS and PaaS resources. The Engineer ensures high availability, performance, and security across IaaS and PaaS services, including Azure App Services, AKS, SQL, and networking components. Supports observability, incident response, and compliance with regulatory standards through advanced monitoring, security tooling, and ITSM practices.
Archimedes is a rapidly growing leader in the specialty drug benefit management space. We are looking for a Member Services Representative to work on-site in our Brentwood, TN office. This position is responsible for delivering excellent service to members utilizing processes and technology within a call center. If you are reliable with strong problem-solving and customer service skills, we would love to hear from you
The Engineer, Development Operations (DevOps) is responsible for designing and implementing secure, scalable, and automated cloud infrastructure and CI/CD pipelines using Azure DevOps, GitHub Actions, and various Infrastructure-as-Code tools. This role focuses on enabling efficient software delivery, enforcing DevSecOps practices, and supporting microservices, data workflows, and machine learning environments. The Engineer collaborates closely with development, data, and security teams to ensure high availability, observability, rapid software delivery, and compliance across cloud-native platforms.
The Engineer, Cloud specializes in architecting and automating secure, scalable Azure environments. This role focuses on designing infrastructure-as-code solutions and is responsible for deploying core Azure services, managing hybrid workloads, and implementing infrastructure-as-code using Terraform, Bicep, and ARM templates. Ensures network security, cost optimization, and high availability across IaaS and PaaS resources. The Engineer ensures high availability, performance, and security across IaaS and PaaS services, including Azure App Services, AKS, SQL, and networking components. Supports observability, incident response, and compliance with regulatory standards through advanced monitoring, security tooling, and ITSM practices.
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 additional clinical outreach programs to exceed client expectations.
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Navitus Health Solutions is seeking a Grievance and Appeals Coordinator to join our team!
The Navitus Grievance and Appeals process is an essential function to Navitus’ compliance with CMS regulations, accrediting body standards, other applicable regulatory requirements, and member expectations. The Navitus Grievance and Appeals department serves as the central repository for all complaints received by Navitus and all appeal requests where the responsibility has been delegated to Navitus. The Navitus Grievance & Appeals Coordinator serves to administrate the Navitus Grievance and Appeals processes as outlined by Client/Plan Sponsors, departmental policies and procedures, and regulatory standards. Coordinator, Grievance and Appeals serves as a...
Due to growth, we are adding a Patient Care Assistant to our team!
Under general direction of the Supervisor, Pharmacy Services the person employed in this Patient Care Assistant/ Customer Service position will assist with the Specialty Pharmacy programs. Primary responsibility is to effectively communicate with patients, physicians, pharmacists, and payers to assist in the fulfillment and patient care of specialty pharmacy...
Due to growth, we are adding a Sr. Quality Improvement Consultant to our Team!
The Sr. Quality Control & Improvement Consultant is an integral part of the Claims Quality Assurance & Testing (QAT) team which performs multiple functions in quality control and quality improvements with a goal to ensure the accuracy of benefit plan configuration in the NavicareRX system for the entire enterprise. They are responsible for ensuring that internal process adherence is met for all lines of business and all departments. This position will be responsible to partner with business partners and implement a work management tool...
Due to growth, we are adding a Specialty Account Executive our team!
This position will execute market strategies for generating, maintaining and improving clinic relationships to result in increased script volume. The Specialty Account Executive is responsible for the Client Services Coordinator and will manage and oversee completion and assignments of their respective daily tasks while supporting large scale specialty initiatives to maximize revenue. Key contacts will include prospective clinics, manufacture partners, and internal client relationships. The...
Due to growth, we are adding a Developer, Data Integration to our Data Services.
The Developer, Data Integration will have a background in data integration...
The Project Manager, Implementation (IPM) is a highly motivated professional with at least 3 years of successful client implementation experience. The IPM will interface with employer type clients as well as brokers, consultants, and coalitions to manage projects that could include transitioning clients to EpiphanyRx from their current PBM, implementing new services/programs, and facilitating a change in vendor relations. The IPM must have strong relationship skills to be able to work with not only the client team members, but also with the subject matter experts within EpiphanyRx, which will be key to a successful implementation. The IPM is responsible for leading the effort to implement new EpiphanyRx clients. This position oversees...
Archimedes is seeking a skilled Call Center Analyst Team Lead responsible for evaluating the performance of customer service representatives by monitoring inbound and outbound calls, or other interactions. The primary goal is to ensure adherence to company policies, quality standards, and best practices to improve customer satisfaction, agent performance, and overall service efficiency.
Archimedes is seeking a skilled Call Center Analyst Team Lead responsible for evaluating the performance of customer service representatives by monitoring inbound and outbound calls, or other interactions. The primary goal is to ensure adherence to company policies, quality standards, and best practices to improve customer satisfaction, agent performance, and overall service efficiency.
Due to growth, we are looking to hire 7 new contact center Member Services represenatitves for our pharmacy! We offer our employees excellent insurance at low cost, generous PTO, 401k match, and more!
Hours are 10am to 7pm.
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...
This is an evergreen position allowing us to pool talent in anticipation of upcoming future needs.
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.
Based on our rapid growth, we are expanding our operations team at an exciting time in our history. The Sr. Manager, Human Resources will lead Human Resources operational support for the Archimedes enterprise.
The scope of this role includes delivery of HR services, establishment and enforcement of HR policies and processes, employee relations, and leave administration. This role also includes support to leaders throughout the organization for all HR issues, including personnel decisions, performance management coaching, organization structure, and job design. The incumbent in this role will ensure that policies and practices are...
The Manager, Patient Support Services is responsible for the day-to-day leadership/support of the prior authorization specialists and intake specialists. The Manager is responsible for disseminating information through proper channels and ensuring staff comprehension. This role will assist with analyzing, monitoring, and implementing change as necessary to ensure the staff consistently meet performance metrics and deliver superior service to internal and external goals and guarantees. The Manager will remain informed of current and anticipated client or contractual requirements, changes facing the department and assist or lead interventions or changes as directed.
The Manager, Patient Support Services is responsible for ensuring service levels are met consistently though...
The Quality Control Analyst (QCA) is responsible for supporting and coordinating quality control analysis and related processes for activities performed by Navitus Health Solutions. The QCA I is responsible for engaging in preventive and detective quality controls that can be measured quantitatively and qualitatively to validate Navitus processes. The QCA I will work with oversight and moderate independence to ensure quality control validations are completed in a timely manner. This individual requires an intermediate understanding of quality controls and how to apply such controls to department processes. The QCA I shall have the ability to learn critical department processes with operational relevance and gain reasonable understanding for effective monitoring. The QCA I shall assess...
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...
Lumicera is seeking a Pharmacist, Clinical Consultation to join our Specialty Pharmacy Clinical Services department!
Navitus Health Solutions is seeking a Implementation Project Manager to join our team!
The Project Manager, Implementation HP Strat. Clients (IPM) is a highly motivated professional with at least 4-6 years of successful project management experience. This 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. The position is responsible for the building an early relationship with the clients so they learn to trust us and have...
Lumicera Health Services is seeking a Clinical Liaison to join our Specialty Pharmacy Operations department!
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.
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Developer I, Application Systems Dynamics 365 (CRM ) 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 development support, design, programming, and implementation of custom processes within the framework of various enterprise systems such as Dynamics CRM, SharePoint, K2 as well as other vendor purchased applications used at Navitus. This role will also drive citizen development with the application framework. This individual will work directly with business users to develop requirements ensuring the business needs are met.
The Application Systems Developer I Atlassian Suite assures 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 development support, design, programming and implementation of custom processes within the framework of various enterprise systems. This individual will work directly with business users to ensure development meets business requirements ensuring the business needs are met.
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This is a Hybrid position in Madison or Appleton WI
In a post-adjudication work environment, the Pharmacy Desk Auditor I will review pharmacy claims submission data to identify payment errors, provide outreach and education to pharmacies, ensure legal compliance and Navitus PBM adherence to contract agreement rules. This position works collaboratively with the Pharmacy Audit team to meet all contract and internal timelines/deadlines. This role requires knowledge of pharmacy billing and operational practices. The Pharmacy Desk Auditor I position requires a thorough knowledge of...
This role’s responsibilities will be to help in the in the onboarding and ongoing maintenance of Navitus’ vendor relationships. Under the oversight of the Sr Vendor Risk Manager, you will partner with various internal business owners to properly risk assess vendor relationships, set guidance on document collection, and connect with various Subject Matter Experts in evaluating the vendor relationship. You will also assist in bringing the current vendor relationship inventory into compliance with the Vendor Risk Management Program. This position reports up through the Compliance Department and works closely with Finance, Information Security, Infrastructure, Business Continuity, and other areas of the company. Vendor risk management is pervasive in health...
Based on our rapid growth, we are expanding our operations team at an exciting time in our history. The Claims Operations Analyst will be a key member of the operations team supporting pharmacy data management, process improvement, and problem resolution. The ideal candidate will be a self-starter, eager to learn as well as contribute, and be willing to drive end to end processes with all levels of the organization. Given our continued growth trajectory, we are looking for someone who can grow with the company’s core operations and become a key individual contributor.
The Claims Operations Analyst will be responsible for working with internal and external partners to help manage the many moving...
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.
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.
Due to growth, we are looking to hire 7 contact center Member Services represenatitves by August 14th!
Hours are 10am to 7pm.
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...
The Supervisor, UM Configuration will have ownership and oversight of assigned Prior Authorization (PA) utilization management tools and/or forms. In coordination with the Manager, UM Configuration the Supervisor will develop and maintain the long-term and immediate roadmap for their PA product. The Supervisor will gain an industry understanding of their assigned product, understand Navitus’ current state and improve this product for internal and external benefit. The Supervisor will interface with clients and internal stakeholders to understand needs and areas for improvement. The Supervisor will understand Navitus’ cost on our PA product, its profitability, as well as competitiveness within the marketplace.
Additionally, the Supervisor will...
This is a hybrid configuration role working 2-3 days per week at our corporate campus located at 361 Integrity Dr, Madison, WI 53717 and 2-3 days per week from home. A remote working configuration is not being considered for this role at this time.
Navitus Health Solutions is seeking an Accountant to join our Accounting department!
The position of Accountant acts as a General Accountant for the Accounting Department.
Lumicera is seeking a Project Manager, EPMO to join our EPMO Administration departmnet!
The Project Manager, EPMO reports to the Manager, EPMO Operations and will perform such functions as budget forecasting, resource plans, communication plans, project plans, business cases, and other project artifacts necessary to achieve success. The Project Manager, EPMO then uses these...
This is a hybrid configuration role working 2-3 days per week at our corporate campus located at 361 Integrity Dr, Madison, WI 53717 and 2-3 days per week from home. A remote working configuration is not being considered for this role at this time.
Navitus Health Solutions is seeking a Sr. Analyst, Revenue Cycle Management to join our Accounting department!
The Sr. Analyst, Revenue Cycle Management is responsible for supporting client onboarding and ongoing contract administration of the Navitus Clients best-in-class billing and analytics systems and processes. The primary goal of this role is to ensure revenue capture is accurate and timely with emphasis on reducing manual...
Navitus Health Solutions is seeking a Analyst, Benefit Configuration to join our CAO Client department!
The Analyst, 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 Analyst, Benefit Configuration configures benefits in the claim adjudication system based on specifications from internal customers and external clients. This role applies knowledge of highly diverse plan designs, formularies, and networks across multiple lines of business, ensuring that claims...
Due to growth, we are adding a Clinical Outcomes Analyst to our Clinical Program Management Team!
The Analyst, Clinical Outcomes is a role that 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 Analyst, Clinical Outcomes will have a general understanding of the company’s databases, business intelligence (BI) tools, and existing reports and act as a resource in...
Navitus Health Solutions is seeking a Formulary Operations Specialist to join our Team!
The Specialist, Formulary Operations will perform the daily, weekly, and monthly/periodic administrative functions necessary to update and maintain the formularies for Navitus’ clients for all lines of business. This includes working with the Formulary Services Supervisors to make all changes to the formulary information accessed by clients, as well as day to day formulary maintenance; and having advisory input to how this information is presented, maintained, and...
The RN, Clinical Operations is an active registered nurse responsible for assisting in the management of clinical programs within the specialty pharmacy. The primary purpose of this position is to provide telephonic education to patients and caregivers following the Clinical Protocols and working within the nursing scope of practice and guidelines. This individual will offer clinical intervention, counseling, and support services, which require substantial knowledge, judgement and professionalism based upon the foundation of nursing practice and superior patient care. The RN, Clinical Operations, assists in compliance, adherence and persistency programing within the specialty pharmacy. This position may also facilitate with manufacturer...
The Application Systems Developer role ensures efforts are aligned 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 development support, design, programming and implementation of custom processes within the framework of various enterprise systems using Microsoft Power Platform to enable Robotic Process Automation. This role will also drive citizen development with the application framework. This individual will work directly with business users to develop requirements ensuring the business needs are met.
Lumicera Health Services is seeking a Reimbursement Specialist I to join our team!
Under direction from the Assoc. Manager, Specialty Pharmacy Services, Reimbursement Team Lead, and pharmacists in the Specialty Pharmacy, the Reimbursement Specialist I is primarily responsible for following standard operating procedures to obtain and process manufacturer copay assistance program reimbursement. The Reimbursement Specialist I shall have knowledge of billing procedures and work to reduce discrepancies, inaccuracy, and outstanding balances. The Reimbursement Specialist I may also assist in contacting patients with an outstanding balance to communicate billing options.
Is...
Navitus Health Solutions is seeking a Supervisor, Rebate Operations to join our team!
The Supervisor, Rebate...
Navitus Health Solutions is seeking a Rebate Account Specialist II to join our Rebate Operations department!
The Rebate Account Specialist II is responsible for analyzing, understanding and implementing PBM to GPO and pharmaceutical manufacturer rebate submission and reconciliation processes. This individual will work closely with the Manager of Rebate Operations to ensure complete, accurate and timely audit of eligible claim data for rebate invoicing. In addition, the Rebate Account Specialist II will work with the IRC Contracting/strategy team to ensure...
The Trainer, Learning and Development will deliver highly interactive, engaging, and impactful virtual and in person instructor-led, and video-conferenced training to employees at all levels of the organization. Training topics will include interpersonal and leadership skills, which will necessitate a high level of emotional intelligence on the part of the Trainer. Responsibilities will also include completing the tactical and operational tasks required to meet the training needs of learners and Learning Services team members. The Trainer will use the corporate Learning Management System to schedule, share and document training and evaluate training effectiveness. The Trainer will also conduct training needs assessment, as well as analysis, design, development,...
Navitus Health Solutions is seeking a Telehealth Pharmacy Technician to join our CEC Operations department!
This position will have the opportunity to impact patient’s health every day via the delivery of best-in-class interventions and patient care. Working with pharmacists, nurses and a supportive leadership team, the Telehealth Pharmacy Technician (CPhT) is responsible for aiding in the delivery of clinical interventions and Medication Therapy Management (MTM) services for commercial and Medicare members. The MTM program will include telephonic and/or video chat outreach with members to complete an analysis of a member’s medication regimen.
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.
Due to growth, we are adding a Principal, Product Strategy - Health Plan to our Enterprise Product Strategy department within the Growth Division!
The Principal, Product Strategy is responsible for guiding the strategic direction and execution of disciplined, enterprise-aligned product design, development, go-to-market, and governance initiatives. This forward-thinking leader will execute with excellence, influence cross-functional stakeholders, drive innovation, and ensure connection between market-solutioning initiatives and the organization’s...
Navitus Health Solutions is seeking a Market VP, Sales to join 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 execute market strategies for these market segments. The Market VP, Sales is responsible for all phases of the sales process through finalist presentation and signed contract....
Archimedes is a specialty drug management company with industry-leading technology and services that health plans and employer groups can use to manage specialty drug spend. We are expanding our team and looking for a clinical professional who has specialty drug management experience and a passion for cost management. Given our continued growth trajectory, we are looking for a person who can grow with the company.
This role 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...
Navitus Health Solutions is seeking a IT Support Technician to join our team!
The IT Support Technician will be responsible for providing first level technical assistance and support related to computer systems and hardware. Respond to queries, execute basic diagnostic programs, isolate problems, and determine proper escalation within Navitus and/or vendor support. Individuals in this job position are competent to perform work at the entry level technical skill set within this job family. They have some familiarity with information technology systems and...