Navitus Health Solutions is seeking a Benefit Configuration Analyst to join our Claim Adjudication Operations team.  

Due to growth, we are adding a Clinical Operations RN to our team!     The RN, Clinical Operations is an active registered nurse responsible for assisting in the management of clinical programs within the specialty pharmacy. The primary purpose of this position is to provide telephonic education to patients and caregivers following the Clinical Protocols and working within...

Due to growth, we are adding a Service Delivery Specialist to our team!   Under direction from the Supervisor, Specialty Pharmacy Operations and the Pharmacist in Charge and/or Supervisor of Service Delivery, the Service Delivery Specialist is primarily responsible for the ongoing monitoring and carrier communication to help assure shipments deliver as intended. The Service Delivery Specialist’s objective is to use carrier or third-party resources at their disposal to quickly and efficiently resolve issues that may occur during shipment...

Due to growth, we are adding  aTrade Client Services Coordinator to our team!   The Trade Client Services Coordinator (TCSC) is a highly motivated professional with at least 3 years of successful experience with operational experience in specialty pharmacy. The TCSC will have primary responsibilities for management of manufacturer, payor and strategic partners requiring enhanced operational support. The position is responsible for the co-development of long-term account strategy and supporting the Specialty Trade Account Executive for their...

Due to growth, we are adding Clinical Operations Pharmacist to our team!   The Pharmacist, Clinical Operations’ main duty is to interpret physicians' prescriptions, contact doctors or other prescribers and/or patients to verify information on prescriptions and expedite processing of orders. This role will perform a high volume of product verification both prior to order set up as well as immediately prior to shipment. The Pharmacist, Clinical Operations will also provide telephonic consults with...

 Due to growth, we are adding a Sr. Manager, Lumicera Compliance to our team!    The Sr. Manager, Lumicera Compliance is responsible for coordinating, facilitating and maintaining compliance with all aspects of pharmacy practice for Lumicera specialty...

Lumicera Health Services is seeking a Customer Service Operations Manager to join our Patient Services department!    The Manager, Customer Service Operations (MCSO) is responsible for successful daily operations of Lumicera Customer Service Operations. MCSO will provide management and direction to staff to ensure individual and operational standards are defined, communicated, and achieved. Direct reports include PCA Supervisors with the MCSO responsible...

Due to growth, we are adding RN, Infusion Services to our Lumicera Pharmacy Madison department.    The RN, Infusion Services is an active nurse who will be assisting in the management of day-to-day operations of the patient programs, communication with patient, caregivers, nursing agencies and physicians, and will work directly with the manager of pharmacy infusion services. As an RN, Infusion...

Navitus Health Solutions is seeking a SIU Investigator to join our Compliance department!    The Investigator I, SIU will assist the Sr. Manager, Compliance and SIU and SIU Investigators in the execution and maintenance of the Navitus fraud, waste and abuse program, including controls, policies & procedures, communications and training. The Investigator I will work in a semi-professional role with an intermediate level of independence, to ensure case...

Navitus Health Solutions is seeking a Analyst, Accumulator Claims Extract to join our team!   The Analyst, Accumulator Claims Extract 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. Individuals in this role will function as a liaison by gathering, documenting and delivering implementation requirements to all necessary departments for both accumulators and claims extracts, and will act as a...

Navitus Health Solutions is seeking a Claims Analyst to join our CAO Support department!   This position 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 Claims Analyst role is responsible for analyzing, documenting and reporting findings of claim processing issues. Individuals in this role will...

Due to growth, we are adding a Director, Regulatory Implementation to our Legal & Regulatory Affairs department!     The Director, Regulatory Implementation is responsible for the development, implementation, administration, and operationalization of actions needed to ensure compliance with laws and regulations impacting pharmaceutical benefit...

Navitus Health Solutions is seeking a Clinical Grievance and Appeals Pharmacist to join our Grievance & Appeals department!   The Clinical Grievance and Appeals Pharmacist will be responsible for performing Appeals and Redeterminations, Grievance Quality of Care reviews, perform duties related to Drug Utilization Review including concurrent, retrospective, and prospective components, and serve as a liaison and clinical support the Grievance and Appeals staff for clinical calls requiring pharmacist intervention....

Lumicera Health Services is seeking a Pharmacy Technician 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...

Navitus Health Solutions is seeking a Rebate Analyst to join our Rebate Operations department!   Reporting to Senior Manager, Client Rebate Operations, the Analyst is responsible for operational aspects of Navitus’ rebate programs including, but not limited to rebate optimization, rebate guarantee reconciliation and reporting, sales and request for proposal (RFP) support, and client operations.   Is this you? Find out more below!

Lumicera Health Services is seeking a Software Developer II to join our Lumicera IT department!  

Due to growth, we are adding Manager, Medicare Finance Operations to our Government Programs department.    As part of the Government Programs Team and reporting to the General Manger, Medicare Part D, the Manager, Medicare Finance Operations s administer all Medicare Finance operational responsibilities on behalf of Navitus’ Medicare Product and those operational responsibilities delegated to Navitus by our Medicare Part D...

Navitus Health Solutions is seeking a Pharmacy Technician I to join our Lumicera Pharmacy Maryland department!    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...

This is a hybrid role with a requirement to be onsite at our Appleton campus located at 1025 West Navitus Dr. Appleton, WI  54913 at least a few times per month.  

Due to growth, we are adding a Client Onboarding Advisor to our team!   The Client Onboarding Advisor will play a key role during new client implementations to understand the client’s current processes, requirements and goals and will cross reference these to Navitus’ product offerings to strategize on how to meet the client’s needs. This individual is responsible for the creation and execution of onboarding plans created specifically for the client and will oversee the entire onboarding process end-to-end for their functional area. The...

Due to growth, we are adding a Sr. Software Developer to our IT Development department.   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...

Due to growth, we are adding a Client Onboarding Advisor to our team!   The Client Onboarding Advisor will play a key role during new client implementations to understand the client’s current processes, requirements and goals and will cross reference these to Navitus’ product offerings to strategize on how to meet the client’s needs. This individual is responsible for the creation and execution of onboarding plans created specifically for the client and will oversee the entire onboarding process end-to-end for their functional area. The...

Due to growth, we are adding a Client Onboarding Advisor to our team!   The Client Onboarding Advisor will play a key role during new client implementations to understand the client’s current processes, requirements and goals and will cross reference these to Navitus’ product offerings to strategize on how to meet the client’s needs. This individual is responsible for the creation and execution of onboarding plans created specifically for the client and will oversee the entire onboarding process end-to-end for their functional area. The...

Due to growth, we are adding a Client Onboarding Advisor to team!     The Client Onboarding Advisor will play a key role during new client implementations to understand the client’s current processes, requirements and goals and will cross reference these to Navitus’ product offerings to strategize on how to meet the client’s needs. This individual is responsible for the creation and...

Due to growth, we are adding Channel Partner Analyst to our  Sales and Marketing department.     The Analyst, Channel Partner supports the channel partner division in its efforts to bolster our downstream sales and collaborations. This role supports day-to-day activities of our reseller clients, such as health plans, TPAs, and coalitions, from RFP intake to delivery....

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

Due to growth, we are adding an Regulatory Adherence and Audit Manager to our compliance department.   This position is responsible for company-wide internal audits in accordance with annual audit objectives and work plans, established audits, and state and federal regulations implemented by Navitus’ Legal team.   This also includes responding to external audit activities and facilitating enhancements to established audits. The Manager will be responsible for prioritizing and coordinating all audit activities, conducting quality...

Due to growth, we are adding Program Manager, 340B Pharmacy Services to our Lumicera Trade Relations department.   The Program Manager of 340B Pharmacy Services is responsible for optimizing qualifications of claims eligible for the 340B program in collaboration with our external partners from organizations with Covered Entity locations.  This associate will work cross-functionally with teams at Lumicera and Lumicera-operated pharmacies to deliver value for partners through designing, implementing, and continually improving workflows and processes in scope...

Due to growth, we are adding Pharmacy Relations Specialist II to our Provider Services Operations department.    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...

Due to growth, we are adding a Pharmacy Relations Specialist to our Pharmacy Network Operations department.    The Pharmacy Relations Specialist (PRS) is a highly motivated professional with at least 3 years of successful experience working in a pharmacy or interfacing directly with pharmacies or accounts, preferably in healthcare.  Responsibilities include executing contracts with pharmacies, responding to pharmacy inquiries and completing the...

Due to growth, we are adding a Reimbursement Specialist I to our Lumicera Patient Services department.    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...

Due to growth, we are adding a Supervisor, Specialty Pharmacy Support Services to our Lumicera Patient Services department.     Under general direction of the Associate Manager, Pharmacy...

Navitus Health Solutions is seeking a Project Manager, Implementation HP Strat. to join our Implementation department!   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,...

Using deep PBM knowledge and experience with pharmacy reimbursement methodologies and generic drug pricing, plus previous team management experience, this role will support and advise senior leadership regarding provider agreements, administration of the MAC Program, and network adequacy.    Putting People First in Pharmacy- Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models.  We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them.   At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages...

Navitus Health Solutions is seeking a Telehealth Pharmacist 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...

Navitus Health Solutions is seeking a Hmong Bilingual Telehealth Pharmacy Technician to join our team!   

Navitus Health Solutions is seeking a Business Information Specialist to join our Analytics department!  This is a hybrid position out of our Madison, WI location.    The Business Information Specialist (BIS) is an entry-level 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 BIS will have a...

Due to growth, we are adding a Coordinator, Benefits and HRIS to our Human Resources department!   This position is Hybrid, Appleton WI.    The Coordinator, Benefits and HRIS (Human Resources Information...

Due to growth, we are adding Analyst, Cloud Security to our IT Security, Networking & Government department!   Navitus is seeking a Cloud Security Analyst to join our organization to drive continuous improvement to our cloud. Responsible for designing, deploying, and overseeing the management of group wide security solutions and executing against the company's Information Security and Compliance roadmap. Working closely with technology partners, you will help guide the selection, implementation, and...

Due to growth, we are adding a Manager, Enterprise Strategy & Cost Operations to our EPMO department. 

Due to growth, we are adding a Lead, Business Systems, CRM to our Implementation department.   

Due to growth, we are adding Sr. Software Developer to our Lumicera IT department!  

Due to growth, we are adding an Analyst, Network Contracting Business Impact to our Pharmacy Network Contracting department.   

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

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

Due to growth, we are adding Manager, Infusion Services to our Lumicera Pharmacy team. 

Due to growth, we are adding a Pharmacist, Clinical Operations to our Lumicera Pharmacy Cape Girardeau department.    The Pharmacist, Clinical Operations’ main duty is to interpret physicians' prescriptions, contact doctors or other prescribers and/or...

Due to growth, we are adding a Pharmacy Technician I to our Lumicera Pharmacy Cape Girardeau department.    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...

Navitus Health Solutions is seeking a Clinical Account Executive (RPh) to join our Clinical Account Management department!   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....

Navitus Health Solutions is seeking a Reporting Specialist, Pharmacy Network  to join our Pharmacy Network Contracting department!