Lumicera Health Solutions is seeking a Clinical Operations RN to join our team!   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...

The Executive Assistant II will be responsible for executive level administrative support to the SVP, Chief Financial Officer and key members of his staff. This role is hybrid, 3 days in office and 2 days remote.    Position requires excellent administrative and organizational skills, handling of the highest level of confidential information, and good public relations. Exercise discretionary powers and independent judgment that directly support management activities daily. Perform tasks under general supervision.

Navitus Health Solutions is seeking a Coordination of Benefits Product Manager to join our team!   The Product Manager, Coordination of Benefits is responsible for the development, administration, maintenance, and oversight of the COB Program. The Product Manager will ensure that the appropriate software, processes, procedures, and oversight monitoring are implemented and operational to meet changing COB program needs. The Product Manager, Coordination of Benefits will work closely with members of the following departments: Analytics, Benefit Systems, Claims Adjudication Development, Client Services, Compliance, Data Services, Government Programs, Implementation, and Member Service, ensuring COB is...

Due to growth, we are adding a Pharmacy Technician I to 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...

Due to growth, we are adding a Pharmacy Technician I to 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...

Navitus Health Solutions is seeking a Sr. Coordinator, Med-D to join our team!   The Medicare Part D Senior Coordinator is responsible for providing administrative, technical and process support for Medicare Part D functions. The Senior Coordinator works closely with the Product Managers to ensure that deliverables are completed according to project plans.  This role requires analytical skills, strong attention to detail, technical writing skills, and basic knowledge of Medicare Part D rules and regulations.   Is this you? Find out more below!

Due to growth, we are adding a Supervisor, Referral Coordinator to our team!     The Supervisor, Referral...

Lumicera Health Services is seeking a Director, Strategic Partnerships to our team!   Reporting to the SVP, Specialty Pharmacy, the Director, Strategic Partnerships is responsible for leading a team of experienced professionals that establish, maintain, and enhance effective relationships with strategic partners to the specialty pharmacy. Strategic partners include pharmaceutical manufacturers (Pharma), wholesalers, health systems, pharmacy benefit managers (PBMs) and other pertinent partners. The Director,...

Due to growth, we are adding a Prior Authorization Supervisor to our Pharmacy Patient Services department.   Under direction from the Assoc. Manager, Specialty Pharmacy Services and pharmacists in the Specialty Pharmacy, the Supervisor, Prior Authorization is primarily responsible...

Navitus Health Solutions is seeking a Proposal Manager to join our team!   The Proposal Manager will manage, develop, and lead a team of proposal management professionals in the development of strategic and client-focused proposal content, written proposals, and other sales-related documents for a variety of client audiences. The Proposal Manager is a key contributor on the Proposal team, accountable for analyzing opportunities, creating competitively positioned content, and conveying a powerful corporate image to result in significant market share and profitability. This position ensures on-time and quality completion of projects in accordance...

Navitus Health Solutions is seeking a Specialist, Formulary Operations to join our Formulary Services department!      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...

Archimedes is a rapidly growing leader in the specialty drug benefit management space. We are looking for a Member Services Supervisor in our Brentwood, TN office.  The Member Services Supervisor is responsible for the overall performance of the call center. They will make decisions regarding people, processes, technology, and customer service. This person is jointly responsible for the success of the call center team with the Sr. Director – PBM Operations. A deep understanding of Archimedes’ culture and mission is vital to the success of this position.

Navitus Health Solutions is seeking a Marketing Manager to join our team!   The Marketing Manager plays a pivotal role in executing brand-aligned marketing programs that support business growth and client engagement. This role brings the brand to life through thoughtful campaign execution, content development, and performance tracking. The Marketing Manager collaborates across departments to ensure consistency, relevance, and impact in every customer and stakeholder touchpoint.   Is this you? Find out more below!  

This key position 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 focuses on a proactive, consultative and comprehensive approach. 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. Proficiency required in interpreting drug literature and clinical trial evaluation, including proficiency with electronic databases (e.g., Micromedex, Medline, Internet...

Archimedes is a rapidly growing leader in the specialty drug benefit management space. We are looking for a Supervisor, Member Services in our Brentwood, TN location. This position will lead a team of representatives and is responsible for the overall performance of the call center. A deep understanding of Archimedes’ culture and mission is vital to the success of this position.

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...

Due to growth, we are adding a Senior Analyst, Network Contracting to join our team!    The Senior Analyst, Network Contracting will be responsible for the financial management of retail, specialty, and mail order pharmacy contracting, issue management, and reporting, in support of the network strategy to deliver value to Navitus clients. ...

Due to growth, we are adding a Sr. Manager, Client Support to join our team!    The Sr. Manager, Client Support will play a key role in service as a client facing subject matter expert (SME) within the Navitus organization specializing in retail, specialty and mail order pharmacy networks. This role bridges the gap between account management and the...

This position is an onsite role working out of our Appleton office located at 1025 West Navitus Drive, Appleton, WI 54913.   Navitus Health Solutions is seeking a UM Operations Coordinator to join our Prior Authorization department!   The Coordinator, Utilization Management (UM) Operations role is to support the operational work of the Utilization Management Program. Job duties will include reporting and administrative functions. Specifically, the Coordinator...

Navitus Health Solutions is seeking a Industy Standards Advisor to join our team!   The Advisor, Industry Standards is responsible for compliant implementation and oversight of the National Council of Prescription Drug Programs (NCPDP) Standards. This includes facilitating internal awareness of the impacts of NCPDP standard changes and their impact on the strategic vision for Navitus. The Advisor, Industry Standards, is the subject matter expert (SME) and assists in interpreting and conveying NCPDP standards to key stakeholders. This individual will actively participate in NCPDP Work Groups (WG), Task Groups (TG). This individual will...

Navitus Health Solutions is seeking a Telehealth Pharmacist    The Pharmacist, Telehealth will be a key contributor to the success of a newly launched Clinical Engagement Center (CEC) focused on improving member’s health and wellness via tele-pharmacy and wellness coaching. This...

Navitus Health Solutions is seeking a Government Relations Director   The Government Relations Director reports to the VP, Government Relations to support a Navitus entity in a defined geographic territory with relation to support compliance and business objectives. The role will partner with internal business entities to understand the intersection of the business functions and goals with the current and future legislative and regulatory environment. The role will be part of a team comprised of analysts and legal counsel.   Is this you? Find out more below!  

The Recoveries Coordinator I position is responsible for reprocessing of claims of all levels of complexity to execute the claims adjudication process. The Coordinator will gain a beginners understanding, applying, and communicating client-specific benefits to manage the day to day processes and changes made to a client’s benefit or a pharmacies’ contract. This role requires knowledge of both the technical and operational sides of the business. Candidates will have direct authority to make sound business decisions with regard to processing of a claim. Candidates need to have a working knowledge of claims processing. The Coordinator will work closely with Member Services, Clinical Services, Client Services, Benefit...

Due to growth, we are adding a Supervisor, Issue Management to our CAO Quality department. 

Due to growth, we are adding a Sr. Issue Management Consultant to our CAO Quality department. 

Due to growth, we are adding a Manager, Issue Management to our CAO Quality department. 

Due to growth, we are adding an Issue Management Consultant to our CAO Quality department. 

Archimedes is a specialty drug management company with an industry-leading technology platform that health plans and employer groups can use to manage specialty drug spend. We are expanding our team and looking for a self-motivated project management professional who has specialty drug management experience and a passion for cost management. Given our continued growth trajectory, we are looking for a motivated project manager who can grow with the company to buildout and lead large projects. The successful candidate will work directly with clients to ensure deliverables fall within the applicable scope, timing and budget. We are looking for a creative and dedicated individual who will fit with...

Archimedes is a specialty drug management company with an industry-leading technology platform that health plans and employer groups can use to manage specialty drug spend. We are expanding our team and looking for a self-motivated project management professional who has specialty drug management experience and a passion for cost management. Given our continued growth trajectory, we are looking for a motivated project manager who can grow with the company to buildout and lead large projects. The successful candidate will work directly with clients to ensure deliverables fall within the applicable scope, timing and budget. We are looking for a creative and dedicated individual who will fit with...

Navitus Health Solutions is seeking a Proposal Analyst to join our Proposals department!    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 persuasive, compelling, and customer-focused...

Due to growth, we are adding a Senior Strategic Planning Analyst to our department. 

Navitus Health Solutions is seeking an Executive Assistant II to join our IT Management team!   This position is in person located in our Appleton WI location.   The Executive Assistant II will be responsible for executive level administrative support to the VP. Position requires excellent administrative and organizational skills, handling of the highest level of confidential information, and good public relations. Exercise discretionary powers and independent judgment that directly support management activities daily. Perform tasks under general supervision.   Is this you? Find out more below!

Lumicera Health Solutions is seeking a Supervisor, Specialty Pharmacy Support Services to join our team!   Under general direction of the Associate Manager, Pharmacy Services, the Supervisor, Specialty Pharmacy Support Services is responsible for managing the day-to-day operations of a team of either Reimbursement or Intake Specialists. This position monitors productivity and performance standards and plans and directs workflow and project assignments. Oversees production volume to ensure service standards are met. The Supervisor, Specialty Pharmacy Support Services will participate in hiring, training, and evaluation of staff, as well as be...

Navitus Health Solutions is seeking a Application Systems Developer II to join our team!   The Developer II, Application 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 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. The role of the Developer II,...

Navitus Health Solutions is seeking a Application Systems Administrator II 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 individual is recognized as the go-to person when technical support is required.  This individual...

Navitus Health Solutions is seeking a Product Manager, eHealth to join our department   The Product Manager, eHealth will be responsible for managing both existing products and new product development for assigned products within Navitus’ eHealth suite, which include e-prescribing (eRx), electronic prior authorization (ePA) and real time prescription benefits (RTPB). The Product Manager (PM) will report to and provide support to the Manager, Digital Health. The PM will assist with and identify solutions for system enhancements, stability, and quality by working with IT resources. The PM will work to create and monitor metrics that ensure product accuracy and quality, vendor strategy, and product management....

Are you interested in working Monday to Friday (NO WEEKENDS) in a clean, bright environment with heat, air conditioning and best-in-class health benefits?    Lumicera Health Services is seeking a Pharmacy Technician at our Madison Facility!   What can you...

Lumicera Health Solutions is seeking a Specialty Pharmacy Clinical Intern to join our team!   The Specialty Pharmacy Clinical Intern will perform telephonic consultations with patients regarding the use of their specialty medication from and management of their disease state. The primary responsibility of this position is to effectively communicate with patients, physicians, pharmacists, and payers in the fulfillment and patient care of specialty pharmacy medications. Additionally, this role will assess patient needs, perform medication reconciliation, and conduct properly document patient encounters and clinical interventions. The Clinical Intern is part of our experiential learning team and will interact with a variety of operations-based associates including...

Navitus Health Solutions is seeking a Benefit Configuration Analyst to join our team!    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...

Navitus Health Solutions is seeking a Grievance and Appeals Manager to join our team!   The Manager of the Grievance and Appeals (G&A) Department is responsible for the day-to-day leadership/support of the G&A staff. The Manager will act as a subject matter expert (SME) for implementation teams, government program reporting, client team inquiries, call center, prior authorization, and drug information teams The G&A Manager will be responsible for all applicable departmental policies and procedures, any corrective action required as a result of internal/external audit, responding to inquiries related to G&A processes for sales and...

Due to growth, we are adding a Manager, Specialty Account Executive (RPh) 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...

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 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...

Navitus Health Solutions is seeking a IT Enterprise Services Analyst to join our team!   The Analyst, IT Enterprise Services (IT Analyst) role ensures efforts are in alignment with 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. The IT Analyst role is to elicit, analyze, specify, and validate the business needs for various Navitus projects.  This includes interviewing stakeholders/sponsors, gathering and compiling requirements to convey to development teams throughout the software lifecycle. This IT...

The Product Account Manager will support a key account and product. In addition to supporting the client relationship, this role will lead product management and project manage operational projects for this product. The role will be responsible for managing any client requests for builds and any necessary drug lists and formularies. The Product Account Manager will interact with the account, product, and clinical management teams. This role will be responsible for managing and implementing any client specific product specific requirements, such as a custom formulary

The Business Analyst, Call Center is responsible for analyzing call center performance data, identifying trends, and providing actionable insights to improve operational efficiency and customer satisfaction. This role will be an expert in call center platforms and responsible for leveraging its capabilities to drive business insights, manage data, and optimize call center operations. This role will involve generating critical reporting, managing outbound calling projects, ensuring data integrity, and staying ahead of platform updates to maintain peak performance and compliance.

Navitus Health Solutions is seeking a Channel Partner Relationships Manager to join our team!   The Manager, Channel Partner Relationships is responsible for developing and managing relationships with channel partners (including consultants, health plans, coalitions and TPAs) to drive sales and revenue.  This role will identify and onboard new partners, provide support and training and manage the relationship and performance of existing partners. The Manager, Channel Partner Relationships will lead a team of Channel Partner Analysts responsible for day-to-day activities of our reseller clients, such as health plans, TPAs, and coalitions,...

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.  

Navitus Health Solutions is seeking a Sr. Product Owner, IT to join our team! We are seeking an enthusiastic, driven person to collaborate and facilitate value delivery. As a Product Owner you will play a critical role in partnering with Business Leads and the Portfolio to define, prioritize, and drive the development of product enhancements and large strategic initiatives. The Product Owner will work closely with a cross functional team to ensure that the value delivery aligns with the overall business objectives and meets customer needs. Is this you? Find out more below!    

The Product Account Lead will support a key account and product. In addition to supporting the client relationship, this role will lead product management and project manage operational projects for this product. The role will be responsible for managing any client requests for builds and any necessary drug lists and formularies. The Product Account Lead will interact with the account, product, and clinical management teams. This role will be responsible for managing and implementing any client specific product specific requirements, such as a custom formulary