Archimedes is seeking a skilled Call Center Analyst Team Lead responsible for evaluating the performance of customer service representatives by monitoring inbound and outbound calls, or other interactions. The primary goal is to ensure adherence to company policies, quality standards, and best practices to improve customer satisfaction, agent performance, and overall service efficiency.

Archimedes is seeking a dedicated Quality Control Team Leader to join our dynamic team. The selected candidate will support our Call Center operations with emphasis on developing and enforcing quality control standards and criteria for evaluating customer interactions, including calls, emails, and chats. Lead and drive efforts to continuously improve quality control processes and methodologies based on performance data and feedback. Be the Subject Matter Expert by delivering clear and constructive feedback to agents based on quality control evaluations, focusing on both strengths and areas of improvement. Drive collaboration by coordinating with other inter departmental functions such as operations and training, to align quality control efforts with overall call...

Archimedes is seeking a skilled Call Center Analyst Team Lead responsible for evaluating the performance of customer service representatives by monitoring inbound and outbound calls, or other interactions. The primary goal is to ensure adherence to company policies, quality standards, and best practices to improve customer satisfaction, agent performance, and overall service efficiency.

Archimedes is seeking a dedicated Quality Control Team Leader to join our dynamic team. The selected candidate will support our Call Center operations with emphasis on developing and enforcing quality control standards and criteria for evaluating customer interactions, including calls, emails, and chats. Lead and drive efforts to continuously improve quality control processes and methodologies based on performance data and feedback. Be the Subject Matter Expert by delivering clear and constructive feedback to agents based on quality control evaluations, focusing on both strengths and areas of improvement. Drive collaboration by coordinating with other inter departmental functions such as operations and training, to align quality control efforts with overall call...

Due to growth, we are looking to hire 7 new contact center Member Services represenatitves for our pharmacy! We offer our employees excellent insurance at low cost, generous PTO, 401k match, and more! Hours are 10am to 7pm.    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...

This is an evergreen position allowing us to pool talent in anticipation of upcoming future needs.  Archimedes is a rapidly growing leader in the specialty drug benefit management space.  We are looking for a Case and Utilization Manager to coordinate care between physicians, patients and pharmacies. This is a great opportunity for a dependable and dedicated candidate with a passion for helping patients taking specialty medications to treat complex disease states. 

Based on our rapid growth, we are expanding our operations team at an exciting time in our history. The Sr. Manager, Human Resources will lead Human Resources operational support for the Archimedes enterprise.   The scope of this role includes delivery of HR services, establishment and enforcement of HR policies and processes, employee relations, and leave administration. This role also includes support to leaders throughout the organization for all HR issues, including personnel decisions, performance management coaching, organization structure, and job design. The incumbent in this role will ensure that policies and practices are...

The Manager, Patient Support Services is responsible for the day-to-day leadership/support of the prior authorization specialists and intake specialists. The Manager is responsible for disseminating information through proper channels and ensuring staff comprehension.  This role will assist with analyzing, monitoring, and implementing change as necessary to ensure the staff consistently meet performance metrics and deliver superior service to internal and external goals and guarantees. The Manager will remain informed of current and anticipated client or contractual requirements, changes facing the department and assist or lead interventions or changes as directed. The Manager, Patient Support Services is responsible for ensuring service levels are met consistently though...

Lumicera Health Services is seeking a Prior Authorization Specialist I to join our team!   Under direction from the Supervisor, Specialty Pharmacy Services, and pharmacists in the Specialty Pharmacy, the Prior Authorization Specialist I is primarily responsible for obtaining information and assisting providers and insurance companies in triaging prior authorizations for patients of the specialty pharmacy. The Prior Authorization Specialist’s main objective is to answer phone calls and contact the doctors and patients via fax or phone or other communication means to facilitate and document prior authorization approval. The Prior...

The Director, Corporate Communications is responsible for leading the development and execution of strategic communication initiatives to engage stakeholders, enhance the company's reputation and support business objectives.   Reporting to the VP, Marketing & Enterprise Product Strategy, this people leader oversees internal and external communications, including public relations and media within social and traditional channels. In addition, this director will demonstrate public affairs competencies, working with cross-functional leaders to maintain and strengthen positive relationships with government officials and agencies.

Lumicera is seeking a Manager, Program Management, EPMO to join our EPMO Administration departmnet.   The Manager, Program Management EPMO is responsible for working with business leaders to identify and define enterprise-level programs, strategies and plans to align with organizational goals. Overseeing development of business benefits and program cost proposals, the Manager provides direction and facilitation expertise to ensure management decision-making for optimal return on investment. This individual...

Due to growth, we are adding a Clinical Account Executive to our Lumicera Sales department.   

Navitus Health Solutions is seeking a Implementation Project Manager to join our team!   The Project Manager, Implementation HP Strat. Clients (IPM) is a highly motivated professional with at least 4-6 years of successful project management experience. This 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. The position is responsible for the building an early relationship with the clients so they learn to trust us and have...

Lumicera Health Services is seeking a Clinical Liaison to join our Specialty Pharmacy Operations department!   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!

Developer I, Application Systems Dynamics 365 (CRM ) ensures efforts are in alignment with IT Enterprise Services to support customer-focused objectives and the IT Vision, a collaborative partner delivering innovative ideas, solutions and services to simplify people’s lives. This role is responsible for development support, design, programming, and implementation of custom processes within the framework of various enterprise systems such as Dynamics CRM, SharePoint, K2 as well as other vendor purchased applications used at Navitus. This role will also drive citizen development with the application framework. This individual will work directly with business users to develop requirements ensuring the business needs are met.

The Application Systems Developer I Atlassian Suite assures efforts are in alignment with IT Enterprise Services to support customer-focused objectives and the IT Vision, a collaborative partner delivering innovative ideas, solutions and services to simplify people’s lives. This role is responsible for development support, design, programming and implementation of custom processes within the framework of various enterprise systems. This individual will work directly with business users to ensure development meets business requirements ensuring the business needs are met.   Is this you? Find out more below!

  This is a Hybrid position in Madison or Appleton WI    In a post-adjudication work environment, the Pharmacy Desk Auditor I will review pharmacy claims submission data to identify payment errors, provide outreach and education to pharmacies, ensure legal compliance and Navitus PBM adherence to contract agreement rules. This position works collaboratively with the Pharmacy Audit team to meet all contract and internal timelines/deadlines. This role requires knowledge of pharmacy billing and operational practices. The Pharmacy Desk Auditor I position requires a thorough knowledge of...

This role’s responsibilities will be to help in the in the onboarding and ongoing maintenance of Navitus’ vendor relationships. Under the oversight of the Sr Vendor Risk Manager, you will partner with various internal business owners to properly risk assess vendor relationships, set guidance on document collection, and connect with various Subject Matter Experts in evaluating the vendor relationship. You will also assist in bringing the current vendor relationship inventory into compliance with the Vendor Risk Management Program. This position reports up through the Compliance Department and works closely with Finance, Information Security, Infrastructure, Business Continuity, and other areas of the company. Vendor risk management is pervasive in health...

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...

The Senior Client Support Representative is responsible for the overall performance of member services functions for a specific client. They work independently with limited supervision. They execute their role utilizing processes, technology, and customer service skills. They stand ready their client’s members with guidance, knowledge, escalation needs, appropriate overrides and other support functions through direct, proactive support of each member’s needs. A deep understanding of Archimedes culture and mission is vital to the success of this position.

The Software Developer II 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. The Software Developer IIs role is to define, develop, test, analyze, and maintain new and existing software applications in support of the achievement of business requirements. This includes designing, documenting, coding, testing, and analyzing software programs and applications. The Software Developer II will also research, design, document, and modify software specifications throughout the production life cycle.   Is this you? Find out more below!

Archimedes is a rapidly growing leader in the specialty drug benefit management space.  We are looking for a Case and Utilization Manager to coordinate care between physicians, patients and pharmacies. This is a great opportunity for a dependable and dedicated candidate with a passion for helping patients taking specialty medications to treat complex disease states. 

Due to growth, we are looking to hire 7 contact center Member Services represenatitves by August 14th! Hours are 10am to 7pm.    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...

The Supervisor, UM Configuration will have ownership and oversight of assigned Prior Authorization (PA) utilization management tools and/or forms. In coordination with the Manager, UM Configuration the Supervisor will develop and maintain the long-term and immediate roadmap for their PA product. The Supervisor will gain an industry understanding of their assigned product, understand Navitus’ current state and improve this product for internal and external benefit. The Supervisor will interface with clients and internal stakeholders to understand needs and areas for improvement. The Supervisor will understand Navitus’ cost on our PA product, its profitability, as well as competitiveness within the marketplace. Additionally, the Supervisor will...

This is a hybrid configuration role working 2-3 days per week at our corporate campus located at 361 Integrity Dr, Madison, WI 53717 and 2-3 days per week from home. A remote working configuration is not being considered for this role at this time.   Navitus Health Solutions is seeking an Accountant to join our Accounting department!   The position of Accountant acts as a General Accountant for the Accounting Department. 

Lumicera is seeking a Project Manager, EPMO to join our EPMO Administration departmnet!    The Project Manager, EPMO reports to the Manager, EPMO Operations and will perform such functions as budget forecasting, resource plans, communication plans, project plans, business cases, and other project artifacts necessary to achieve success. The Project Manager, EPMO then uses these...

This is a hybrid configuration role working 2-3 days per week at our corporate campus located at 361 Integrity Dr, Madison, WI 53717 and 2-3 days per week from home. A remote working configuration is not being considered for this role at this time.   Navitus Health Solutions is seeking a Sr. Analyst, Revenue Cycle Management to join our Accounting department!   The Sr. Analyst, Revenue Cycle Management is responsible for supporting client onboarding and ongoing contract administration of the Navitus Clients best-in-class billing and analytics systems and processes.  The primary goal of this role is to ensure revenue capture is accurate and timely with emphasis on reducing manual...

Navitus Health Solutions is seeking a Analyst, Benefit Configuration to join our CAO Client department!   The Analyst, Benefit Configuration ensures efforts are in alignment with the Claim Adjudication Operations (CAO) team to leverage technology and process improvement for the purpose of meeting the business needs of Navitus customers, clients, members, and pharmacies by accurately administering benefits. The Analyst, Benefit Configuration configures benefits in the claim adjudication system based on specifications from internal customers and external clients. This role applies knowledge of highly diverse plan designs, formularies, and networks across multiple lines of business, ensuring that claims...

Due to growth, we are adding a Clinical Outcomes Analyst to our Clinical Program Management Team!   The Analyst, Clinical Outcomes is a role that 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 Analyst, Clinical Outcomes will have a general understanding of the company’s databases, business intelligence (BI) tools, and existing reports and act as a resource in...

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

Due to growth, we are adding a Medicaid Pharmacist to join our team!   The Pharmacist, Medicaid is responsible for providing Medicaid clinical, operational, and educational support to Navitus teams. This position will serve as a subject matter expert for Medicaid clinical aspects. The Pharmacist, Medicaid will provide operational support for the delivery of Medicaid clinical information to various business units throughout Navitus, interpretation of Medicaid guidance and state regulations, and support of Medicid clinical operation processes. This position will be an active member of the Government Clinical Services Team within the Health Strategies Division. The ability to...

Lumicera Health Services is seeking a Business Intelligence Developer to join our IT Management department!   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 modeling, or business intelligence.   Is this you? Find out more...

The Application Systems Developer role 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 individual will work directly with business users to develop requirements ensuring the business needs are met.  

Due to growth, we are adding a Data Integration Developer to our team!   The Developer, Data Integration will have a background in data integration technologies and an understanding of database systems, ETL (Extract, Transform, Load) processes, and data warehousing concepts. The Developer, Data Integration will collaborate with cross-functional teams to design, develop, test, and implement data integration solutions that meet business requirements and ensure data accuracy and integrity. This position will report to the manager of Data Services. The Developer, Data Integration ensures efforts are in alignment with the Data Services team to...

Due to growth, we are adding a Lead, Business Systems - eZBenefits to our Implementation Team!   The Lead, Business Systems is the business owner of the CRM Dynamics 365 or eZBenefits, eZSurv or equivalent systems and is responsible for the implementation and advancement of strategies, plans and systems that align with our overall business...

Navitus Health Solutions is seeking a Supervisor, Rebate Operations to join our team! The Supervisor, Rebate...

Navitus Health Solutions is seeking a Rebate Account Specialist II to join our Rebate Operations department!   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...

The Trainer, Learning and Development will deliver highly interactive, engaging, and impactful virtual and in person instructor-led, and video-conferenced training to employees at all levels of the organization. Training topics will include interpersonal and leadership skills, which will necessitate a high level of emotional intelligence on the part of the Trainer. Responsibilities will also include completing the tactical and operational tasks required to meet the training needs of learners and Learning Services team members. The Trainer will use the corporate Learning Management System to schedule, share and document training and evaluate training effectiveness. The Trainer will also conduct training needs assessment, as well as analysis, design, development,...

Navitus Health Solutions is seeking a Telehealth Pharmacy Technician to join our CEC Operations department!   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.  

The Call Center Team Lead will assist the Call Center Supervisor in managing the performance of the call center to meet established SLA's in addition to assisting with both Inbound and Outbound calls. A deep understanding of Archimedes’ culture and mission is vital to the success of this position. 

Due to growth, we are adding a Principal, Product Strategy - Health Plan to our Enterprise Product Strategy department within the Growth Division!   The Principal, Product Strategy is responsible for guiding the strategic direction and execution of disciplined, enterprise-aligned product design, development, go-to-market, and governance initiatives. This forward-thinking leader will execute with excellence, influence cross-functional stakeholders, drive innovation, and ensure connection between market-solutioning initiatives and the organization’s...

Navitus Health Solutions is seeking a Market VP, Sales to join our team!   The Market VP, Sales will manage the entire scope of the sales process for new Navitus Health Solutions National Accounts business in the following markets: Employer, Government, Labor (municipal, Taft-Hartley), and Self-funded companies. The Market VP, Sales will work with Executive Sales leadership to develop and execute market strategies for these market segments. The Market VP, Sales is responsible for all phases of the sales process through finalist presentation and signed contract....

Archimedes is a specialty drug management company with industry-leading technology and services that health plans and employer groups can use to manage specialty drug spend. We are expanding our team and looking for a clinical professional who has specialty drug management experience and a passion for cost management. Given our continued growth trajectory, we are looking for a person who can grow with the company.   This role will be divided into two areas: external clinical outreach activities related to high-cost case management and prior authorization of specialty medications, across pharmacy and medical benefits and specialty and traditional drugs. In...

Navitus Health Solutions is seeking a IT Support Technician to join our team!   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 family. They have some familiarity with information technology systems and...

Lumicera Health Services is seeking a Pharmacy Technician at our Madison Facility!   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...

Navitus Health Solutions is seeking a Benefit Configuration Tester to join our CAO Implementation 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...

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 self-motivated project management professional who has specialty drug management experience and a passion for cost management. Given our continued growth trajectory, we are looking for a motivated project manager who can grow with the company to buildout and lead large projects. The successful candidate will work directly with clients to ensure deliverables fall within the applicable scope, timing and budget. We are looking for a creative and dedicated individual who will fit with...

The Analyst, Customer Experience ensures efforts are in alignment with our customer focused efforts within the CX/DX department. The 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 Analyst, Customer Experience will utilize their technical competency to facilitate prototyping activity.   Is this you? Find out more below!

Navitus Health Solutions is seeking a Sr. Proposal Analyst to join our Proposal Department!   The Sr. Analyst, Proposal 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 Sr. Analyst, Proposal ensures agreed upon strategies are incorporated into persuasive,...

Navitus Health Solutions is seeking a Sr. Solutions Architect to join our IT Development team!   The Sr. Solutions Architect ensures efforts are in alignment with the IT FFS (Fee for Service) Medicaid 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. The Sr. Solutions Architect is responsible for driving the software architecture and platform of our AWS Cloud-based ecosystem. The Sr. Solutions Architect will define the technical end-to-end architectures needed to support the strategic direction of the FFS Medicaid line of business.   Is...