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.

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.

The Client Concierge serves as a dedicated point of contact for our client’s customer service team, managing and tracking escalations, research requests, and inquiries. This role partners closely with client contacts as well as internal teams, including Product, Account Management, and Customer Service to ensure timely, accurate, and professional resolution of member claims issues and client needs. This position is designed for someone who thrives in a client-facing environment, brings a polished communication style, and can balance responsiveness with detail-oriented problem solving.

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 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 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...

Lumicera Health Services is seeking a Client Services Executive, Specialty to join our team!   The Client Services Executive, Specialty supports the strategic and operational needs of...

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...

We anticipate a future need on our Talent Acquisition Team that could open by the end of 2025. This is not an active job opening. The goal of this role is to identify talented individuals who are interested in this role to begin future talent conversations with those who may be interested when a role becomes available.    The Coordinator, Talent Acquisition (CTA) will provide front line support for the recruiting function.  Reporting to the Sr. Manager, Talent Acquisition, the CTA will assist the HR department in carrying out programs, processes, policies, and procedures; including duties related to recruitment, hiring, record keeping,...

Lumicera Health Services is seeking an Inventory and Procurement Specialist to join our Madison location!   The Specialist, Inventory and Procurement has responsibility for...

Lumicera Health Services is seeking a Reimbursement Specialist I to join our team!   Under direction from the Assoc. Manager, Specialty Pharmacy Services, Reimbursement Team Lead, and pharmacists in the Specialty Pharmacy, the Reimbursement Specialist I is primarily responsible for following standard operating procedures to obtain and process manufacturer copay assistance program reimbursement. The Reimbursement Specialist I shall have knowledge of billing procedures and work to reduce discrepancies, inaccuracy, and outstanding balances. The Reimbursement Specialist I may also assist in contacting patients with an outstanding balance 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...

Navitus Health Solutions is seeking a Clinical Account Executive (RPh) to join our team!   This key position acts as manager and coordinator of the clinical relationship with existing clients. The objective of the clinical relationship with the client is to improve the quality of care while controlling or decreasing overall health care costs. This is accomplished by recommending, implementing and evaluating clinical programs and services. The Clinical Account Executive focuses on a proactive, consultative and comprehensive approach. The position is a key member of the Client Services Team and is responsible for the account relationship and ultimate retention of the account and growth of the business....

Navitus Health Solutions is seeking a Data Governance Sr. Analyst to join our team!   The Sr. Analyst, Data Governance role has a direct impact on maturing the organization forward; toward a data-driven culture.  The Sr. Analyst, Data Governance champions Enterprise Data Governance within the organization and is essential for helping define and execute a Data Strategy roadmap. This individual will support the development and execution of the data governance framework by partnering with Domain Owners and Data Stewards to organize data assets and train the organization to adopt data governance best practices. The Sr. Analyst, Data Governance works in close partnership with technology and senior...

The Sr. Manager, IT Delivery, is responsible for leading and contributing to the delivery, stability, security, and compliance of Archimedes’ enterprise IT platforms, infrastructure, and client-facing applications. This role provides day-to-day leadership and direction for the IT Delivery team, which encompasses security, DevOps, compliance, cloud engineering, and Tier 2 IT support functions. By combining strategic oversight with direct involvement in service delivery, the Sr. Manager ensures that Archimedes maintains a secure, resilient, and audit-ready technology environment that supports both internal operations and client commitments. Operating within IT Service Management (ITSM) best practices, the Sr. Manager ensures...

Due to growth, we are adding a Supervisor, Specialty Pharmacy Services to our Specialty Pharmacy Operations-Madison department.    

The Sr. Manager, IT Delivery, is responsible for leading and contributing to the delivery, stability, security, and compliance of Archimedes’ enterprise IT platforms, infrastructure, and client-facing applications. This role provides day-to-day leadership and direction for the IT Delivery team, which encompasses security, DevOps, compliance, cloud engineering, and Tier 2 IT support functions. By combining strategic oversight with direct involvement in service delivery, the Sr. Manager ensures that Archimedes maintains a secure, resilient, and audit-ready technology environment that supports both internal operations and client commitments. Operating within IT Service Management (ITSM) best practices, the Sr. Manager ensures...

Due to growth, we are adding a Pharmacy Technician I to our Specialty Pharmacy Operations-Madison department.     Under direction from the Pharmacist-in-Charge and other...

Due to growth, we are adding a Service Delivery Specialist to our Specialty Pharmacy Operations-Madison department.    

Lumicera Health Services is seeking a EPMO Project Manager to join our team!   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 tools to lead project team members across IT and business units to achieve all project goals within the given constraints of scope, time, and budget. When risks to these constraints arise, the Project Manager, EPMO collaborates proactively with the business sponsor to request a...

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 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: first review of prior authorization of specialty medications against clinical policies, high cost case management support functions and internal clinical process development and maintenance activities. In addition, this...

Navitus Health Solutions is seeking a Accumulator Coordinator to join our team!   The Coordinator, Accumulator 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. This role is responsible for the ongoing management of client accumulator processes and will function as the lead accumulator resource for assigned clients, as well as a back-up resource for peer...

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 seasoned professional with a strong background in healthcare analytics. This position will report to the VP of Analytics and will be responsible for the day-to-day importing, exporting, distributing, analyzing, and reporting of healthcare data. Given our growth trajectory, we are looking for a person who can grow with the company, learning new skills and assuming an expanding role.

Navitus Health Solutions is seeking a Client Operations Project Coordinator to join our team!   The Operations Coordinator is responsible for updates that effect both internal and external parties, including managing timelines, monitoring The Operations Coordinator is a highly motivated professional with at least 3 years successful PBM or health care experience and solid knowledge of Microsoft Excel, Word, PowerPoint, and SharePoint. Experience with CRM, Smartsheet, NCRx, 3D and various reporting tools are a plus. Ability to analyze and interpret data is required. Ability to plan, organize and focus on details is critical. The Operations Coordinator must have strong relationship skills to be able to interact with key operating departments related to benefit changes,...

Do you love to do research and are you looking for a non-traditional Business Analyst role?    Our Business Analyst provides business analysis support for development, implementation, and maintenance of all products within the Technical Operations Department. The Business Analyst interacts with key operating departments related to Technical Operations business development and operational compliance. The Business Analyst also understands the roles and responsibilities of the business area and how it fits within the entire corporation. This individual develops an understanding of Government Programs regulations and related CMS and/or...

Navitus Health Solutions is seeking a Medicaid Cert and Compliance Program Manager to join our team!   The person has a minimum of three (5) years of successful experience managing operational teams, conducting certification exercises using complete CMS’ MECT criteria or selected case reviews, and developing cost proposals. The role also requires regular interfacing and communicating with external clients and constituents regarding FFS pharmacy claims-processing, operating performance measures and technical development that all support the regulatory contracted needs of States and the fiscal commitments to the Company by the business unit....

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 seasoned professional with a strong background in healthcare analytics. This position will report to the VP of Analytics and will be responsible for the day-to-day importing, exporting, distributing, analyzing, and reporting of healthcare data. Given our growth trajectory, we are looking for a person who can grow with the company, learning new skills and assuming an expanding role.

The Clinical Product Manager (RPh), (CPM) will be responsible for managing new and existing product development and life-cycle management for assigned specialty and strategic products offered at the assigned business unit. Working under the direction of the business unit leader, the CPM will manage and coordinate the execution for their assigned Pharmacy Programs. The CPM will oversee day-to-day activities to ensure that the relevant products are fully integrated with the communication and sales plans. The CPM leads the process of maintaining and improving the clinical and operational needs of relevant products and contributes to the development of new ones. The individual must work cross-functionally in order to achieve departmental level objectives in support of the strategic...

Navitus Health Solutions is seeking a Operations Manager, Medicare Part D to join our Government Programs Team!   As part of the Government Programs Team and reporting to the General Manager, Medicare Part D, the Operations Manager, Medicare Part D leads the team responsible for Navitus’ Medicare EGWP Product operational processes, including benefit requirements, member materials, web content, and general Medicare Part D support. The Manager will ensure successful completion of projects led by the team and ongoing support of the resulting processes. This position will interface primarily with the Government Programs Medicare Functional Product Team, Technical Operations Team, Part D...

The Sr. Software Developer 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 idea candidate will have 3-5 years of experience working as a Microsoft C# developer with 2-3 years in an AWS environment with a solid understanding of eventing patterns. This candidate will have worked with a primary focus in backend deliverables such as API development and ETL processes.   The Sr. Software Developer’s role is to define, design, develop, test, analyze, and maintain new and existing applications in support of the achievement of business requirements....

Navitus Health Solutions is seeking a Business Continuity Disaster Recovery Specialist to join our team!   The Specialist, Business Continuity Disaster Recovery (BCDR) assists with planning, governance, implementation, maintenance, and execution of the corporate business continuity plan and supporting documentation components. The role will work under the oversight of the Facilities Manager and engage directly with critical process leaders to ensure that policies, plans, procedures, and strategies are documented, validated and evidenced to ensure restoration of critical processes and limit business interruption. The BCDR plan has expanded to...

The Engineer, Tier 2 Support is responsible for providing advanced technical support, systems administration, and operational oversight for Archimedes’ internal IT platforms, enterprise applications, infrastructure, networking, and client-facing products in a high-speed, cloud-first environment. This role manages day-to-day administration of Microsoft 365, Azure, and on-premises resources; provisions SQL environments; supports automation workflows with Azure Logic Apps and Power Platform; and develops operational and compliance reporting to support both internal operations and the reliability of services delivered to clients. Operating within IT Service Management (ITSM) best practices, the engineer ensures timely incident resolution, effective change...

Remote candidates will be considered for this role, but preference will be given to local candidates able to work a hybrid schedule 2-3 days per week at our corporate headquarters located at 361 Integrity Dr, Madison, WI 53717.  

Navitus Health Solutions is seeking a Sr. Software Developer to join our team!     The Sr. Software Developer 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 Sr. Software Developer’s role is to define, design, develop, test, analyze, and maintain new and existing applications in support of the achievement of business requirements. This includes designing, documenting, coding, testing, and analyzing software programs and applications. The Sr. Software Developer will also research, design, document, and modify software specifications throughout the production life...

Navitus Health Solutions is seeking a Director of Rebate Operations to join our team! This is a great role for someone with deep technical expertise working at a mid-scale rebate operation.    Reporting to Vice President, Formulary and Industry Relations, the Director of Rebate Operations is responsible for all operational aspects of Navitus’ rebate program including but not limited to – core operations, client operations, rebate optimization, sales support, pricing/guarantees, point of sale rebates and vendor management.  

Navitus Health Solutions is seeking a Software Developer II to join our team!     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...

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 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.

Due to growth, we are adding a Director, Product Marketing and Training to our Marketing department. 

Navitus Health Solutions is seeking a Utilization Management Analyst to join our team!    The Analyst,

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...