Due to growth, we are adding a Project Manager, Provider Services to our Provider Services department!   The Project Manager, Provider Services Operations will report to the Director, Provider Services Operations and is responsible for working with the Director on the end-to-end delivery of all operational aspects of the Provider Services divisions. This position will involve strategic planning, optimizing operational processes, and ensuring the efficient delivery of pharmacy benefit services. Responsibilities include client implementation and...

Due to growth we are adding a Specialty Pharmacy Intern to our Madison, WI location!   The Specialty Pharmacy Intern will assist with customer service and clinical programs of Lumicera Specialty Pharmacy. 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 in a Specialty Pharmacy. Additionally, this person must have the ability to assess patient needs, consult on specialty pharmaceuticals and disease states, accurately set up orders and needed medication supplies. This role focuses on the clinical...

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 seasoned professional with a strong background in healthcare analytics. This position will report to the VP of Analytics and will be responsible for the day-to-day importing, exporting, distributing, analyzing, and reporting of healthcare data. Given our growth trajectory, we are looking for a person who can grow with the company, learning new skills and assuming an expanding role.

Navitus Health Solutions is seeking a Manual Claims Coordinator to join our team!   The Coordinator, Manual Claims 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. This position is responsible for processing of pharmacy and/or direct member reimbursement (DMR) claims of all levels of complexity to execute the claims adjudication process including correction of claims.  

The Enterprise Solutions Architect is responsible for participating in the design, construction, maintenance, and enhancement of the Navitus IT infrastructure and application landscape. With minimal leadership and tactical supervision, the incumbents collaborate with clients, staff, IT colleagues, and other stakeholders to identify user requirements, assess available technologies, and recommend solution options to meet the operational needs of Navitus. In addition to administering multiple systems, this role will architect and implement long-term and short-term solutions to achieve the business needs. Incumbents also play an important leadership role as a senior member of the Infrastructure and Enterprise Architecture teams. Incumbents...

Due to growth we are adding a Coordinator, Training and Development to our team!   The Coordinator, Training and Development (TC) will deliver highly interactive, engaging, and impactful virtual instructor-led, instructor-led, web-conferenced, and video-conferenced 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 and measure training success. This...

Navitus Health Solutions is seeking a RN Case Manager, Telehealth to join our Clinical Engagement Center Clinical Operations department!    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...

Navitus Health Solutions is seeking a Quality Analyst to join our Quality department!   The Quality Analyst (QA) is a member of the Accreditation Quality Team (AQT) and is responsible for supporting and coordinating quality activities performed by Navitus Health Solutions. The QA will work with an advanced level of independence to ensure quality requirements are completed in a timely manner. This individual requires an advanced understanding of quality standards and processes and will provide training and guidance to the Navitus teams impacted. The QA is responsible for Navitus Quality Program maintenance to include policy and procedure...

Due to growth we are adding a Prior Authorization Specialist to 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 Authorization Specialist...

Due to growth we are adding an Intake Specialist to our team!   Under direction from the Assoc. Manager, Patient Support Services and pharmacists in the Specialty Pharmacy, the Intake Specialist I is primarily responsible for enrolling new Specialty Pharmacy patients and ensuring that all pertinent patient information is contained within the record. Patient information shall include demographics, allergies, medication history, comorbidities, and payer information. The Intake Specialist I’s main objective is to place phone calls to new and existing patients, answer phone calls and contact the doctors and patients via fax or phone or other communication means. The Intake Specialist I is also responsible...

Navitus Health Solutions is seeking a Director, PBM Network Contracting to join our Pharmacy Network Contracting department! This role requires previous pricing and contract management experience with a PBM.   

Do you have experience working at a PBM and also at least 5 years of experience in an economics or analytics role using SQL or related on a daily basis? Due to growth, we are adding a technical data modeling and forecasting Sr. Manager, Pharmacy Network Informatics to our team!  This is a great role for a leader with sound data modeling work experience. (Not a sales role, not a pharmacist role.)  

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

Due to growth we are adding a Clinical Operations Pharmacist to 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...

Due to growth we are adding a Clinical Consultation Pharmacist to our team!   The main duty of the Pharmacist, Clinical Consultation is to perform telephonic consultations with...

Lumicera Health Services is seeking a Sr. Pharmacy Sales Representative to join our team!   The Sr. Pharmacy Sales Representative is a customer-oriented pharmacy sales representative who can thrive and a fast-paced environment and will manage and assist the entire scope of the sales process for new Lumicera Health Services business in the California market. The Sr. Pharmacy Sales Representative will work with the Pharmacy Sales Director to execute market strategies for a market segment. The Sr. Pharmacy Sales Representative will act as the link between our company and healthcare professionals, with the goal to increase the visibility and awareness of our company’s high value offerings to clinicians and maximize sales growth. Key contacts will include prospective...

Navitus Health Solutions is seeking a Project Manager, Implementation TPA/Employer to join our Implementation department!   The Project Manager, Implementation TPA/Employer (IPMT) is a highly motivated professional with at least 3 years of successful project management experience interfacing with TPA and/or employer type clients to manage projects that could include but is not limited to transitioning clients to Navitus from their current PBM, implementing new services/programs, and facilitating a change in vendor relations. The position is responsible for building an early relationship with the clients so they learn to trust us and have confidence that their transition needs will be...

Due to growth we are adding a Analyst, Pharmacy Contract Audit to our Pharmacy Network Operations department!   The Analyst, Pharmacy Contract Audit is responsible for the oversight of Navitus’ contractual pharmacy network reimbursement accuracy. The individual in this position is expected to make independent assessments to confirm Navitus is conforming to contractual reimbursement obligations contained in Retail, Specialty, and Mail Order pharmacy agreements. The Analyst will continually review and monitor claims data, create, and update procedures, audit networks for price change accuracy, monitor compliance with Navitus pharmacy...

Lumicera Health Services is seeking a Pharmacy Technician I to join our team in Peoria, Il!   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 information obtained to dispense the medication into the pharmacy dispensing software. The Pharmacy Technician I may also be responsible for...

Due to growth we are adding a Analyst, Pricing and Underwriting to our Finance Administration department!   The Analyst, Pricing and Underwriting

Due to growth we are adding a Business Analyst, Government Programs-Med D to 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...

Due to growth we are adding a Coordinator, Med-D to our Government Programs 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 Sr. Analyst, Compliance Oversight Med-D to our Government Programs department!   The Sr. Analyst, Compliance Oversight Med-D is directly responsible for providing support for CMS Regulatory Audits, client-initiated audits including Pre-Delegation and Delegation Audits along with conducting internal audit and monitoring activities for Navitus’ Medicare line of business.  The Sr. Analyst, Compliance Oversight Med-D (SACO) will act as the facilitator for Pre-Delegation/Delegation Audits and support timely delivery of audit deliverables. The SACO will conduct quality assurance review on all audit and monitoring activities.  The SACO will be responsible for...

Lumicera Health Services is seeking a Pharmacy Technician to join our team in Irvine!   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 information obtained to dispense the medication into the pharmacy dispensing...

Navitus Health Solutions is seeking a Sr. Client Services Executive II to join our Strategic Account Management department!   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...

Lumicera Health Services is seeking a Clinical Operations Pharmacist 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 in...

Lumicera Health Services 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...

Navitus Health Solutions is seeking a Sr. Client Services Executive I to join our Contract Performance Management department!

Due to growth, we are adding a Sr. IT Business Relationship Manager to our IT Management department. 

Due to growth, we are adding a Sr. IT Business Relationship Manager to our IT Management department. 

Due to growth, we are adding a Sr. IT Business Relationship Manager to our IT Management department. 

Navitus Health Solutions is seeking a Sr. Account Manager to join our Account Management Clinical department!    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...

Due to growth, we are adding a Sr. IT Business Relationship Manager to our IT Management department. 

Due to growth, we are adding a Sr. Paralegal and Executive Assistant to our Legal & Regulatory Affairs department.

This is a hybrid position working onsite each week at Navitus headquarters located at 361 Integrity Drive  Madison, Wisconsin 53717.    Due to growth, we are adding a Sr. Analyst, Revenue Cycle Management to 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...

Due to growth, we are adding a Engineer, Data Integration to our Data & Digital department.     The...

Due to growth, we are adding an Engineer, Data Integration to our Data & Digital department.     The Engineer,...

Due to growth, we are adding a Developer, Data Integration to our Data & Digital department.     The Developer,...

Due to growth, we are adding a Developer, Data Integration to our Data & Digital department.     The...

Navitus Health Solutions is seeking a Analyst, Pricing and Underwriting to join our Finance Administration department!  

Lumicera Health Services is seeking a Trade Client Services Coordinator to join our Pharmacy Trade Relations department!    The Trade Client Services Coordinator (TCSC) is a highly motivated professional with at least 3 years of successful experience with operational experience in specialty pharmacy. The TCSC will have primary responsibilities for management of manufacturer, payor and strategic partners requiring enhanced operational support. The...

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 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 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...

This is a hybrid role working onsite at our headquarters each week located at 361 Integrity Drive  Madison, WI 53717.