Navitus Health Solutions is seeking a Coordinator, Human Resources to join our team!  

The Director, Specialty Pharmacy Network Contracting is responsible for leading the negotiation, execution, and ongoing management of specialty pharmacy network contracts across all provider segments. This role holds direct accountability for contract strategy, provider agreements, and the financial outcomes of negotiated specialty pharmacy reimbursement structures.   The Director serves as the contracting authority for specialty pharmacy provider agreements, leading negotiations with national chains, specialty pharmacies, health system–affiliated providers, and limited distribution networks. This role ensures that contract terms are competitive, sustainable, and aligned with enterprise pricing strategy, regulatory requirements, manufacturer distribution models, and...

The Director, Clinical Engagement Center is responsible for overseeing all telepharmacy and engagement operations assuring alignment with regulatory, client, and clinical requirements. Telepharmacy and health coaching activities focused on improving member health while providing an optimal member experience is key. Ability to develop clinical pathways aimed at improved health in a concierge-like environment to resolve pharmacy-related concerns is required. Additional focus on peer-to-peer engagement between healthcare professionals to improve prescribing practices and total cost of care will be a core function. The Director, Clinical Engagement Center will be responsible for key performance indicators (KPI) including traditional...

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 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: first review of prior authorization of specialty medications against clinical policies, high cost case management support functions and internal clinical process development and maintenance activities. In addition, this...

The Pharmacist, Formulary Operations leads clinical strategy and manages formulary and drug lists for pharmacy and medical specialty.

Due to growth, we are adding a Director, Account Management Operations to our team!   The Director, Account Management Operations is a senior operations leader responsible for driving operational excellence, scalability, and consistency across Customer Success and Account Management functions. This role provides strategic and operational leadership for company-level service delivery, operational performance management, and cross‑functional...

 Due to growth, we are adding a Sr. Manager, Quality Assurance Benefit Configuration to our team!   The Sr. Manager, Quality Assurance Benefit Configuration leads the Quality Assurance function responsible for benefit configuration verification and accuracy, ensuring alignment with client requirements and internal quality expectations across all lines of business. The Sr. Manager oversees a team of Quality Assurance Analysts, driving the execution of benefit configuration testing, validation, and audit activities...

Due to growth, we are adding a Supervisor, Quality Assurance Benefit Configuration to our team!   The Supervisor, Quality Assurance Benefit Configuration ensures efforts are in alignment with the Quality 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 role will plan, design, coordinate, and align...

Due to growth, we are adding a Sr. Pharmacy Sales Representative to 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...

Due to growth, we are adding a Program Manager, 340B Optimization to our team.   The Program Manager, 340B Optimization is responsible for coordinating and advancing initiatives related to the 340B drug pricing program (340B program) in support of health system partners served by Lumicera Health Services. This role reports to the Manager, Health System Pharmacy Revenue Integrity and works closely with internal stakeholders including pharmacy operations, finance,...

Due to growth, we are adding a Sr. Manager, Strategic Growth & Proposal Performanceto our team.   The Sr. Manager, Strategic Growth & Proposal Performance will manage the strategic growth and management of proposals for Lumicera. This includes managing proposal processes, optimizing performance across RFP responses, and partnering with Sales and cross-functional teams to enhance win rates and competitive positioning. The Sr. Manager will participate in the analysis and discernment of Request...

Navitus Health Solutions is seeking a Sr. Analyst, Financial to join our team!   The ideal candidate will be hybrid in Madison WI     The Sr. Analyst, Financial performs various financial analysis, forecasting and strategic planning activities. The Sr. Analyst compiles financial data in various formats to be used by Senior Leadership, SSM Health, and other key stakeholders in the organization.  

Navitus Health Solutions is seeking a Analyst, Benefit Configuration 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...

Navitus Health Solutions is seeking a Paralegal to join our team!   This is a hybrid position working three days in our Madison WI location.    The Sr. Executive Assistant II will be responsible for executive level administrative support for Navitus Legal division. This position requires excellent administrative and organizational skills, handling of the highest level of confidential information,...

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...

Navitus Health Solutions is seeking a 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 below!

Navitus Health Solutions is seeking a Specialist, Formulary Operations 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...

Navitus Health Solutions is seeking a Client Services Executive (CSE) to join our team!   The Client Services Executive (CSE) is a highly motivated professional with at least 5 years of successful experience interfacing directly with varied complex clients preferably in healthcare, to manage existing Pharmacy Benefit Management clients. The position is responsible for the co-development of long-term account strategy for their assigned clients. Working with subject matter experts, the CSE will be for responsible for identifying “up sell” and expansion opportunities and communicating...

The Director, Pharmacy Network Contracting is responsible for leading the negotiation, execution, and ongoing management of pharmacy network contracts across all provider segments. This role holds direct accountability for contract strategy, provider agreements, and the financial outcomes of negotiated reimbursement structures.   The Director serves as the contracting authority for pharmacy provider agreements, leading negotiations with national chains, grocers, PSAOs, and independent pharmacies. This role ensures that contract terms are competitive, sustainable, and aligned with enterprise pricing strategy, regulatory requirements, and long-term network objectives.   This role partners closely with the Senior Director, Network Contracting to drive...

Due to growth, we are adding a Lead, EPMO Operations & Enablement to our team!   The Lead, EPMO Operations & Enablement is a strategic individual contributor responsible for enhancing, maturing, and sustaining the operational project infrastructure that enables Navitus Health Solutions' Enterprise Project Management Office to deliver transformational outcomes at scale. This role serves as the connective tissue across the EPMO's...

Navitus Health Solutions is seeking a Coordinator, Eligibility to join our team!   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 will work closely with Information Technology, Benefit Configuration, Implementation, and Account Management teams to understand the interdependences of each functional area.   The Coordinator, Eligibility is responsible for the ongoing management of client eligibility processes and will function as the lead eligibility resource for assigned clients,...

Navitus Health Solutions is seeking a Paralegal to join our team!   This is a hybrid position in Madison WI.   The Sr. Paralegal will support Navitus, Lumicera, and their subsidiaries by (a) managing licensing processes; (b) drafting legal documents and templates, managing document templates and corporate legal records, performing records and legal research and preparing...

The RN Case Manager, Telehealth (RN) will focus on improving members’ health and wellness via tele-pharmacy. In addition, the RN will assist in the development and execution of additional clinical outreach program(s) to exceed client expectations. Additional responsibilities will be the provision of telehealth coaching to members in a variety of new program offerings aimed at improving adherence and driving to the lowest net cost formulary options. Remote engagement with members and prescribers will be frequent. The RN will also support department leadership with development of appropriate clinical resources, recommendations regarding targeted medication review selections, and policies and procedures. Other support provided will include clinical...

The Pharmacist, Telehealth will focus on improving members’ health and wellness via tele-pharmacy. In addition, the Telehealth Pharmacist will assist in the development and execution of additional clinical outreach program(s) to exceed client expectations.   Additional responsibilities will be the provision of telehealth coaching to members in a variety of new program offerings aimed at improving adherence and driving to the lowest net cost formulary options. Remote engagement with members and prescribers will be frequent. The Telehealth Pharmacist will also support department leadership with development of appropriate clinical...

Due to growth, we are adding a Accountant II to our team!   The Accountant II acts as a key resource for multiple entities within the Lighthouse Rx Accounting Department by providing financial support across assigned business functions.  Some of the tasks included within this role consist of inventory accounting, general ledger reconciliations, customer invoicing, accounts receivable management, cash application and fixed asset management.

Lumicera Health Services is seeking a Sales Analyst to join our team!   The Sales Analyst supports the client acquisition and retention efforts of Lumicera by providing professional and timely support to the Sales team while insuring the timely coordination and delivery of sales materials to key advisor relationships. The Sales Analyst participates in critical sales and marketing efforts. Among other job responsibilities, this position supports the maintenance, development, and distribution of a variety of sales collateral needs and works cross-functionally to ensure internal and...

Lumicera Health Services 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...

Due to the creation of Clarventa, we are adding a Director, Trade Negotiations and Contracting- GPO to our team. We are looking for innovators to help us create disruption in the market. This role will lead contracting and trade relations across our GPO and member pharmacies.    Reporting to the VP, Supply Chain, the Director, Wholesaler Relations & Contracting is responsible for leading all wholesaler and distributor facing contracting strategies that optimize cost, access, and financial value for Lumicera and its GPO member pharmacies. This role oversees negotiations with drug wholesalers, distributors, and suppliers to secure competitive pricing, strengthen supply chain reliability, and...

Do you have strong experience in data modeling and analytics at a PBM or healthcare company? Due to continued growth, this add to headcount role will drive value as we are expanding our team to include a Director, Network Informatics & Analytics. Please note, this is not an IT Network position.    The Director, Network Informatics & Analytics is a strategic leadership role responsible for the data, informatics, analytics, and quality governance that support pharmacy network contracting across Chain, Specialty, and Independent/Affiliated networks. This role serves as the centralized owner of network and contract data integrity, analytics, reporting, and analytical validation of...

Due to growth, we are adding a Supervisor, Claim Adjudication Operations to our team.   The Supervisor, Claim Adjudication Operations (CAO) ensures efforts are in alignment with the 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 role will plan, design, coordinate and align resources to support the daily activities of the team. The Supervisor, CAO role will work closely with their team to identify, recommend, develop, implement, support, and improve customer-focused solutions.

The Vice President, Trade is responsible for Navitus’ pharmaceutical manufacturer engagement strategy, rebate and Group Purchasing Organization (GPO) management, and industry positioning. This role partners with the Chief Pharmacy Officer to define and advance Navitus’ enterprise rebate strategy, formulary advisory, and market leading contracting and pricing approaches that deliver clinical value and lowest net cost outcomes for clients. This includes establishing, maintaining, and enhancing effective relationships with all pharmaceutical manufacturers and taking primary responsibility for the Navitus rebate GPO partnership.   

Archimedes is a specialty medical management company with an industry-leading technology platform that client groups can use to manage specialty medical spend. The focus of this roll is to lead our prior authorization, channel optimization and health economics product operational teams.. The Director is responsible for running an operation that coordinates care between physicians, patients, manufacturers, clients and pharmacies.

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. 

The VP, PBM Client Implementation & Delivery Quality is accountable for leading and executing growth initiatives with a strong emphasis on high‑quality client implementation, delivery consistency, and operational excellence. This role ensures that new and existing clients receive services that align with contractual commitments, regulatory expectations, and Navitus quality standards.   The VP partners closely with Growth, Sales, Implementation, Product, and Customer Success leaders to ensure quality outcomes across the full client lifecycle,...

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 Sr. Analyst, Data Governance to join our team!   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 helping define and execute a Data Strategy roadmap. This individual will support the development and execution of the data governance framework by partnering with Domain Owners and Data Stewards to organize data assets and train the organization to adopt data governance best practices. The Sr. Analyst, Data Governance works in close partnership with technology and senior leadership to actively support initiatives to implement Enterprise Data...

Lumicera Health Services is seeking an accomplished Divisional CIO to lead our technology, security, and information governance strategy across a rapidly evolving, highly regulated Specialty Pharmacy environment.  

Navitus Health Solutions is seeking a Proposal Content Manager to join our team!   Along with designing and owning the architecture of the overall proposal content knowledgebase, the Proposal Content Manager supports RFP response editing efforts to support client acquisition and retention efforts of Navitus Health Solutions (Navitus). This wordsmith works cross-functionally at a variety of levels to craft, maintain and expand digital content while improving proposal quality and team productivity. The Content Manager ensures regular reviews of the knowledgebase and data integrity. Requires the ability to take complex concepts and translate them into a defined style that clearly and...

Navitus Health Solutions is seeking a Sr. Developer, Application Systems to join our team!   The Sr. Developer, 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 well as other vendor purchased applications used at Navitus. The role of the Sr. Application Systems Developer will be responsible for creating technical specifications from business requirements, developing...

Navitus Health Solutions is seeking a Paralegal to join our team!   The ideal candidate will be located in Madison WI working hybrid.    The Paralegal will support Navitus, Lumicera, and their subsidiaries by (a) managing licensing processes; (b) drafting legal documents and templates, managing document templates and corporate legal records, performing records and legal research and preparing correspondence under general supervision; and (c) identifying, reviewing, and interpreting legislation and regulatory environment changes directly or indirectly...

Due to growth, we are adding an Assistant General Counsel for Archimedes to our team!   The Assistant General Counsel for Archimedes reports to the Chief Legal Officer and is responsible for managing a team of attorneys and paralegals that provide day-to-day legal support for Archimedes.  

Due to growth, we are adding a Sr. Analyst, Contract Performance to our team.   The Sr. Analyst, Contract Performance is responsible for providing, gathering, monitoring and reporting on contractual guarantees for Navitus clients.  The Sr. Analyst will collaborate with all functional areas to establish the service performance guarantees being offered to prospective and current Navitus clients through the Request for Proposal (RFP) and renewal processes, respectively. An important aspect of this role includes the facilitation and coordination of...

The RN, Utilization Case Manager will coordinate care between physicians, patients, and pharmacies, facilitating access to specialty medications for patients with complex disease states.

Navitus Health Solutions is seeking a Proposal Analyst to join our team!   The Proposal Analyst role is critical to the client acquisition and retention efforts of Navitus Health Solutions. This position works cross-functionally at a variety of levels to maximize sales and retention through the timely creation and management of competitive responses to Requests for Proposals (RFPs) and other sales related documents for a variety of audiences. The Proposal Analyst ensures agreed upon strategies are incorporated into persuasive, compelling, and customer-focused proposals. This position ensures the timely completion of a project in accordance with defined project management processes and quality standards. The Proposal Analyst reports to the Manager or Sr. Manager,...

Due to growth, we are adding a Pharmacist in Charge to our Specialty Pharmacy Clinical Services department.    The Pharmacist in Charge (PIC) is responsible for the day-to-day leadership, performance, and regulatory compliance of a specialty mail-order pharmacy operation. This role oversees dispensing workflows, patient service, inventory and...

Due to growth, we are adding a Pharmacist, Clinical Consultation to our team.   

Join Lumicera Health Services to lead the future of fulfillment- driving precision, scale, and innovation across a rapidly growing, multi-site pharmacy operation.   Under general direction of the Vice President, Operations at Lumicera Health Services, the Director, Fulfillment Operations is responsible for directing the vision, strategy, and delivery of Lumicera and Lumicera partner pharmacy fulfillment operations. The Director is responsible for creating compliant, safe, and efficient fulfillment operations including inventory management, cold chain management, prescription dispensing and final verification, shipping, and service delivery. The Director is responsible for development of an effective cross-functional department through organization design, process...

Navitus Health Solutions is seeking a Pharmacy Relations Specialist to join our team!   The Pharmacy Relations Specialist (PRS) is a highly motivated professional with at least 3 years of successful experience working in a pharmacy or interfacing directly with pharmacies or accounts, preferably in healthcare.  Responsibilities include executing contracts with pharmacies, responding to pharmacy inquiries and completing the tactical and operational tasks required to maintain contracted pharmacy networks.   Is this you? Find out more below!

Navitus Health Solutions is seeking a Coordinator, Benefits and HRIS to join our team!   This position is hybrid working three days in our Appleton WI location.    The Coordinator, Benefits and HRIS (Human Resources Information System) supports the administration of associate benefit programs and HRIS operations. This role is responsible for managing day-to-day benefit enrollment activities, including new hires and qualifying life events, while ensuring accurate and timely data processing within the HRIS. The Coordinator serves as a key point of contact for associates, providing support for benefit-related inquiries, documentation, and...

  The Administrator II, Applications Systems ensures efforts are in alignment with IT Enterprise Services to support customer-focused objectives and the IT Vision, a collaborative partner delivering innovative ideas, solutions, and services to simplify people’s lives. This role is responsible for application administration including server maintenance, application upgrades, application support and requests, disaster recovery planning, and providing any other support within the vendor purchased applications used at Navitus. This role is recognized as the go-to person when technical support is required specifically as the primary admin for our Enterprise Content Management (Document/Workflow) Suite which provides a centralized...