Navitus Health Solutions is seeking a Medicare Services Executive to join our Government Programs department's team! 

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

Navitus Health Solutions is seeking a Pharmacy Relations Specialist to join our Provider Services department!    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...

Due to growth, we are adding an Analyst II, Pricing and Underwriting to our Finance Administration department. 

Due to growth we are seeking a Provider Services Support Specialist to join our Provider Services team!   The Provider Services Support Specialist is responsible for supporting Retail, Specialty and Mail initiatives in coordination with the Provider Services team. This position will be proficient in the analysis of Navitus claims and supplementary pharmacy data to support reporting and contract compliance. The Provider Services Support Specialist supports and evaluates agreements with providers and prospective clients via analysis, and reporting. This individual will also act as subject matter expert on pharmacy networks, programs and inquiries...

This is a hybrid position in Madison WI.    Due to growth, we are adding a Paralegal to our Legal and Regulatory Affairs department!   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 impacting Navitus and provide support and...

Due to growth, we are adding a Director, Technical Operations to our Government Programs Technical Ops department.   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, reprocessing/refund/recoveries solution deliverables, M3P, vendor contract management and RDS Administration. The...

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

Navitus Health Solutions is seeking a Sr. National Account Executive to join our Strategic Account Management department!     The Sr. National Account Executive (NAE) is a highly motivated professional with at least 10 years of successful experience interfacing directly with larger more complex clients in the managed healthcare arena. The Sr. NAE will lead strategy, overall service performance, and account service teams for existing PBM clients. The position is responsible for the co-development of long-term account strategy for the identified clients assigned to the...

Navitus Health Solutions is seeking a Pharmacy Relations Specialist II to join our Provider Services 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 Telehealth Pharmacy Technician 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 program will include telephonic and/or video chat outreach with members to complete an analysis of a member’s medication regimen.    In...

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 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 compliance requirements. The Identity and Access Management unit is responsible for...

Lumicera Health Services is seeking a Software Developer II to join our team!   The Software Developer II ensures efforts are in alignment with the Lumicera IT department to support customer-focused objectives and

Lumicera Health Services is seeks a Manager, Information Technology to join our team!   The Manager, Information Technology ensures the streamlined operation of the Lumicera IT team in alignment with the customer-focused objectives and the IT Vision, a collaborative partner delivering innovative ideas, solutions, and services to simplify people’s lives. This individual will plan, design, coordinate and align resources to support the daily activities of the team. The manager will work closely with customers and decision makers to identify, recommend, develop, implement, support, and improve the customer-focused solutions.

Lumicera Health Services is seeking a Sr. Pharmacist, 340B Pharmacy Services to join our Trade Relations department!   The Sr. Pharmacist, 340B Pharmacy Services is responsible for optimizing qualifications of claims eligible for the 340B program in collaboration with our external partners from organizations with Covered Entity locations. This associate 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.   Is this you? Find out more below!

This is a hybrid role working 3 days onsite each week at our Madison campus located at 361 Integrity Dr, Madison, WI 53717.   Due to growth, we are adding a Analyst, Revenue Cycle Management to our Accounting team.   The Analyst, Revenue Cycle Management is responsible for supporting the Sr. Manager, Revenue Cycle Management in implementation and ongoing administration of best-in-class billing and accounts receivable systems and processes.  The...

Navitus Health Solutions is seeking a Prior Authorization Specialist I to join our Prior Authorization department!    The Specialist I, Prior Authorization (PAS) will review, process, and troubleshoot incoming Prior Authorization requests for various medications. The Specialist I, Prior Authorization (PAS) will accurately process the requests according to regulatory and client specific guidelines. The PAS will work with other team members to meet the departmental performance metrics and maintain compliance. The PAS will work with clinical to ensure requests are processed accurately and timely. The PAS will...

Archimedes is a rapidly growing leader in the specialty drug benefit management space. We are looking for a Member Services Representatives. This position is responsible for delivering excellent service to members utilizing processes and technology within a call center. If you are dependable with strong problem-solving and customer service skills apply now!  This is an in office position.

Due to growth we are seeking a Lead, Health Plan Product Strategy to join our Sales department!   The Lead, Health Plan Product Strategy will establish and drive health plan product strategies that support business growth goals. This includes development and oversight of a portfolio of initiatives enabling the development, sales, client management and execution of the Health Plan programs and products. The Lead provides expert leadership and support for all aspects of the Health Plan program strategy and operations. The Lead assesses the Health Plan solution model, program capacity and capabilities for managing new clients, manages the implementation of the Health Plan program and oversees subject matter...

Due to growth we are looking for a Sr. Analyst, Customer Experience to join our team!   The Sr. Analyst, Customer Experience ensures efforts are in alignment with our customer focused efforts within the CX/DX department. The Sr. Analyst, Customer Experience will help envision, design, and create prototypes of positive customer interactions. Journey maps, ideation, and other facilitated events to enhance customer experience will be led by this role. Identifying and serving key stakeholders is critical to this role. The Sr. Analyst, Customer Experience will utilize their technical competency and vast prior experience to identify and lead visionary and prototyping activity.

Lumicera Health Services is seeking a Software Engineer to join our team!   The Software Engineer position ensures efforts are in alignment with the Information Technology team, to support customer-focused objectives and the IT Vision, a collaborative partner delivering innovative ideas, solutions, and services to simplify people's lives. They will serve in a more seasoned capacity, within the team and will collaborate with the business teams to prototype new technologies and recommend solutions. This role will be involved with research, design, development, testing and documentation of projects. They will be encouraged to continually look for creative ways to stretch the boundaries and challenge the...

This is a Hybrid position requires 3 days a week in our Madison WI Office.   Due to growth, we are adding an

Due to growth, we are adding a Client Advocate to our CEC department.     The Client Advocate (CA) acts as a...

Due to growth, we are adding  Sales Analyst to our Sales department!   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...

Navitus Health Solutions is seeking a Sr. Coordinator, Client Audits to join our Government Programs department!    The Sr. Coordinator, Client Audits is responsible for providing administrative, technical and process support for client audit functions. The Sr. Coordinator works closely with the subject matter experts across the organization to ensure that deliverables are completed according to client audits. This role requires analytical skills, strong attention to detail, spreadsheet administration, and basic knowledge of standard audit practices.   Is this...

Due to growth, we are adding a Network Engineer/Architect to our IT Infrastructure Services department.    The Network Engineer/Architect ensures IT activities are aligned with business goals and strategies and the IT Vision, a collaborative partner delivering innovative ideas, solutions, and services to simplify people’s...

Navitus Health Solutions is seeking a Sr. Software Developer to join our IT Development department!  

This is a hybrid role working 2-3 days each week onsite at our Madison campus located at 361 Integrity Dr, Madison, WI 53717.   Navitus Health Solutions is seeking a Rebate Accountant II to join our team!    The position of Rebate Accountant II acts as a Financial Analysis...

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 reviewed.  

Due to growth, we are adding a Software Engineer to our IT Development department.    The Software Engineer position ensures efforts are in alignment with the Information Technology team, to support customer-focused objectives and the IT Vision, a collaborative partner delivering innovative ideas, solutions, and services to simplify people's lives. They will serve in a more seasoned capacity,...

Navitus Health Solutions is seeking a Product Manager to join 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 ensure that the relevant products are fully integrated with the communication and sales plans. The PM leads the process of maintaining and improving the relevant products and contributes to the development of new ones. The individual must work...

Navitus Health Solutions is seeking an Associate Product Manager to join 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 APM participates in the...

Navitus Health Solutions is seeking a Proposal Content Editor to join our Proposals department!    The Proposal Content Editor role thoroughly reviews overall proposal content to support the client acquisition and retention efforts of Navitus Health Solutions (Navitus). This wordsmith will work closely with all departments to craft, maintain and expand digital content while improving proposal quality and ensuring capture strategy. Responses reviewed by the Content Editor will be developed following tight turnaround timelines and will be based on various markets. The ideal...

Navitus Health Solutions is seeking a SIU Associate to join our Compliance department!    The SIU (Special Investigative Unit) Associate I will assist the Compliance and SIU Manager and SIU Team in the execution and maintenance of the Navitus fraud, abuse and waste program, controls, and associated policies and procedures. The SIU Associate I will initiate case files, gather necessary preliminary data to provide to SIU Investigators and make recommendations for next steps on a case referral. In addition, SIU Associate I will perform monthly sanctions reviews, prepare and submit required FWA-related reports, assist in initial, annual and...

Due to growth, we are adding Vendor Relationship Coordinator to our team!   The Vendor Relationship Coordinator’s primary role is to support the day-to-day operations of the BPO Vendor Manager on behalf of Lumicera, ensuring quality delivery of a variety of administrative and office related tasks. The Vendor Relationship Coordinator plays a vital role in the success of BPO daily operations, working closely with the Vendor Manager and Operations Leadership staff to provide general support in helping the Call Center and Prior Authorization achieve their desired results.   Is this you? Find out more below!

Lumicera Health Services is seeking an Intake Specialist I to join our Pharmacy Patient Services department!    Under direction from the Assoc. Manager, Patient Support Services and pharmacists in the Specialty Pharmacy, the Intake Specialist I is primarily responsible for enrolling new Specialty Pharmacy patients and ensuring that all pertinent patient information is contained within the record. Patient information shall include demographics, allergies, medication history, comorbidities, and payer information. The Intake Specialist I’s main objective is to place phone...

Lumciera Health Solutions is seeking an Instructional Designer to join our team!   The Instructional Designer will research, design, deliver and evaluate training curriculum and materials for instructor-led, virtual instructor-led, and online formats; evaluate the effectiveness of the training; and refine programs accordingly. This includes the design and development of e-learning coursework, developing digital resources, reporting on ID quality indicators, and creating interactive content that engages remote learners. The designer will conduct needs analyses and work closely with subject matter experts (SMEs) to identify training needs and gaps within the organization. The incumbent will ensure that...

Navitus Health Solutions is seeking a Supervisor, Claim Adjudication to join our team!    The Supervisor, Claim Adjudication Operations ensures the streamlined operation of the Claim Adjudication Operations team in alignment with customer-focused objectives. This individual will plan, design, coordinate and align resources to support the daily activities of the team. The supervisor will work closely with their team to identify, recommend, develop, implement, support, and improve customer-focused solutions.   Is this you? Find out more below!...

Lumicera Health Services is seeking a Pharmacy Technician to join our Irvine location!    Under direction from the Pharmacist-in-Charge and other pharmacists in the Specialty Pharmacy, the Pharmacy Technician I is primarily responsible for assisting the pharmacist in obtaining all the necessary information for dispensing and adjudicating a medication correctly. The Pharmacy Technician I’s main objective is to answer phone calls and contact the doctors and patients via fax or phone or other communication means. The Pharmacy Technician I is also responsible for accurately translating prescription information and all other information obtained to dispense the medication into the pharmacy dispensing software.   The Pharmacy Technician I may also...

Navitus Health Solutions is seeking an Assoc. Product Manager, Innov. Pharm. Prog.  to join our Health Strategies department!    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...

Lumicera Health Services is seeking a Industry Relations Manager to join our team!   Reporting to the Director, Strategic Partnerships, the Manager, Industry Relations is responsible for establishing, maintaining, and enhancing effective relationships with pharmaceutical manufacturers (manufacturer) that produce specialty pharmaceuticals; and negotiating contracts with such manufacturers to ensure the specialty pharmacy can obtain specialty pharmaceuticals and pricing to meet the demands of its payers and patients. Additionally, the Manager, Industry Relations is responsible for clinical drug pipeline and maximizing access to products that the specialty pharmacy has a strategic interest in dispensing. This...

Lumicera Health Solutions is seeking a Supervisor, Medication Inventory and Procurement to join our Trade Relations department!   The Supervisor, Medication Inventory and Procurement leads the management and procurement of pharmacy inventory from primary and secondary wholesale partners. This includes the management of strategic industry relationships, implementations of service, and negotiating with a variety of supply chain clients and/or industry partner audiences—current, prospective, and consultant.   Is this you? Find out more below!

Lumicera Health Solutions is seeking a Medication Access Specialist 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!

Navitus Health Solutions is seeking a Sr. Systems Architect to join our team!    The Sr. Systems Architect/Consultant ensures efforts are in alignment with the IT Enterprise Services Department 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 participating in the design, construction, maintenance, and enhancement of the Navitus IT infrastructure. With minimal leadership and tactical supervision, the incumbents collaborate with clients, staff, IT colleagues, and other stakeholders to identify user requirements, assess available technologies, and...

Due to growth, EpiphanyRx is adding Product Liaison to our team!    The Product Liaison will be responsible for managing and supporting both existing and new product programs for assigned key account clients. The Product Liaison will manage and coordinate the implementation and execution of our programs as assigned, collaborating with internal partners. The Product Liaison will act as a bridge ensuring effective communication and collaboration to maximize program success. The role supports Account Management teams to ensure seamless program operations and client...

Due to growth, we are adding a Supervisor, Account Management Operations Enablement to our Business Development team!     The Supervisor, Account Management Operations Enablement leads a team of Account Management Operations specialists and trainers as we as support and enable the operations of the Customer Success team at a book-of-business level.  This role will be responsible for the leadership of the enablement team members that...

Navitus Health Solutions is seeking a Network Contracting Manager to join our Pharmacy Network Contracting department!    The Network Contracting Manager will be responsible for the management of retail, specialty, and mail order pharmacy contracting, issue management, reporting, and network strategy in support of Navitus’ objectives. The primary responsibility is to develop, implement, execute, and provide ongoing management of pharmacy...

Navitus Health Solutions is seeking a Sr. Coordinator, Contract Performance to join our Contract Performance Management department!    The Sr. Coordinator, Contract Performance is responsible for maintaining centralized data and reporting of contractual guarantees for current and prospective Navitus clients. The Sr. Coordinator will collaborate with all functional areas to gather and provide corporate and client reporting information. An important aspect of this role includes the facilitation and coordination of communication with internal staff and external customers. The Sr....

Due to growth, we are adding a Sr. Analyst, Implementation Process to our Implementation department.   Sr. Analyst, Implementation Process is responsible for collaborating with the Implementation Team and their business partners to document and define client implementation practices,...