Due to growth, we are adding a Client Services Executive to our team!
Navitus Health Solutions is seeking an Account Management Trainer to join our team! The Account Management Trainer is a highly motivated professional with at least 2 years of successful experience in training or adult learning. While proficiency and deep knowledge of policies, procedures, tools, and applications are essential, these can be acquired over time. The Trainer is responsible for developing learning content, creating departmental training programs, drafting training schedules, and executing tactical and operational tasks to meet the training needs of Account Management team members. Is this you? Find out more below!
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, contact prescribers and/or patients to verify information on prescriptions, and expedite the processing of orders. The individual...
Navitus Health Solutions is seeking a Pharmacist I, Clinical Prior Authorization to join our team!
The Pharmacist I, Clinical Prior Authorization will be responsible for: performing Prior Authorizations; perform duties related to Drug Utilization Review including concurrent, retrospective, and prospective components; and support Customer Care with clinical calls requiring pharmacist intervention. The Pharmacist I, Clinical Prior Authorization is also responsible for interfacing with physicians, pharmacists, and specialty pharmacy providers with respect to beneficiaries’ benefits and therapeutic interventions, and reviewing/evaluating...
Due to growth, we are adding a Specialist, Workforce Management to our team!
The Specialist, Workforce Management. is responsible for supporting workforce management setup, scheduling, analysis, forecasting, etc. to ensure internal and external service levels commitments are achieved. The WFM Specialist performs basic troubleshooting with the workforce management systems including input and output systems and escalates as necessary. This individual will review available data or requests new reports to make recommendations on...
Lumicera Health Services is seeking a Supervisor, Trade Accounts to join our team!
The Supervisor, Trade Accounts provides supports and/or leads the client acquisition and/or industry partnership opportunities and retention efforts for assigned business units. This includes the management of strategic industry relationships, implementation of service, and other sales-related initiatives for a variety of client and/or industry partner audiences—current, prospective, and consultant.
Successfully satisfies the needs of our industry partners through necessary account management and implementation support that results in significant market share and profitability and conveys a powerful corporate image to the marketplace. Ensures on-time and...
Lumicera Health Services is seeking a Clinical Sales Representative to join our team!
The Clinical Sales Representative (CSR) is a pharmacist-led, field-based hybrid role that collaborates in tandem with Sr. Sales Representatives to combine advanced clinical expertise with strategic sales acumen to accelerate and secure specialty pharmacy volume at the prescriber and clinic level. The CSR serves as the clinical authority who accompanies or leads sales efforts, provides peer-to-peer scientific engagement, overcomes complex clinical objections, understands pharmacy claims and authorization and “locks in” the sale with high-value prescribers and clinic decision-makers. This position...
Due to growth, we are adding a Referral Coordinator to our team.
The Referral Coordinator will assist in processing all inbound specialty prescriptions from referring prescribers. They are tasked with coordinating and assuring the smooth flow of the prescription referral and prior authorization process to meet the needs of patients while establishing collaborative relationships and communication with the prescriber’s office.
Is this you? Find out more below!
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...
Due to growth, we are adding a Business Intelligence (BI) Developer to our team!
This is a hybrid role in Madison WI
The Business Intelligence (BI) Developer brings together theory and practice to identify and communicate data-driven insights that allow managers, stakeholders, and other executives in the organization to make informed decisions. The BI Developer will have an intermediate...
Due to growth, we are adding a Client Services Executive (CSE) to our team!
The Client Services Executive (CSE) 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 the annual strategic business plan....
Due to growth, we are adding a Sales Executive to our team!
Due to growth, we are adding a Proposal Analyst to 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...
Navitus Health Solutions is seeking a Business Analyst to join 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 guidance, and is...
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 must have strong relationship skills to be able to...
Join us as the HR Business Partner for our Technology division and help shape one of the fastest‑moving parts of our organization. You’ll partner directly with tech leaders using your experience supporting HR processes with IT and technical divisions to solve real people challenges, build high‑performing teams, and drive meaningful change. This is an addition to headcount for our organization.
We’re looking for a proactive, HRBP who shows up as a true partner with our IT and technical Operations team. This is someone who can navigate complexity, move quickly, and balance strategic thinking with hands‑on execution. If you thrive in dynamic environments and have experience working alongside the IT and Technical...
Lumicera Health Services is seeking a Pharmacist, Clinical Outcomes to join our team! The Pharmacist, Clinical Outcomes’ main duty is to provide clinical expertise and oversight to Lumicera’s Clinical Patient Management Program and Manufacturer Enhanced Service Programs and ensure optimal patient health outcomes. Pharmacists in this role will be part of Lumicera’s Clinical Pharmacovigilance team and may be...
Navitus Health Solutions is seeking a Technical Content Creator to join our team!
The Technical Content Creator’s primary role is to create a range of content across multiple channels with the goal of connecting our digital transformation journey to Navitus’ mission, vision, and goals using highly visual tools to reach all audiences and accelerate change. With a well-rounded technical marketing background and strong focus on customers, the person in this role will be an integral part of implementing strategy and engagement in company priorities. This role will utilize superior communication skills to tell the story of Navitus...
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...
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 Senior Client Services Executive to join our team!
The Senior Client Services Executive (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...
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, and versatile claims adjudication system. This position...
Navitus Health Solutions is seeking an Identity and Access Management Engineer to join our team!
The Identity and Access Management (IAM) Engineer will be responsible for developing processes for account creation, modification, disabling and deleting accounts. This would include OKTA Directory, Active Directory, O365 and other downstream systems. The Engineer will work closely with application owners to develop processes to manage the entire user account lifecycle to include SSO (SAML) configurations, User Entitlement Review as well as meet audit and...
Navitus Health Solutions is seeking an Senior Technical Operations Analyst to join our team!
The Senior Technical Operations Analyst provides technical, business, and training support to all members of the team in the Technical Operations Department. The Senior Technical Operations Analyst will interact with key operating departments related to Technical Operations’ business development and operational compliance. The Senior Technical Operations Analyst also understands the roles and responsibilities of the business area and how it fits within the entire corporation....
Reporting to the SVP and CEO, Specialty Pharmacy of Lumicera, the Vice President, Supply Chain will provide strategic leadership and operational oversight for all supply chain activities within our highly regulated specialty pharmacy business. This is a pivotal, high-impact role responsible for delivering lower costs to patient and clients through new and developing business initiatives built to leverage large-scale procurement economics and competitive wholesaler agreements
This is not a logistics or back‑end operations role. It is a front‑end, working procurement‑driven leadership position centered on...
Due to growth, we are adding a Finance Lead & Transformation Partner in an individual contributor role to our team! This is not an accounting, controller, or role in finance. Our ideal candidate is an individual contributor on
Due to growth, we are adding a Proposal Writer to our team!
The Proposal Writer 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...
Navitus Health Solutions is seeking a Telehealth RN Case Manager to join our team!
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 assist in the development and execution of...
Due to growth, we are adding a Marketing Coordinator to our team!
The Marketing Coordinator supports the enterprise marketing and communications team in managing day-to-day activities. This role is ideal for someone who enjoys solving problems, is detail-oriented, adept at developing creative solutions, and eager to learn. The coordinator will assist in a variety of planning, organization, and execution activities in support of initiatives across multiple channels to build brand awareness, manage reputation, and ultimately drive business growth for the organization.
Due to growth, we are adding a Coordinator, Proposal to our team!
The Coordinator, Proposal is responsible for supporting workflow and intake management of Requests for Proposals (RFPs) and Requests for Information (RFIs) to allow proposal and sales staff, managers, stakeholders, and other executives to make informed decisions. The Coordinator, Proposal will have an intermediate understanding of the company’s products and services, internal reporting and collaboration...
Due to growth, we are adding a Program Director, Strategic Initiatives
Navitus Health Solutions is seeking an Engineer, IT Support to join our team!
The Engineer, IT Support ensures efforts are in alignment with the Infrastructure team 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 on-site administration of Data Center facilities tests and troubleshooting hardware and software systems. This role is recognized as having a broad range of technical aptitude and experience. In addition to providing support for multiple IT systems.
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...
Do you have experience at a PBM? Navitus Health Solutions is seeking a Director, Technical Operations with no less than 5 years of experience at a PBM, health plan, or managed care environment to join our team! This is not a call center or general operations leadership roles.
The Director, Technical Operations (DTO) is responsible for providing regulatory interpretation, operational expertise and oversight of technical programs for Government Programs which include enrollment/eligibility, regulatory encounter submission and reconciliation, claims adjudication accuracy, EOB Administration, recoveries processes, EGWP enrollment, coordination of benefits,...
The Vendor Procurement Principal is a senior-level role responsible for driving complex vendor negotiation and acquisition that align with enterprise strategy transformation objectives. This position ensures that procurement activities support modernization initiatives, regulatory compliance, and operational efficiency under the Strategic Transformation Officer (STO). This role promotes critical advisory and sourcing to ensure support for business initiatives ensuring operational efficiency, scalability, and innovation.
This role collaborates with existing organizational vendor-related roles and external consultants to champion and ensure vendor expectations are met or exceeded. This role will consult with and support stakeholders...
Due to growth, we are adding an Assoc. Product Manager, eHealth to our team!
The Assoc. Product Manager, eHealth (APM) will be responsible for tactical support of Navitus eHealth services, which include e-prescribing (eRx), electronic prior authorization (ePA) and real time prescription benefits (RTPB). The APM will report to and provide support to the Manager, Digital Health. The APM will assist with and identify solutions for system enhancements, stability, and...
Due to growth, we are adding a Manager, Analytics & Data to our team!
The Manager, Analytics & Data is responsible for engaging internal and external customers to develop the enterprise data and analytics solutions that bring business value by providing critical, accurate and timely information. This role will be instrumental in promoting data-driven decision making and adoption of business intelligence...
Navitus Health Solutions is seeking an IT Support Technician to join our team!
This is an onsite position in our Appleton WI location.
The IT Support Technician will be responsible for providing first level technical assistance and support related to computer systems and hardware. Respond to queries, execute basic diagnostic programs, isolate problems, and determine proper escalation within Navitus and/or vendor support. Individuals in this job position are competent to perform work at the entry level technical skill set within this job...
Navitus Health Solutions is seeking a Sr. Client Services Executive II to join 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 these opportunities appropriately to be incorporated into the annual strategic...
The part time Executive Assistant I will be responsible for executive level administrative support to the President and CEO with Archimedes, a division of Navitus Health Solutions. The position requires excellent administrative and organizational skills, handling of the highest level of confidential information, and good public relations. This individual will exercise discretionary powers and independent judgment that directly support management activities daily and perform tasks under only general supervision.
Is this you? Find out more below!
Navitus Health Solutions is seeking an Sr. Account Manager - Health Plans with experience with Government Programs to join our team!
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 execution of client strategies and plan design and serve as...
Due to Growth, we are adding a Manager, 340B Pharmacy Services to our team!
The Manager, 340B Pharmacy Services is responsible for optimizing successful and compliant participation in the federal 340B program for external partners of Lumicera Health System Solutions and Navitus Clients. This role and the 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 in scope of the 340B program. In addition, this role will provide subject matter expertise and guidance for Navitus and...
Navitus Health Solutions is seeking a Sr. Analyst, Financial to join our team!
The Sr. Analyst, Financial performs various financial analysis, forecasting and strategic planning activities. The Financial Analyst compiles financial data in various formats to be used by Senior Leadership, SSM Health, and other key stakeholders in the organization.
Is this you? Find out more below!
Navitus Health Solutions is seeking a Business Intelligence Developer to join our team!
The Business Intelligence Developer brings together theory and practice to identify and communicate data-driven insights that allow managers, stakeholders, and other executives in the organization to make informed decisions. The Business Intelligence Developer will have an intermediate understanding of the company’s databases, business intelligence (BI) tools, and existing reports and act as a resource in internal and external meetings. A good candidate will be detail oriented, analytical, a skilled communicator, and a quick learner with experience in analytics, data...
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...
Navitus Health Solutions is seeking a Project Manager, Implementation TPA/Employer to join our team!
The Project Manager, Implementation TPA/Employer (IPMT) is a highly motivated professional with 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. This role is responsible for building early relationships with clients so they learn to...
Due to growth, Navitus Health Solutions is seeking a Director of Underwriting and Actuarial to join our team!
The Director, Underwriting and Actuarial is responsible for guiding the actuarial and financial analytics, assumptions, and modeling to support the strategic objectives of Navitus. This leader directs the development, implementation, and monitoring of pricing models and strategies, financial forecasts, trend analytics, and risk modeling for all lines of business, including Medicare, Medicaid, Commercial, Self-Funded, EGWP, and Exchange products.
The Director, Underwriting and Actuarial works collaboratively with executive leadership, underwriting, clinical, and...
The Director, Software Engineering provides strategic, architectural, and operational leadership for enterprise software development initiatives, with a strong emphasis on data engineering, cloud architecture, SaaS product development, and DevOps automation. This role oversees multiple engineering teams responsible for building enterprise applications and SaaS platforms using .NET Core, MVC, React, AngularJS, and modern frameworks, while ensuring adherence to agile methodologies and industry best practices.
The Director, Software Engineering establishes standards for API development (SOAP/REST), CI/CD pipelines, automated testing, and infrastructure automation, and drives architectural decisions that...
Navitus Health Solutions is seeking a Supervisor, Account Management to join our team!
Navitus Health Solutions is seeking a Sales Analyst to join our team!
The Sales Analyst supports the client acquisition and retention efforts of Navitus 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...