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...

 Navitus Health Solutions is seeking a Analyst, Pharmacy Contract Audit to join our team!   The Analyst, Pharmacy Contract Audit is responsible for the oversight of Navitus’ contractual pharmacy network reimbursement accuracy. The individual in this position is expected to make independent assessments to confirm Navitus is conforming to contractual reimbursement obligations contained in Retail, Specialty, and Mail Order pharmacy agreements. The Analyst will continually review and monitor claims data, create, and update procedures, audit networks for...

Archimedes is a rapidly growing leader in the specialty drug benefit management space. We are looking for a Supervisor - FlexAccess. This position will lead a team of representatives and is responsible for the overall performance of the call center. A deep understanding of Archimedes’ culture and mission is vital to the success of this position.

Lumicera Health Services is seeking a Specialist, Inventory and Procurement to join our team!   The Specialist, Inventory and Procurement...

Due to growth, we are adding a Product Manager, Clinical Engagement Center (CEC) to our team!   The Product Manager, Clinical Engagement Center (CEC) is responsible for providing program management support for the CEC, which provides telehealth services across the nation. The Product Manager (PM) will facilitate efforts to develop and co-implement clinical products aimed at improving the health of members. Administrative oversight and...

Due to growth, we are adding a Solutions Architect to our team!  

Due to growth, we are adding an Enterprise Solutions Architect to our IT Enterprise Architecture department.    

Navitus Health Solutions is seeking a Supervisor, Pricing and Underwriting to join our team!   The idea candidate will be located in the Madison WI on a hybrid schedule twice a week.    The Supervisor, Pricing and Underwriting will oversee and manage a team of analysts. This position will support various Navitus departments to facilitate successful delivery of pricing, risk, and other relevant information for internal decision-making, operations, sales, and client retention efforts. This individual will be expected to understand, interpret, analyze, and integrate data, including claims utilization from prospective clients, Navitus systems, industry market intelligence, and other sources as...

Archimedes - Transforming the Specialty Drug Benefit - Archimedes is the industry leader in specialty drug management solutions. Founded with the goal of transforming the PBM industry to provide the necessary ingredients for the sustainability of the prescription drug benefit – alignment, value and transparency – Archimedes achieves superior results for clients by eliminating tightly held PBM conflicts of interest including drug spread, rebate retention and pharmacy ownership and delivering the most rigorous clinical management at the lowest net cost. We are a rapidly growing leader in the specialty drug benefit management space. We are looking for a Senior Director of Operations to oversee work on-site in our Brentwood,...

Due to growth, we are adding a Lead, Continuous Improvement (CI) to our team.   The Lead, Continuous Improvement (CI) is a key driver of process excellence across the organization. This role manages strategic initiatives using proven methodologies to deliver measurable, sustainable results aligned with organizational goals. Acting as a project leader, mentor, and coach, the CI Lead will foster a culture of continuous improvement and empower teams at all levels to achieve operational excellence.   Is...

Due to growth, we are adding an Analyst, Government Pricing to our team.   The Analyst, Government Pricing is responsible for the development, maintenance, and administration of Medicaid FFS drug pricing methodologies and supporting analytical models. This role ensures accurate, compliant, and competitive reimbursement aligned with federal and state Medicaid requirements, including NADAC, CMS guidance, and HRSA 340B pricing constraints.   The Analyst, Government Pricing...

Due to growth, we are adding a Sr. Analyst, Government Pricing to our team.   The Sr. Analyst, Government Pricing is responsible for advanced analytical support of Medicaid FFS pharmacy programs, including MAC pricing, 340B program impacts, and Statement of Work (SOW)–driven cost analysis. This role evaluates pricing methodologies, utilization trends, and regulatory impacts to support accurate forecasting, program strategy, and client/vendor decision-making.   The Sr. Analyst, Government Pricing...

Due to growth, we are adding a Sr. Manager, Government Pricing to our team.   The Sr. Manager, Government Pricing is responsible for the strategic leadership, governance, and execution of Medicaid fee‑for‑service (FFS) drug pricing, reimbursement analysis, and drug economics activities. This role provides managerial oversight of analysts and senior analysts while serving as a subject matter expert (SME) in Medicaid drug pricing constructs, generic market dynamics, MAC and 340B file governance, and state‑specific regulatory initiatives.

Due to growth, we are adding a Reimbursement Analyst, Pharmacy Network to our team.   The Reimbursement Analyst, Pharmacy Network is responsible for the operation of the Navitus Maximum Allowable Cost (MAC) pricing program and other generic and brand reimbursement systems with pharmacy providers.  The objective is to achieve market leading discounts, fair reimbursement to providers, and to ensure maximum competitive pricing is attained.  

Due to growth, we are adding a Sr. Data Analyst, Pharmacy Network to our team.   The Sr. Data Analyst, Pharmacy Network will play a key role in supporting the analytical operations of the Provider Services department. The Sr. Analyst will be responsible for understanding business processes, the supporting data, and performing an array of analyses and report creation that facilitate critical business decision-making processes. The objective is to utilize and harness data in an effective manner to best serve our providers, clients, and promote...

Due to growth, we are adding a Payroll Accountant to our team.   This is a remote position the ideal candidate will be in CST or EST time zone.   The Payroll Accountant is responsible for managing and overseeing payroll functions to ensure employees are paid accurately and on time. This role includes processing payroll for employees, maintaining payroll records, and ensuring compliance with federal, state, and...

Navitus Health Solutions is seeking a Product Manager  to join our team!   The Product Manager will be responsible for managing both existing products and new product development for assigned clinical and strategic products. The Product Manager will manage and coordinate the execution for certain Medicare clinical programs and products. Under direction, the Product Manager (PM) will be responsible for managing the tactical operations for existing Medicare clinical products/program (e.g. Pharmacoadherence, Star Rating Tool, Star Support Outreach, MTM, Drug Management Program, etc). Working collaboratively with the Population Health and/or Medicare Clinical Services Pharmacists or...

Due to growth, we are adding a Product Manager to our Medicare Part D Stars Program within the Clinical Engagement Center (CEC)!     The Product Manager, Clinical Engagement Center (CEC) is responsible for providing program...

Due to growth, we are adding a Architect, Enterprise AI to our team!   The Architect, Enterprise AI is responsible for designing, governing, and advancing the enterprise architecture strategy for Artificial Intelligence and Agentic AI capabilities across the organization. This role partners with Enterprise Architecture, Platform Engineering, Data Engineering, and Product teams to define scalable AI architecture patterns, reference...

Due to growth, we are adding a Sr. Developer, Business Intelligence to our team.   The Sr. Developer, Business Intelligence is an expert level role that combines theory and practice to identify and communicate data-driven insights that allow managers, stakeholders, and other executives in the organization or within a state Medicaid Program to make informed decisions. A good candidate will be detail oriented, analytical, a skilled communicator, and a quick learner with experience in analytics, data modeling, or business intelligence.

Due to growth, we are adding a Engineer, Enterprise AI to our team!   The Engineer, Enterprise AI is responsible for designing, building, and operationalizing enterprise AI capabilities that enable the scalable adoption of Artificial Intelligence and Agentic AI across the organization. Working closely with the Enterprise AI Architect, this role translates enterprise AI architecture, patterns, and governance standards into implementable...

Due to growth, we are adding a Director, Data Governance to our team!   The Director, Data Governance enables data as a strategic asset for the organization and is responsible for implementing and operating key components of the Navitus data governance framework. This role supports the development of a well-structured enterprise data ecosystem and governance practices aligned with the Navitus data fabric, under the direction of Digital Data...

Navitus Health Solutions is seeking a Sr. Paralegal and Executive Assistant to join our team!   This is an onsite position at least three days in office in our Madison WI location.    The Sr. Paralegal and Executive Assistant will be responsible for both substantive paralegal work and executive level administrative support to the SVP, Chief Legal Officer. Success in this role requires the ability to handle a high volume of work with a sense of urgency and prioritization as well as advanced administrative, communication and organizational skills, handling highly confidential information with integrity, consistently maintaining excellent professional relations, and an understanding of legal actions and...

Due to growth, we are adding a Manager, Quality to our team.   The Manager, Quality leads the specialty pharmacy’s Internal Quality & Audit Program, providing oversight of telephonic quality monitoring and operational process audits to ensure adherence to organizational standards, regulatory requirements, and accreditation expectations. This role is responsible for maintaining a high-reliability quality framework that evaluates patient interactions, workflow integrity, and documentation practices to safeguard patient safety, compliance, and service excellence.  

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

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

Navitus Health Solutions is seeking a Systems Architect to join our team!   The incumbent will be 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 recommend solution options to meet the operational needs of Navitus. The main challenge to the Systems Architect is to architect and implement long term and short-term solutions to achieve the business needs. Incumbents also play...

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

***Please note, we review your resume and application based on listed position requirements and experience. Please ensure that your resume and experience is up to date on your application***     Due to growth, we are adding a Sr. Engineer, Development Operations to our team.  

Navitus Health Solutions is seeking an Account Manager to join our team!   The Account Manager will be part of an account team that values our client relationships and operational excellence and will play an integral role as the face of our organization to clients daily. The Account Manager will be responsible for the operational execution of client strategies and plan design and serve as the voice of the customer cross-functionally throughout the organization. Through operational expertise, The Account Manager will be able to advise clients and co-workers on plan design considerations and opportunities for improvement.    Is...

Navitus Health Solutions is seeking a Coordinator, Grievance and Appeals to join our teams!   This is an onsite role located at our Appleton, WI office.   The Navitus Grievance and Appeals process is an essential function to Navitus’ compliance with CMS regulations, accrediting body standards, other applicable regulatory requirements, and member expectations. The Navitus Grievance and Appeals department serves as the central repository for all complaints received by Navitus and all appeal requests where the responsibility has been delegated to Navitus. The Navitus Grievance & Appeals Coordinator serves to administrate the Navitus Grievance and Appeals processes as outlined by Client/Plan Sponsors, departmental policies and...

Due to growth, we are adding a Sr. Client Services Executive II to our team.   The Sr. Client Services Executive II (SCSE) is a highly motivated professional with at least 7 years of successful experience interfacing directly with larger more complex clients preferably in healthcare, to manage existing PBM clients. The position is responsible for the co-development of long-term account strategy for their assigned Clients. Working with subject matter experts, the Sr. CSE will be responsible for identifying “up sell” and expansion opportunities and communicating...

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

Due to growth, we are adding a Business Analyst, Government Programs, Med-D to our team.   The Business Analyst provides business analysis support for development, implementation, and maintenance of all products within the Technical Operations Department. The Business Analyst interacts with key operating departments related to Technical Operations business development and operational compliance. The Business Analyst also understands the roles and responsibilities of the business area and how it fits within the entire corporation....

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

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

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

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

Navitus Health Solutions is seeking a Bilingual (Spanish) Pharmacist, Telehealth to join our team!   The Pharmacist, Telehealth will be a key contributor to the success of a newly launched Clinical Engagement Center (CEC) focused on improving member’s health and wellness via tele-pharmacy and wellness coaching. This pharmacist is responsible for the delivery of the Medication Therapy Management (MTM) services for commercial and Medicare members. In addition, the Telehealth Pharmacist will assist in the development and execution of additional clinical outreach program to exceed client expectations.   Is this you? Find out...

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

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

Navitus Health Solutions is seeking a Project Manager, Implementation HP Strategic Clients (IPM) to join our team!   The Project Manager, Implementation HP Strategic Clients (IPM) will interface with health plans and strategic employer clients which may include a government program component to manage projects including transitioning clients to Navitus from their current PBM, implementing new services/programs, facilitating a change in vendor relations, i.e. TPA, disease management organization, etc. and more. This role is responsible for building early relationships with the clients so they learn to trust us and have confidence that their transition needs will be successfully met as seamlessly as possible. The IPM...

Due to growth, we are adding a Scrum Master to our department.   

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

Due to growth, we are adding a Pharmacist in Charge to our Specialty Pharmacy Clinical Services department.    The Pharmacist in Charge (PIC) is responsible for the day-to-day leadership, performance, and regulatory compliance of a specialty mail-order pharmacy operation. This role oversees dispensing workflows, patient service, inventory and...

Navitus Health Solutions is seeking a Pharmacy Relations Specialist (PRS II) to join our team!   The Pharmacy Relations Specialist (PRS II) is a highly motivated professional with at least 2 years of successful experience working in a pharmacy or interfacing directly with pharmacies or accounts, preferably in healthcare.  Responsibilities include executing contracts with pharmacies, responding to pharmacy inquiries, and completing the tactical and operational tasks required to maintain contracted pharmacy networks.   Is this you? Find out more below!

Are you a pharmacist with rebate strategy experience? If so, we are looking for you! Navitus Health Solutions is seeking a Director, Industry Relations & Contracting to join our team.   Reporting to the Sr. Director, Industry Relations, the Director, Industry Relations & Contracting is responsible for leading the team of Rebate Contractors to support the maintenance and enhancement of effective relationships with all pharmaceutical manufacturers (Pharma). This includes negotiating contracts with respect to rebates and discounts for formulary inclusion to...

Based on our rapid growth, we are expanding our operations team at an exciting time in our history. The Claims Operations Analyst will be a key member of the operations team supporting pharmacy data management, process improvement, and problem resolution. The ideal candidate will be a self-starter, eager to learn as well as contribute, and be willing to drive end to end processes with all levels of the organization. Given our continued growth trajectory, we are looking for someone who can grow with the company’s core operations and become a key individual contributor.   The Claims Operations Analyst will be responsible for working with internal and external partners to help manage the many moving...

Based on our rapid growth, we are expanding our operations team at an exciting time in our history. The Claims Operations Analyst will be a key member of the operations team supporting pharmacy data management, process improvement, and problem resolution. The ideal candidate will be a self-starter, eager to learn as well as contribute, and be willing to drive end to end processes with all levels of the organization. Given our continued growth trajectory, we are looking for someone who can grow with the company’s core operations and become a key individual contributor.   The Claims Operations Analyst will be responsible for working with internal and external partners to help manage the many moving...

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