Navitus Health Solutions is seeking a Client Advocate to join our team!
The Client Advocate (CA) acts as a hybrid of Account Representative and Case Manager to advocate on behalf of the client’s pharmacy benefit program. The CA will field inbound escalation requests from client representatives such as benefit professionals or health care facilitators to assist with escalated member research cases. The CA will collect relevant information and...
The Manager, Contact Center is responsible for overseeing the daily operations of the contact center, ensuring a high level of customer satisfaction, team performance, and service quality. This role leads a team of supervisors, team leads, and member service representatives, driving performance through effective coaching, workforce planning, process improvement, and customer-centric leadership.
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.
Due to growth, we are adding a Clinical Account Executive to our team!
The Clinical Account Executive...
Navitus Health Solutions is seeking a Clinical Intern to join our team! 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...
Due to growth, we are adding a Clinical Account Executive to our team!
The Clinical Account Executive at Lumicera Health Services is a remote position responsible for managing and growing relationships with clinic accounts, ensuring a seamless referral and prescription...
Navitus Health Solutions is seeking a Supervisor, Claim Adjudication Operations to join 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,...
Navitus Health Solutions is seeking a Sr. Quality Improvement Consultant to join our team!
The Sr. Quality Improvement Consultant is an integral part of the Claims Quality Assurance & Testing (QAT) team which performs multiple functions in quality control and quality improvements with a goal to ensure the accuracy of benefit plan configuration in the NavicareRX system for the entire enterprise. They are responsible for ensuring that internal...
Due to growth, we are adding a Product Manager, Innovative Pharmacy Programs to our team!
The Product Manager (PM) will be responsible for managing operations for both existing products and new product development for assigned specialty and strategic products. Working under the direction of the Assoc. Director, Innovative Pharmacy Programs, the PM will manage and coordinate the execution for certain Innovative Pharmacy Programs. The PM will oversee day-to-day activities to...
Navitus Health Solutions is seeking a Business Analyst, FFS Medicaid to join our team!
The Business Analyst, Fee for Service (FFS) Medicaid “BA” will provide Business Analysis support for the development, implementation, and maintenance of various products within the FFS Medicaid Department. The initial product requiring support is the Prescriber Services Module. The scope of this module is to provide timely and accurate member and...
Lumicera Health Services is seeking a Clinical Liaison to join our team!
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.
Is this you? Find out more below!
Navitus Health Solutions is seeking an Analyst, Claims Extract to join our team!
The Analyst, Claims Extract 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 role is responsible for the ongoing management of client claims extract processes and will...
Due to growth, we are adding a Government Relations Director to our team!
The Government Relations Director reports to the VP, Government Relations to support a Navitus entity in a defined geographic territory with relation to support compliance and business objectives. The role will partner with internal business entities to understand the intersection of the business functions and goals with the current and future legislative and regulatory environment. The role will be part of a team comprised of analysts and legal counsel.
The Proposal Analyst plays a pivotal role in driving client acquisition and retention for Archimedes. This position is responsible for leading the development and management of strategic, competitive, and customer-focused responses to Requests for Proposals (RFPs), Requests for Information (RFIs), and standalone proposals. Working cross-functionally across departments and levels, the Proposal Analyst ensures that each proposal reflects agreed-upon strategies and presents a compelling case for our solutions.
Reporting to the Director of Business Development Operations, this role requires exceptional project and time management skills, keen attention to detail, and strong writing acumen. The Proposal Analyst collaborates with subject...
Lumicera Health Services is seeking a Fulfillment Specialist to join our team!
Under general direction from the Pharmacist-in-Charge, pharmacists, and/or pharmacy technicians in the Specialty Pharmacy, the Fulfillment Specialist (FS) position provides daily support within the fulfillment area. The FS performs packaging, organization, and coordination of shipments that will be shipped to a patient. The FS also assists in receipt and stocking of pharmaceuticals and supplies within the pharmacy. The FS completes routine packing and shipping work between shipments...
Navitus Health Solutions is seeking a Manager, Implementation HP/Strategic Client to join our team!
The Manager, Implementation HP/Strategic Client is responsible for the co-development of long-term implementation and project management strategy for all new Clients assigned to the team for transition support. 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 met as seamlessly as possible. The Manager works with not only the client team members but...
Due to growth, we are adding a Senior Content Editor to join our team!
The Senior Content Editor role designs and owns the architecture for the overall proposal content...
Navitus Health Solutions is seeking a Sales Executive to join our team!
Due to growth, we are adding a Bilingual Pharmacist, Clinical Consultation to our Specialty Pharmacy Clinical Services department.
Looking to try a role that is not in person with patients? Our pharm tech role works at our state-of-the-art new pharmacy distribution center to pack and ship specialty pharmacy medications to patients around the US.
What can you expect from Lumicera
Due to growth, we are adding a Lead, Organizational Change Management to our team!
Due to growth, we are adding a Human Resources Generalist to our team!
This is a Hybrid position out of our Appleton WI locations.
The Human...
Navitus Health Solutions is seeking a Sr. Human Resources Generalist to join our Human Resources department!
This position is Hybrid out of our Madison WI office location.
The Sr. Human Resources Generalist acts as an advisor across the enterprise, supporting and leading HR programs, policies, initiatives and oversees the compliance with federal and state employment regulations. This role provides expert guidance...
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
The Data Engineer is responsible for designing, building, and maintaining scalable data pipelines and infrastructure that support enterprise analytics, reporting, and operational data flows. This role plays a critical part in enabling data-driven decision-making across Centene and SPM by ensuring the availability, integrity, and performance of data systems. The Data Engineer collaborates with data scientists, analysts, software developers, and business stakeholders to deliver robust ETL solutions, optimize data storage and retrieval, and implement secure, compliant data architectures in cloud and hybrid environments.
Operating within a healthcare-focused, compliance-heavy landscape, the Data Engineer ensures that data platforms...
Navitus Health Solutions is seeking a Manager, Government Clinical Services to join our team! The Manager, Government Clinical Services provides strategic vision and operational oversight of the department as well as direct management and leadership of clinical staff within the department. The Manager ensures prompt program execution, presents products to external and internal clients, and drives results in support of the corporate strategic plan. The Manager will have responsibility for the required clinical services and for driving outcome analysis initiatives to completion. The Manager, in coordination with the Program Manager of Government Clinical Services, oversees...
The Data Engineer is responsible for designing, building, and maintaining scalable data pipelines and infrastructure that support enterprise analytics, reporting, and operational data flows. This role plays a critical part in enabling data-driven decision-making across Centene and SPM by ensuring the availability, integrity, and performance of data systems. The Data Engineer collaborates with data scientists, analysts, software developers, and business stakeholders to deliver robust ETL solutions, optimize data storage and retrieval, and implement secure, compliant data architectures in cloud and hybrid environments.
Operating within a healthcare-focused, compliance-heavy landscape, the Data Engineer ensures that data platforms...
Due to growth, we are adding a Solutions Architect to our team!
Due to growth, we are adding a Business Analyst II to our team!
The Business Analyst II assists in the alignment of efforts with the Enterprise Project Management Office (EPMO) to...
Navitus Health Solutions is seeking a Sr. Human Resources Generalist to join our Human Resources department!
This position is Hybrid out of our Appleton WI office.
The Sr. Human Resources Generalist acts as an advisor across the enterprise, supporting and leading HR programs, policies, initiatives and oversees the compliance with federal and state employment regulations. This role provides expert guidance...
Due to growth, we are adding a Sr. Product Manager to our team!
Due to growth, we are adding a Human Resources Generalist to our team!
This is a Hybrid position out of our Madison WI
The Human Resources Generalist provides front-line HR...
Navitus Health Solutions is seeking an Analyst, Tech. Operations Government Programs to join our team!
The Analyst, Tech. Operations Government Programs has responsibility for executing Government Programs processes accurately, efficiently, and in compliance with CMS regulations.
Is this you? Find out more below!
Navitus Health Solutions is seeking an Privacy Analyst II to join our Compliance team!
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...
Due to growth, we are adding a Clinical Account Executive to our team!
The Clinical Account Executive at Lumicera Health Services is a remote position responsible for managing and growing relationships with clinic accounts, ensuring a seamless referral and prescription management process with a strong clinical focus. This role builds on expertise in specialty pharmacy and client engagement, collaborating...
Navitus Health Solutions is seeking a Clinical Grievance and Appeals Pharmacist to join 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...
Archimedes is looking for a Clinical Account Executive (RPh) to join our team located in the Bloomington/Indianapolis Indiana area.
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...
Navitus Health Solutions is seeking a Pricing and Underwriting Analyst II to join our Lumicera Specialty Pharmacy team! This is a hybrid position in Madison WI!
The Analyst II, Pricing and Underwriting is responsible for supporting the Pricing and Underwriting team with financial price modeling of provider networks, manufacturer rebates, cost of risk, and client administrative fees. The Analyst II will support the growth team with client proposals and will be...
Navitus Health Solutions is seeking a Developer II, Application Systems focusing on Oracle Suites
The Developer II, Application Systems ensures efforts are aligned 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 using Microsoft Power Platform to enable Robotic Process Automation. This role will also drive citizen development with the application framework. This role will work directly with business...
Navitus Health Solutions is seeking a Business Intelligence Developer to join our team!
The Business Intelligence Developer will generate and maintain data and analytic solutions that turn data into knowledge. The Business Intelligence Developer should understand how to interpret databases, develop data models within business intelligence (BI) tools and provide maintenance on existing applications.
Is this you? Find out more below!
Due to growth, Navitus Health Solutions is adding a Director of Software Quality Assurance to join our team!
The Director of Software Quality Assurance is the senior leader accountable for defining and executing the enterprise-wide software quality strategy, ensuring software products consistently meet the highest standards of performance, security, and customer experience. This role emphasizes measurable delivery of quality outcomes, strategic leadership of testing programs, and enterprise adoption of automation and AI-enabled testing approaches.
As a key member of the CIO’s leadership team, the Director will establish long-term quality...
Navitus Health Solutions is seeking a Platform Engineering and FinOps Manager to join our team!
The Manager, Platform Engineering and FinOps leads a team focused on enabling secure, scalable, and cost-effective software delivery platforms. This role oversees platform engineering functions such as CI/CD pipelines, developer tooling, and container orchestration, observability, while also managing the cloud financial operations (FinOps) and software procurement functions. This role partners closely with the Infrastructure and Cloud Operations team to ensure alignment on tooling, architecture, platform reliability and cost governance.
The Manager,...
Navitus Health Solutions is seeking an Associate Product Manager-Innovative Pharmacy Programs to joing our team!
The Associate Product Manager (APM) will be responsible for managing operations for both existing products and new product development for assigned specialty and strategic products. Working under the direction of the Sr. Product Manager, Innovative Pharmacy Programs and working with other Product Managers, the APM will manage and coordinate the execution of assigned programs and products. The APM, will oversee day-to-day activities to ensure that the relevant products are fully integrated with the communication and sales plans. The...
Navitus Health Solutions is seeking a Pharmacy Network Reporting Specialist to join our team!
The Reporting Specialist, Pharmacy Network will play a key role in supporting the analytical operations of the Provider Services department. The Specialist will be responsible for understanding business processes, the supporting data, and performing an array of analyses and report creations that facilitate critical...
Navitus Health Solutions is seeking a Network Contracting Analyst to join our team!
The Analyst, Network Contracting will be responsible for the financial management of retail, specialty, and mail order pharmacy contracting, issue management, and reporting, in support of the network strategy to deliver value to Navitus clients. The primary responsibilities of this role are to analyze current and new pharmacy contracts and provide support for all phases of the pharmacy contracting process, including national and regional chain providers, pharmacy services administration organizations (PSAOs) and independent pharmacies for all lines of business.
The Network Contracting...
Lumicera Health Services is seeking a Pharmacy Technician I to join our team!
Under direction from the Pharmacist-in-Charge and other pharmacists in the Specialty Pharmacy, the Pharmacy Technician I is primarily responsible for assisting the pharmacist in obtaining all the necessary information for dispensing and adjudicating a medication correctly. The Pharmacy Technician I’s main objective is to answer phone calls and contact the doctors and patients via fax or phone or other communication means. The Pharmacy Technician I is also responsible for accurately translating prescription information and all other information obtained to dispense the medication into the pharmacy dispensing software. The...
Navitus Health Solutions is seeking a Client Services Executive 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 these opportunities appropriately to be incorporated into...
Navitus Health Solutions is seeking a Coordination of Benefits Product Manager to join our team!
The Product Manager, Coordination of Benefits is responsible for the development, administration, maintenance, and oversight of the COB Program. The Product Manager will ensure that the appropriate software, processes, procedures, and oversight monitoring are implemented and operational to meet changing COB program needs. The Product Manager, Coordination of Benefits will work closely with members of the following departments: Analytics, Benefit Systems, Claims Adjudication Development, Client Services, Compliance, Data Services, Government Programs, Implementation, and Member Service, ensuring COB is...
Due to growth, we are adding a Pharmacy Technician I to our team!
Under direction from the Pharmacist-in-Charge and other pharmacists in the Specialty Pharmacy, the Pharmacy Technician I is primarily responsible for assisting the pharmacist in obtaining all the necessary information for dispensing and adjudicating a medication correctly. The Pharmacy Technician I’s main objective is to answer phone calls and contact the doctors and patients via fax or phone or other communication means. The Pharmacy Technician I is also responsible for...
Lumicera Health Services is seeking a Director, Strategic Partnerships to our team!
Reporting to the SVP, Specialty Pharmacy, the Director, Strategic Partnerships is responsible for leading a team of experienced professionals that establish, maintain, and enhance effective relationships with strategic partners to the specialty pharmacy. Strategic partners include pharmaceutical manufacturers (Pharma), wholesalers, health systems, pharmacy benefit managers (PBMs) and other pertinent partners. The Director,...