Archimedes is a rapidly growing leader in the specialty drug benefit management space. We are looking for a Member Services Supervisor in our Brentwood, TN office.  The Member Services Supervisor is responsible for the overall performance of the call center. They will make decisions regarding people, processes, technology, and customer service. This person is jointly responsible for the success of the call center team with the Sr. Director – PBM Operations. A deep understanding of Archimedes’ culture and mission is vital to the success of this position.

Archimedes is a rapidly growing leader in the specialty drug benefit management space. We are looking for a Supervisor, Member Services in our Brentwood, TN location. 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.

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 Earth...

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 Senior Analyst, Network Contracting to join our team!    The Senior Analyst, Network Contracting will be responsible for the financial management of retail, specialty, and mail order pharmacy contracting, issue management, and reporting, in support of the network strategy to deliver value to Navitus clients. ...

Due to growth, we are adding a Sr. Analyst, Financial to our team!   The Sr. Analyst, Financial performs various financial analysis, forecasting and strategic planning activities associated with the company’s Specialty operations. 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!

Due to growth, we are adding a Sr. Manager, Client Support to join our team!    The Sr. Manager, Client Support will play a key role in service as a client facing subject matter expert (SME) within the Navitus organization specializing in retail, specialty and mail order pharmacy networks. This role bridges the gap between account management and the...

Navitus Health Solutions is seeking a Industy Standards Advisor to join our team!   The Advisor, Industry Standards is responsible for compliant implementation and oversight of the National Council of Prescription Drug Programs (NCPDP) Standards. This includes facilitating internal awareness of the impacts of NCPDP standard changes and their impact on the strategic vision for Navitus. The Advisor, Industry Standards, is the subject matter expert (SME) and assists in interpreting and conveying NCPDP standards to key stakeholders. This individual will actively participate in NCPDP Work Groups (WG), Task Groups (TG). This individual will...

The Human Resources Business Partner (HRBP) serves as a strategic partner to business leaders, aligning HR strategies with business objectives to drive organizational performance. The HRBP provides expert guidance in areas such as workforce planning, talent management, associate relations, organizational development, and change management. This role acts as a consultant to management on human resource-related issues while serving as an associate champion and change agent. The HRBP will provide HR guidance, analyze metrics, resolve associate relations issues, and work with management to improve work relationships and productivity. The HRBP provides consultation to assigned business units and/or functional areas to formulate partnerships...

Navitus Health Solutions is seeking a Telehealth Pharmacist    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...

Navitus Health Solutions is seeking a Government Relations Director   The Government Relations Director reports to the VP, Government Relations to support a Navitus entity in a defined geographic territory with relation to support compliance and business objectives. The role will partner with internal business entities to understand the intersection of the business functions and goals with the current and future legislative and regulatory environment. The role will be part of a team comprised of analysts and legal counsel.   Is this you? Find out more below!  

Due to growth, we are adding a Supervisor, Issue Management to our CAO Quality department. 

Due to growth, we are adding a Sr. Issue Management Consultant to our CAO Quality department. 

Due to growth, we are adding a Manager, Issue Management to our CAO Quality department. 

Due to growth, we are adding an Issue Management Consultant to our CAO Quality department. 

Navitus Health Solutions is seeking a Director, Software Development to join our IT Development department!    We are seeking a well-established and dynamic industry leader as a Director of Software Development to champion and lead software development and deliver quality results for our organization.  The Director, Software Development is responsible for providing overall leadership and direction for the software development team, which is evolving legacy applications...

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...

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...

Navitus Health Solutions is seeking a Proposal Analyst to join our Proposals department!    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 persuasive, compelling, and customer-focused...

Due to growth, we are adding a Senior Strategic Planning Analyst to our department. 

Navitus Health Solutions is seeking an Executive Assistant II to join our IT Management team!   This position is in person located in our Appleton WI location.   The Executive Assistant II will be responsible for executive level administrative support to the VP. Position requires excellent administrative and organizational skills, handling of the highest level of confidential information, and good public relations. Exercise discretionary powers and independent judgment that directly support management activities daily. Perform tasks under general supervision.   Is this you? Find out more below!

Lumicera Health Solutions is seeking a Supervisor, Specialty Pharmacy Support Services to join our team!   Under general direction of the Associate Manager, Pharmacy Services, the Supervisor, Specialty Pharmacy Support Services is responsible for managing the day-to-day operations of a team of either Reimbursement or Intake Specialists. This position monitors productivity and performance standards and plans and directs workflow and project assignments. Oversees production volume to ensure service standards are met. The Supervisor, Specialty Pharmacy Support Services will participate in hiring, training, and evaluation of staff, as well as be...

Navitus Health Solutions is seeking a Application Systems Developer II to join our team!   The Developer II, Application Systems 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. The role of the Developer II,...

Navitus Health Solutions is seeking a Product Manager, eHealth to join our department   The Product Manager, eHealth will be responsible for managing both existing products and new product development for assigned products within Navitus’ eHealth suite, which include e-prescribing (eRx), electronic prior authorization (ePA) and real time prescription benefits (RTPB). The Product Manager (PM) will report to and provide support to the Manager, Digital Health. The PM will assist with and identify solutions for system enhancements, stability, and quality by working with IT resources. The PM will work to create and monitor metrics that ensure product accuracy and quality, vendor strategy, and product management. Responsibilities related to this role will include...

Are you interested in working Monday to Friday (NO WEEKENDS) in a clean, bright environment with heat, air conditioning and best-in-class health benefits?    Lumicera Health Services is seeking a Pharmacy Technician at our Madison Facility!   What can you...

Lumicera Health Solutions is seeking a Specialty Pharmacy Clinical Intern to join our team!   The Specialty Pharmacy Clinical Intern will perform telephonic consultations with patients regarding the use of their specialty medication from and management of their disease state. The primary responsibility of this position is to effectively communicate with patients, physicians, pharmacists, and payers in the fulfillment and patient care of specialty pharmacy medications. Additionally, this role will assess patient needs, perform medication reconciliation, and conduct properly document patient encounters and clinical interventions. The Clinical Intern is part of our experiential learning team and will interact with a variety of operations-based associates including...

Navitus Health Solutions is seeking a Benefit Configuration Analyst to join our team!    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 adjudicate...

Navitus Health Solutions is seeking a Grievance and Appeals Manager to join our team!   The Manager of the Grievance and Appeals (G&A) Department is responsible for the day-to-day leadership/support of the G&A staff. The Manager will act as a subject matter expert (SME) for implementation teams, government program reporting, client team inquiries, call center, prior authorization, and drug information teams The G&A Manager will be responsible for all applicable departmental policies and procedures, any corrective action required as a result of internal/external audit, responding to inquiries related to G&A processes for sales and...

Due to growth, we are adding a Manager, Specialty Account Executive (RPh) our team!     This position will execute market strategies for generating, maintaining and improving clinic relationships to result in increased script volume. The Specialty Account Executive is responsible for the Client Services Coordinator and will manage and oversee completion and assignments of their respective daily tasks while supporting large scale specialty initiatives to maximize revenue. Key contacts will include prospective clinics, manufacture partners, and internal client...

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. 

The Pharmacist, Clinical Retrospective Case Management 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 addition, this role will have the opportunity to evaluate the data to identify actionable opportunities for specialty management and create clinical policies. The Pharmacist, Clinical Retrospective Case Management is responsible for being the clinical expert for all specialty medications across both the pharmacy and the medical benefit. This role will be able to successfully communicate with physicians, nurses, pharmacists, and members related to...

Lumicera Health Solutions is seeking a UI/UX designer to join our team!   The UI/UX Designer ensures efforts are in alignment with our customer focused efforts within the CX/DX department. The UI/UX Designer will help envision, design, and create prototypes of positive customer interactions. Wireframes, prototypes, and visually pleasing designs will be key functions of this role. The UI/UX Designer will utilize design thinking approaches in combination with graphic design principles to influence and create visually stunning, pleasant experiences for the customers we serve both internally and externally.   Is this you? Find out more below!

Navitus Health Solutions is seeking a IT Enterprise Services Analyst to join our team!   The Analyst, IT Enterprise Services (IT Analyst) role ensures efforts are in alignment with 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. The IT Analyst role is to elicit, analyze, specify, and validate the business needs for various Navitus projects.  This includes interviewing stakeholders/sponsors, gathering and compiling requirements to convey to development teams throughout the software lifecycle. This IT...

The Product Account Manager will support a key account and product. In addition to supporting the client relationship, this role will lead product management and project manage operational projects for this product. The role will be responsible for managing any client requests for builds and any necessary drug lists and formularies. The Product Account Manager will interact with the account, product, and clinical management teams. This role will be responsible for managing and implementing any client specific product specific requirements, such as a custom formulary

The Business Analyst, Call Center is responsible for analyzing call center performance data, identifying trends, and providing actionable insights to improve operational efficiency and customer satisfaction. This role will be an expert in call center platforms and responsible for leveraging its capabilities to drive business insights, manage data, and optimize call center operations. This role will involve generating critical reporting, managing outbound calling projects, ensuring data integrity, and staying ahead of platform updates to maintain peak performance and compliance.

Navitus Health Solutions is seeking a Channel Partner Relationships Manager to join our team!   The Manager, Channel Partner Relationships is responsible for developing and managing relationships with channel partners (including consultants, health plans, coalitions and TPAs) to drive sales and revenue.  This role will identify and onboard new partners, provide support and training and manage the relationship and performance of existing partners. The Manager, Channel Partner Relationships will lead a team of Channel Partner Analysts responsible for day-to-day activities of our reseller clients, such as health plans, TPAs, and coalitions,...

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.  

Navitus Health Solutions is seeking a Sr. Product Owner, IT to join our team! We are seeking an enthusiastic, driven person to collaborate and facilitate value delivery. As a Product Owner you will play a critical role in partnering with Business Leads and the Portfolio to define, prioritize, and drive the development of product enhancements and large strategic initiatives. The Product Owner will work closely with a cross functional team to ensure that the value delivery aligns with the overall business objectives and meets customer needs. Is this you? Find out more below!    

The Product Account Lead will support a key account and product. In addition to supporting the client relationship, this role will lead product management and project manage operational projects for this product. The role will be responsible for managing any client requests for builds and any necessary drug lists and formularies. The Product Account Lead will interact with the account, product, and clinical management teams. This role will be responsible for managing and implementing any client specific product specific requirements, such as a custom formulary

The Analyst, Healthcare Compliance is responsible for ensuring Archimedes’ operations, systems, and processes maintain continuous adherence to healthcare regulatory frameworks and industry standards, including HIPAA, SOC 2, and NCQA accreditation requirements. This role supports enterprise-wide compliance activities by coordinating audits, maintaining documentation, monitoring adherence to policies, and partnering with IT, Security, Operations, and external auditors to preserve an audit-ready posture. Operating within a compliance-first, healthcare-focused environment, the Analyst, Healthcare Compliance executes risk assessments, enforces data governance standards, and provides regulatory oversight for both internal operations and client-facing systems. The...

Due to growth, we are looking to hire 9 contact center Member Services represenatitves by September 22nd. 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 Analyst, Healthcare Compliance is responsible for ensuring Archimedes’ operations, systems, and processes maintain continuous adherence to healthcare regulatory frameworks and industry standards, including HIPAA, SOC 2, and NCQA accreditation requirements. This role supports enterprise-wide compliance activities by coordinating audits, maintaining documentation, monitoring adherence to policies, and partnering with IT, Security, Operations, and external auditors to preserve an audit-ready posture. Operating within a compliance-first, healthcare-focused environment, the Analyst, Healthcare Compliance executes risk assessments, enforces data governance standards, and provides regulatory oversight for both internal operations and client-facing systems. The...

Navitus Health Solutions is seeking a Medicare Prior Authorization Supervisor to join our team!   The Supervisor, Medicare Prior Authorization (SMPA) is responsible for organizing and supervising the daily operations of the Medicare Coverage Determination process and the Medicare Prior Authorization Specialists. The SMPA is responsible for ensuring that changes driven by clients and CMS Regulatory requirements are implemented accurately and timely. This includes review of current processes against required processes, updating of work instructions and other staff resources, ensuring effective training is delivered and the Medicare Specialists...

Lumicera Health Services is seeking an Inventory and Procurement Specialist to join our Madison location!   What can you...

The Pharmacist, Clinical Retrospective Case Management 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 addition, this role will have the opportunity to evaluate the data to identify actionable opportunities for specialty management and create clinical policies. The Pharmacist, Clinical Retrospective Case Management is responsible for being the clinical expert for all specialty medications across both the pharmacy and the medical benefit. This role will be able to successfully communicate with physicians, nurses, pharmacists, and members related to...

The Pharmacist, Clinical Retrospective Case Management 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 addition, this role will have the opportunity to evaluate the data to identify actionable opportunities for specialty management and create clinical policies. The Pharmacist, Clinical Retrospective Case Management is responsible for being the clinical expert for all specialty medications across both the pharmacy and the medical benefit. This role will be able to successfully communicate with physicians, nurses, pharmacists, and members related to...

Due to growth, we are adding a Pharmacist, Clinical Consultation to our Specialty Pharmacy Clinical Services department. 

Due to growth we are adding an Intake Specialist to our team!   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 calls to new and existing patients, answer phone calls and contact the doctors and patients via fax or phone or other communication means. The Intake Specialist I is also responsible...

Navitus Health Solutions is seeking a Sr. Account Manager 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 the voice of the customer cross-functionally throughout...

Navitus Health Solutions is seeking a Pharmacy Reimbursement Administrator to join our team!   The Pharmacy Reimbursement Administrator (PRA) works in partnership with the Provider Relations Coordinators, IT Client Operations, and others to continually review, monitor, and update procedures to improve efficiencies of claims adjudication administration. The PRA will test and review pharmacy networks to ensure that claims are adjudicating per Navitus’ pharmacy contract agreements. The PRA is responsible for the process of pharmacy remittances, including the accuracy of data in pharmacy electronic payments (EFT) and/or 835-remittance advice and the oversight of recoveries of funds from pharmacies. The...