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...

Lumicera Health Services is seeking a Infusion Services Manager to join our team!   Under general direction of the Vice President, Operations at Lumicera Health Services, the person employed as Manager, Infusion Services is responsible for directing the vision and overall strategy of Lumicera infusion services operations. The Manager is responsible for the creation and execution around strategies to create compliant, safe, and efficient infusion services operations including nursing coordination, inventory management, prescription fulfillment, and patient services....

Navitus Health Solutions is seeking a Claims Analyst to join our CAO Support department!   This position 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 Claims Analyst role is responsible for analyzing, documenting and reporting findings of claim processing issues. Individuals in this role will...

Navitus Health Solutions is seeking a Network Contracting Manager to join our Pharmacy Network Contracting department!    The Network Contracting Manager will be responsible for the management of retail, specialty, and mail order pharmacy contracting, issue management, reporting, and network strategy in support of Navitus’ objectives. The primary responsibility is to develop, implement, execute, and provide ongoing management of pharmacy contracts and...

Due to growth we are adding a Client Operations Project Coordinator to our team!   The Operations Coordinator is responsible for updates that effect both internal and external parties, including managing timelines, monitoring The Operations Coordinator is a highly motivated professional with at least 3 years successful PBM or health care experience and solid knowledge of Microsoft Excel, Word, PowerPoint, and SharePoint. Experience with CRM, Smartsheet, NCRx, 3D and various reporting tools are a plus. Ability to analyze and interpret data is required. Ability to plan, organize and focus on details is critical. The Operations Coordinator must have strong relationship skills to be able to interact with key...

Due to growth we are adding a Clinical Account Executive (RPh) to our team!   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...

Due to growth, we are adding a Clinical Account Executive (RPh) to EpiphanyRx.     This key position acts as manager and coordinator of the clinical relationship with existing...

Due to growth we are adding 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 clients and co-workers on plan design considerations and opportunities for improvement.    Is this you? Find out more...

Due to growth we are adding 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 clients and co-workers on plan design considerations and opportunities for improvement.    Is this you? Find out more...

Due to growth we are adding a Account Management Team Lead to our team!   As a Team Lead, Account Management, you will lead a team of Account Managers and Sr. Account Managers as well as hold a small book of business comprised of key accounts. The Team Lead will be responsible for the coaching, development and performance of a team as well as serve as a resource for escalated client situations. Coaching the team on the core competencies of their role will be an essential part of your responsibilities. The Team Lead will serve as a member of a client account team that values our client relationships and operational excellence and will play an...

Due to growth we are adding a Financial Systems Architect to our Accounting department!   The Financial Systems Architect will be responsible for managing, maintaining, and configuring the systems that process financial and billing data. This role collaborates with internal teams and stakeholders to identify and understand business changes and solutions within the financial systems software to meet those objectives. The Financial Systems Architect reviews and updates client-specific data, monitors and reinforces financial processes, and works with the business to identify efficiencies and document requirements.   Is this you? Find out more below!

Navitus Health Solutions is seeking a Software Developer II to join our team!   The Software Developer II ensures efforts are in alignment with the Information Technology team to support customer-focused objectives and the IT Vision, a collaborative partner delivering innovative ideas, solutions, and services to simplify people’s lives. The Software Developer IIs role is to define, develop, test, analyze, and maintain new and existing software applications in support of the achievement of business requirements. This includes designing, documenting, coding, testing, and analyzing software programs and applications. The Software Developer II will also research, design, document, and modify software...

Due to growth, we are adding a Clinical Product Manager to our Clinical Engagement Center General department.     The Clinical Product Manager (RPh), (CPM) will be...

Due to growth, we are adding a Sales Executive to EpiphanyRx. Our idea candidate will be in West Coast time zone.    The Sales Executive will manage the entire scope of the sales process for new EpiphanyRx business in the employer self-funded space. The Sales Executive will work with Executive Sales leadership to develop and execute market strategies for these market segments. The Sales...

Due to growth, we are adding a Sr. Analyst, Data Governance to our Data & Digital department.   The Sr. Analyst, Data Governance role has a direct impact on maturing the organization forward; toward a data-driven culture.  The Sr. Analyst, Data Governance champions Enterprise Data Governance within the organization and is essential for...

Navitus Health Solutions is seeking a Software Engineer to join our IT Development department!   The Software Engineer position ensures efforts are in alignment with the Information Technology team, to support customer-focused objectives and the IT Vision, a collaborative partner delivering innovative ideas, solutions, and services to simplify people's lives. They will serve in a more seasoned capacity, within the team and will collaborate with the business teams to prototype new technologies and recommend solutions. This role will be involved with research, design, development, testing and documentation of projects. They will be encouraged to...

Navitus Health Solutions is seeking a Clinical Intern to join our Clinical Engagement Center! The Clinical Intern 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. Under the supervision of a clinician, this individual is responsible for the delivery of the Medication Therapy Management (MTM) services for commercial and Medicare members. In addition, the Clinical Intern will assist in the development and execution of additional clinical outreach programs to exceed client expectations. The MTM program will include telephonic and/or video chat outreach with members to complete an analysis of a member’s...

Navitus Health Solutions is seeking s Sr. Software Developer to join our IT Development team!   The Sr. Software Developer ensures efforts are in alignment with the Information Technology team to support customer-focused objectives and the IT Vision, a collaborative partner delivering innovative ideas, solutions, and services to simplify people’s lives. The Sr. Software Developer’s role is to define, design, develop, test, analyze, and maintain new and existing applications in support of the achievement of business requirements. This includes designing, documenting, coding, testing, and analyzing software programs and applications. The Sr. Software Developer will also research, design, document, and modify software specifications throughout the production...

Due to growth we are adding a UM Reporting Supervisor to our Prior Authorization department!   The Supervisor, UM Reporting will have ownership and oversight of Utilization Management reporting and analytics. In coordination with the Sr Manager, UM Operations, the Supervisor will develop and maintain the long term and immediate roadmap for UM Reporting. The Supervisor will gain an industry and regulatory understanding of UM reporting, understand Navitus’ current state and improve reporting for internal and external benefit. The Supervisor will interface with clients and internal stakeholders to understand needs and areas for improvement.   Is...

Navitus Health Solutions is seeking a Pharmacy Reimbursement Administrator to join our Provider Services department!    The Pharmacy Reimbursement Administrator (PRA) works in partnership with the Provider Relations Coordinators, IT Client Operations, and others to continually review, monitor, and update procedures to improve efficiencies of claims adjudication administration. The PRA will test and review pharmacy networks to ensure that claims are adjudicating per Navitus’ pharmacy contract agreements. The PRA is responsible for the process of pharmacy remittances,...

Lumicera Health Services is seeking a Prior Authorization Specialist to join the 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 Authorization Specialist may also be responsible for ensuring that all pertinent patient information is contained within the record....

Navitus Health Solutions is seeking a Coordinator, Eligibility to join our CAO Client department!    The Coordinator, Eligibility 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 Coordinator, Eligibility is responsible for the...

This role is an onsite position at our headquarters located at 361 Integrity Drive, Madison, WI 53717.    Navitus Health Solutions is seeking a Pharmacy Intern to join our team!   The Managed Care Pharmacy Internship is for students that have completed their second full year of pharmacy school. The summer internship will provide experience in a managed care setting and careers opportunities as a pharmacist. The internship focuses on improving the...

Lumicera Health Services is seeking a Reimbursement Specialist 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 this you? Find out more below!

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 Earth City, MO 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

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

Navitus Health Solutions is seeking a Compliance Analyst II to join our Compliance department!   The Analyst II, Compliance position is responsible for organizing aspects of the Navitus and Lumicera Corporate Compliance and HIPAA Privacy Programs. In addition, the Analyst II is responsible for performing regularly scheduled policy, risk assessment and documentation reviews to ensure adherence with HIPAA Privacy and other regulatory compliance areas. The Analyst II will coordinate breach and disclosure assessment, HHS OCR reporting, tracking and client reporting. The Analyst will remain current on HIPAA Privacy and regulatory compliance...

Navitus Health Solutions is seeking a Continuous Improvement Lead to join our team!   The Lead, Continuous Improvement (CI) helps drive process excellence across the organization. The Lead, CI will be responsible for leading improvement projects using established process improvement methodology to positively impact and achieve sustainable results that support the organization’s strategic plan. This position will serve as a continuous improvement project leader, mentor, and coach to ensure alignment with the organization’s improvement approach. The Lead, CI must have the ability to effectively facilitate large groups of people in both project and learning environments and serve as a coach/mentor...

Navitus Health Solutions is seeking an Tester, Benefit Configuration to join our CAO Support department!   This position 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 develops tactical tasks and...

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.

Due to growth, we are adding an Analyst, Benefit Configuration to our CAO Implementation department.    This position 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...

Due to growth, we are adding an Analyst, Claims to our CAO Government Programs department.     This position...

Due to growth, we are adding a Supervisor, Claim Adjudication Operations to our CAO Implementation department.    The Supervisor, Claim Adjudication Operations ensures the streamlined operation of the Claim Adjudication Operations team in alignment with customer-focused objectives....

Due to growth, we are adding a Grievance and Appeals Pharmacist to our Grievance and Appeals department!   The Clinical Grievance and Appeals Pharmacist will be responsible for performing Appeals and Redeterminations, Grievance Quality of Care reviews, perform duties related to Drug Utilization Review including concurrent, retrospective, and prospective components, and serve as a liaison and clinical support the Grievance and Appeals staff for clinical calls requiring pharmacist intervention. The Clinical Grievance and Appeals Pharmacist is also responsible for interfacing with physicians, pharmacists, and specialty pharmacy providers with...

Due to growth, we are adding an Analyst, PA Accel to our Prior Authorization department. 

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...

Lumicera Health Services is seeking a Manager, Industry Relations to join our Pharmacy Trade Relations department!   Reporting to the Director, Strategic Partnerships, the Manager, Industry Relations is responsible for establishing, maintaining, and enhancing effective relationships with pharmaceutical manufacturers (manufacturer) that produce specialty pharmaceuticals; and negotiating contracts with such manufacturers to ensure the specialty pharmacy can obtain specialty pharmaceuticals and pricing to meet the demands of its payers and patients. Additionally, the Manager,...

Due to growth, we are adding a Pharmacy Technician I to our Specialty Pharmacy Operations-Valley Health department.     Under direction from the Pharmacist-in-Charge and...

Due to growth, we are adding a Pharmacist, Clinical Operations to our Specialty Pharmacy Operations-Valley Health department.     The Pharmacist, Clinical Operations’ main duty is to interpret physicians' prescriptions, contact doctors or other prescribers and/or patients to verify information on prescriptions and expedite processing of orders. This role will perform a high volume of product verification both prior to order set up as well as immediately prior to shipment. The Pharmacist,...

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.

Due to growth, we are adding a Clinical Liaison to 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.

This is an onsite role based at our Lumicera headquarters located at 310 Integrity Dr, Madison, WI 53717.  

The Summer Intern supports the function of their designated department within Navitus, Lumicera or Epiphany.   Is this you? Find out more below!  

This is a Hybrid position in Madison WI. This role offers a $5k sign on bonus of a highly qualified candidate.   Navitus Health Solutions is seeking a Billing Manager to join our Accounting 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 confidence that their transition needs will be successfully...

Navitus Health Solutions is seeking a Training and Development Coordinator to join our Human Resources department! Under the direction of the Manager, Learning & Development, the Training Coordinator (TC) will deliver highly interactive, engaging, and impactful virtual instructor-led and instructor-led training opportunities. The TC will support the ongoing efforts such as facilitating new hire orientations; coordinating, scheduling, and assisting ongoing training initiatives; resource and knowledge management; and regular marketing of the learning function. This person will utilize the corporate learning management system (LMS) to assign training, update transcripts, and measure training success. This may include the development of online courses for...

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...

Archimedes is looking for Director Call Center Operations to streamline our existing processes, scale operations and ensure a high-quality experience. The ideal candidate has a passion for leading a team of representatives and running an operation that coordinates care between physicians, patients and pharmacies. This person will work cross-functionally to ensure the member experience is exemplary. This is a great opportunity to own a critical part of the customer experience for a high growth, service-oriented company.

Navitus Health Solutions is seeking a Lean Portfolio Manager, EPMO to join our team!   The Lean Portfolio Manager, EPMO is a highly collaborative role responsible for managing portfolio epics and developing business cases. The Lean Portfolio Manager, EPMO partners with key stakeholders to identify, define, and refine epics and to articulate value and benefits to the organization. Additionally, the Lean Portfolio Manager, EPMO will guide epics through the various stages of Portfolio Management and partner with Release Train Engineers, Enterprise Architecture, Business Leads, and agile delivery teams to initiate the development activities...

Navitus Health Solutions is seeking a Proposal Manager to join our Proposals department!   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...