The Engineer, Security specializes in designing, implementing, and operating security controls for Azure and Microsoft cloud services. This role is responsible for protecting systems and applications that process, store, or transmit Protected Health Information (PHI), ensuring compliance with HIPAA Security Rule requirements through secure design, monitoring, and continuous risk management. This role focuses on reducing risk through secure architecture, security automation, and continuous monitoring across IaaS, PaaS, and identity workloads. The Engineer partners closely with Infrastructure, DevOps, and Software Engineering teams to embed security-by-design into platforms and delivery pipelines. This role also serves as the primary application security engineering...

Navitus Health Solutions is seeking a Clinical Account Executive to join our team!   The Clinical Account Executive 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 may represent the company at internal and external meetings. 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. This position translates clinical information into process...

Navitus Health Solutions is seeking a Analyst, Regulatoryto join our team!   The Regulatory Analyst will support Navitus and its subsidiaries by: (a) reviewing proposed legislation on a state and national level, evaluating its potential impact; (b) identifying, reviewing, and interpreting legislation and regulatory environment changes directly or indirectly impacting Navitus; (c) providing support and analysis related to the interpretation and adoption of policies, processes, and procedures necessary for compliance with such changes; (d) effectively...

Due to growth, we are adding a Clinical Grievance and Appeals Pharmacist to our team.   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...

The Summer Intern supports the function of their designated department within Navitus, Lumicera or Epiphany.   This position is for our Appleton Wisconsin Location working fully in office.    Is this you? Find out more below! 

Due to growth, we are adding a Learning and Development Generalist to our team.   The Learning and Development Generalist supports enterprise‑wide people development strategies as part of the Learning Services Center of Excellence. This role functions as a learning specialist responsible for the design, delivery, and evaluation of engaging virtual, in‑person, and video‑conferenced learning experiences for associates across the organization. The position partners closely with business leaders, subject matter experts, and Human Resources Business Partners to assess learning needs and develop targeted solutions, while...

Due to growth, we are adding a Sr. Engineer, Development Operations to our team.   The ideal candidate should possess over 8 years of hands‑on experience with AWS, Terraform, and Kubernetes, and demonstrate strong technical leadership, strategic vision, and architectural expertise across DevOps capabilities.  

Navitus Health Solutions is seeking 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...

Navitus Health Solutions is seeking a Sr. Implementation Project Manager, HP Strategic Client to join our team!   The Sr. Implementation Project Manager, HP Strategic Client (SIPM) 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. This role 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 successfully met as seamlessly as possible. The SIPM must have strong relationship skills to be...

Due to growth, we are adding a Sr. Client Services Executive II to our team.   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...

The Engineer, Development Operations (DevOps) is responsible for designing and implementing secure, scalable, and automated cloud infrastructure and CI/CD pipelines using Azure DevOps, GitHub Actions, and various Infrastructure-as-Code tools. This role focuses on enabling efficient software delivery, enforcing DevSecOps practices, and supporting microservices, data workflows, and machine learning environments. The Engineer collaborates closely with development, data, and security teams to ensure high availability, observability, rapid software delivery, and compliance across cloud-native platforms.  

Lumicera Health Services is seeking a Supervisor, Specialty Pharmacy Services to join our team!   Under the direction of Supervisor, Specialty Pharmacy Services and pharmacists in the Specialty Pharmacy, the Mediation Access Specialist is primarily responsible for performing duties to assist patients with access to benefits, copay cards, patient assistance programs or foundations. The Medication Access Specialist will work directly with patients, providers, insurance companies and manufacturers to review all opportunities for financial assistance for specialty medications.   Is this you? Find out more below!

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   The Vice President, Account Management will help plan sponsors control the cost of specialty drugs through data-driven solutions, innovative technologies, and operational excellence. This VP will lead a team of account executives and account managers and will manage select marquee clients. This Leader is dedicated to team development and client satisfaction and has experience...

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....

Due to growth, we are adding a Claims Adjudication Product Manager (CAPM) to our team.   The Claims Adjudication Product Manager (CAPM) is responsible for ensuring Med D, Medicaid, and Exchange claims are adjudicating per CMS regulations as well as specific client needs. The CAPM will collaborate with other Navitus teams to ensure that the appropriate software, procedures, and oversight monitoring are implemented and operational in support of an environment of continuous improvements with claims adjudication.  

Due to growth, we are adding a Claims Quality Analyst to our team.   The Claims Quality Analyst is responsible for validating that Med D, Medicaid, and Exchange claims are adjudicating per State/CMS regulations as well as specific client needs.   Is this you? Find out more below!

Calling all Calabrio experts! Due to growth, we are adding a Product Manager, Customer Care to our team.   The Product Manager, Customer Care (CC) will ensure efforts are in alignment with the Customer Care team to leverage technology and process improvement for the purpose of meeting the business needs of Navitus customers, clients, members, and pharmacies by leveraging the functionality of Calabrio. This role will collaborate closely with customers of the Calabrio...

Due to growth, we are adding a Customer Insights Analyst to our team.   The Customer Insights Analyst supports the development and execution of Lumicera’s comprehensive, data-driven Voice of the Customer (VoC) program by transforming customer feedback into actionable insights. This role is responsible for analyzing feedback across multiple channels to identify trends, uncover root causes, and surface opportunities to improve the customer experience. The Analyst...

The Operations Director is a highly motivated professional with 5+ years of experience successfully managing complex operations. This individual is responsible for strategic and tactical execution and management of claims, contact center and various other operations.

Navitus Health Solutions is seeking a Pharmacist, Telehealth to join our team!   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 pharmacist is responsible for the delivery of the Medication Therapy Management (MTM) services for commercial and Medicare members. In addition, the Telehealth Pharmacist will assist in the development and execution of additional clinical outreach program to exceed client expectations.   Is this you? Find out more below!

Lumicera Health Services is seeking a Pharmacy Technician II to join our team!   The ideal candidate for this position will have infusion experience.    Under direction from the Pharmacist-in-Charge and other pharmacists in the Specialty Pharmacy, the Pharmacy Technician II is primarily responsible for assisting the pharmacist in obtaining all the necessary information for dispensing and adjudicating a medication correctly. The Pharmacy Technician II has the responsibility to answer phone calls and contact doctors and patients via fax or phone or other communication means. The Pharmacy Technician II is also responsible for accurately...

Navitus Health Solutions is seeking a Analyst, IT Governance to join our team!   The Analyst, IT Governance is responsible for developing and maintaining IT policies, procedures, guidelines, and standards in alignment with ITIL best practices. This role will work directly with application developers, business users, internal IT, and third-party vendors to improve performance, processes, and the overall health of the data. This role will participate in the planning and implementation of policies and procedures to ensure the systems are running optimal and processes are consistent with company goals, industry best practices and...

Navitus Health Solutions is seeking a Project Manager, Implementation HP Strategic Clients (IPM) to join our team!   The Project Manager, Implementation HP Strategic Clients (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. This role is responsible for building early relationships with the clients so they learn to trust us and have confidence that their transition needs will be successfully met as seamlessly as possible. The IPM...

Navitus Health Solutions is seeking a Summer Intern to join our team!   The Summer Intern supports the function of their designated department within Navitus, Lumicera or Epiphany. This internship aims to stimulate student pharmacists’ interest in drug research, health outcomes, and pharmacoeconomics through exposure to research, measurement, and applications to evidence-based decision-making.   Is this you? Find out more below!

Navitus Health Solutions is seeking a Clinical Services intern to join our team!   The Clinical Services intern will support the activities of their designated department within the Clinical Services division. The internship will provide real world experience to explore career opportunities as a pharmacist in the managed care setting. Its goal is to develop future leaders in managed health care through activities that expose interns to the application of managed care pharmacy principles in benefit design, medication management, and other clinical...

Navitus Health Solutions is seeking a Manager, Clinical Operations to join our team!   This exciting position will have the opportunity to impact patients’ health every day via the delivery of best-in-class interventions and patient care within Navitus’ Clinical Engagement Center (CEC). The Manager, Clinical Operations will oversee the day-to-day execution of activities that support the delivery of clinical interventions and Medication Therapy Management (MTM) services for commercial and Medicare members. These programs include telehealth outreach to members to complete an analysis...

Navitus Health Solutions is seeking a Rebate Account Specialist II to join our team!   The Rebate Account Specialist II is responsible for analyzing, understanding and implementing PBM to GPO and pharmaceutical manufacturer rebate submission and reconciliation processes. This individual will work closely with the Manager of Rebate Operations to ensure complete, accurate and timely audit of eligible claim data for rebate invoicing. In addition, the Rebate Account Specialist II will work with the IRC Contracting/strategy team to ensure rebate submission standards are met. The Rebate Account...

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...

Navitus Health Solutions is seeking a Pharmacy Relations Specialist (PRS II) to join our team!   The Pharmacy Relations Specialist (PRS II) is a highly motivated professional with at least 2 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 Director, Industry Relations & Contracting  to join our team!   Reporting to the Sr. Director, Industry Relations, the Director, Industry Relations & Contracting is responsible for leading the team of Rebate Contractors to support the maintenance and enhancement of effective relationships with all pharmaceutical manufacturers (Pharma). This includes negotiating contracts with respect to rebates and discounts for formulary inclusion to meet Navitus’ existing and future needs. Leading the IRC team in P&T...

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...

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...

Due to growth, we are adding a Manager, Market Conduct Exams to our team.   The Manager, Market Conduct Exams will act as the liaison for market conduct exams across the nation, using state rules and regulations, established procedures, and industry standards and best practices to complete the examinations on behalf of Navitus to state regulators. The role will take the lead in coordinating data and document responses with internal departments for audits/examinations; communication with regulators regarding requests and clarifications as needed; finalize responses with the...

Due to growth, we are adding a Claims Quality Assurance Specialist to our team.   The Claims Quality Assurance Specialist ensures the accuracy and integrity of pharmacy benefit configurations through comprehensive audit and testing activities. This role performs recurring monthly quality validations for assigned clients, including test preparation, scenario design, adjudication testing, and detailed result analysis across multiple environments. The Specialist applies expertise in diverse plan...

Lumicera Health Services is seeking a Client Services Executive, Specialty to join our team!    

Lumicera Health Services is seeking an Accreditation Product Manager (APM) to join our team!      The Accreditation Product Manager (APM) will ensure Lumicera and its health system pharmacy partners locations satisfy and maintain ongoing compliance with accreditation program requirements. As new accreditation program opportunities arise, the APM will evaluate and determine how to integrate with existing accreditation program requirements. A successful APM requires strong leadership skills, extensive document creation,...

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: formulary development across pharmacy and medical benefits for specialty drugs and clinical management of accounts.  

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

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 accurately articulates...

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

The Manager, Health System Pharmacy Revenue Integrity, is responsible for optimizing health system pharmacy strategies and programs to ensure financial resilience and success for partners of Lumicera Health System Solutions and Navitus Clients. The Manager and their team will work cross-functionally with teams at Lumicera and Lumicera-operated pharmacies to deliver value for partners through designing, implementing, and continually improving workflows and processes that achieve revenue and operating margin goals. In addition, this associate will provide subject matter expertise and guidance for Navitus and Navitus’ Clients seeking strategic guidance on health system revenue...

Navitus Health Solutions is seeking a Sr. Manager, Medical & Specialty Products to join our team!   The Sr. Manager, Medical & Specialty Products leads the integrated strategy of high-cost medications across medical and pharmacy benefits in collaboration with our enterprise partners, Archimedes and Lumicera. This position is responsible for coordinating the development, delivery, marketing, and service of related products across the Navitus book of business including Commercial, Exchange, Medicaid, and Medicare. This position will also lead the development of our medical data center of excellence as foundational to adjudication, utilization management, clinical programs, reporting and outcomes...

Navitus Health Solutions is seeking a Tester, Benefit Configuration to join our team!   The Tester, 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 primary functions of the Tester, Benefit Configuration involve performing and documenting benefit configuration testing ensuring Navitus maintains an accurate, efficient,...

Due to growth, we are adding a Vendor Relationship Manager to our team.   The Vendor Relationship Manager will partner closely with stakeholders to ensure business needs are clearly outlined and communicated to responsible parties. Primary duties will be focused on ensuring elements of contracts with clients and vendors are implemented correctly and timely, tracking that contractual service level agreements (SLAs) or performance guarantees (PGs) are met. The Vendor Relationship Manager will ensure routine oversight and analyses are performed to ensure ongoing contractual compliance, service or product performance, and identify needs...

Navitus Health Solutions is seeking a Sr. Client Services Executive I (SCSE) to join our team!   The Sr. Client Services Executive I (SCSE) 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 appropriately to be incorporated into the annual strategic business plan. The Sr. CSE will be responsible for client retention, achieving corporate strategic goals relative to client base and overall customer satisfaction,...

Due to growth, we are adding a Enterprise Security Architect to our team!   The Enterprise Security Architect is responsible for participating in the design, construction, maintenance, and enhancement of the Navitus IT Security and infrastructure landscape. With minimal leadership and tactical supervision, the Enterprise Security Architect collaborates with clients, staff, IT colleagues, and other stakeholders to identify user requirements, assess available technologies, and recommend solution options to meet the...

Due to growth, we are adding headcount! Our Principal, Business and Regulatory Strategy will be the liaison between legal and our provider services team using superior knowledge of PBM regulatory requirements to align them with our payables and reimbursement strategies.    The Principal, Business and Regulatory Strategy is for driving business solutions and readiness that aligns with regulatory transformation and requirements. Acting as a connective tissue between...

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

Due to growth, we are adding a Manager, Application Systems Development to our team!    The Manager, Application Systems Development provides leadership, planning, prioritization, scheduling, reporting, and effective execution of application maintenance, support, and/or development services for our vendor purchased or...

Navitus Health Solutions is seeking a Telehealth Pharmacy Technician (CPhT) to join our team!    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...