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

Due to growth, we are adding a Coordinator, EPMO to our team!   The Coordinator, EPMO reports to the Sr. Manager, EPMO Portfolio Operations and provides critical administrative, operational, and coordination support to the Enterprise Project Management Office leadership team and staff. This role ensures the efficient execution of departmental operations, including meeting coordination, communications, onboarding activities, and team...

Due to growth, we are adding a Pharmacist Operations Manager (PIC) to our Specialty Pharmacy Clinical Services department.    The Pharmacist Operations Manager (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...

Due to growth, we are adding a Pharmacist Fulfillment Manager (PIC) to our Specialty Pharmacy Clinical Services department.    The Pharmacist Fulfillment Manager (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...

Due to growth, we are adding a Pharmacy Manager (PIC) to our Specialty Pharmacy Clinical Services department.    The Pharmacy Manager (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 cold-chain...

Due to growth, we are adding a Project Manager, EPMO to our team.   The Project Manager, EPMO 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 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 collaborates proactively with the business sponsor...

The Sr. Engineer, Software serves as a technical leader responsible for designing, developing, modernizing, and supporting enterprise applications, APIs, digital experiences, automation services, and cloud-native software platforms. Operating within an Azure-first environment, the Sr. Engineer provides technical leadership for full-stack application development, software architecture, API design, microservices, cloud-native engineering, DevSecOps adoption, and application modernization initiatives. This role is responsible for establishing software engineering standards, reusable application patterns, secure development practices, and engineering best practices across the software development lifecycle. The Sr. Engineer, Software...

The Sr. Engineer, Development Operations serves as a technical leader responsible for architecting, governing, and advancing the organization's cloud platform, Infrastructure-as-Code (IaC), CI/CD, DevSecOps, automation, DataOps, MLOps, and enterprise integration capabilities. This role provides strategic technical leadership for Azure-based application, infrastructure, data, analytics, machine learning, and integration platforms. The Sr. Engineer establishes engineering standards, platform architectures, automation frameworks, governance controls, and operational best practices that enable secure, scalable, highly available, and cost-effective technology solutions across the enterprise. Operating in an Azure-first, Terraform-driven environment, the Sr. Engineer...

The Sr. Engineer, Data serves as the technical lead for enterprise data engineering, data architecture, lake house platforms, and AI-ready data solutions. This role is responsible for defining enterprise data architecture standards, canonical data models, data governance frameworks, integration patterns, and reusable data products that enable analytics, automation, machine learning, and artificial intelligence initiatives across the organization. Operating within an Azure-first, Databricks-centric environment, the Sr. Engineer provides technical leadership for the organization's transition from traditional SQL-based data architectures to a modern cloud-native lake house platform built on Azure Data Lake Storage Gen2, Azure Databricks, Delta Lake, Unity Catalog, and...

The Director, PSAO/Indy Pharmacy Network Contracting is responsible for leading the negotiation, execution, and ongoing management of pharmacy network contracts across all provider segments. This role holds direct accountability for contract strategy, provider agreements, and the financial outcomes of negotiated reimbursement structures.   The Director serves as the contracting authority for PSAO/Indy pharmacy provider agreements, leading negotiations with chains, grocers, PSAOs, and independent pharmacies. This role ensures that contract terms are competitive, sustainable, and aligned with enterprise pricing strategy, regulatory requirements,...

The Sr. Engineer, Cloud serves as the technical lead for Azure cloud architecture, governance, networking, security, observability, and platform operations. This role is responsible for establishing cloud engineering standards, reusable architecture patterns, landing zone strategies, infrastructure governance controls, and operational best practices supporting enterprise applications, data platforms, analytics, machine learning, and AI initiatives. The Sr. Engineer, Cloud supports enterprise data platform initiatives, including Azure Data Lake Storage Gen2, Azure Databricks, Unity Catalog, and related analytics services. This role is responsible for designing and operating the cloud infrastructure, networking, security, identity, governance, and platform services...

The Sr. Architect, Enterprise serves as the organization's principal architecture leader responsible for defining and governing enterprise technology architecture with a strategic focus on Data, Artificial Intelligence (AI), Enterprise Integration, and Digital Product Architecture. This role establishes the long-term technology vision, target-state architectures, architectural standards, governance frameworks, and modernization roadmaps that enable scalable, secure, interoperable, and AI-ready business capabilities across the enterprise. Operating within an Azure-first, Databricks-centric environment, the Senior Enterprise Architect provides leadership across enterprise applications, cloud platforms, data platforms, lake house architectures, artificial intelligence...

The Manager, Enterprise & Product Engineering is responsible for leading the design, development, delivery, and modernization of enterprise applications, APIs, digital products, automation platforms, and AI-enabled business solutions that leverage the organization's enterprise data assets. Operating within a data-first, AI-first technology strategy, this role is accountable for transforming governed enterprise data into scalable applications, intelligent workflows, digital experiences, automation capabilities, and AI-powered solutions that drive operational efficiency, customer outcomes, and business growth. This is a hands-on leadership role responsible for managing Software Developers, Senior Software Developers, and Senior Software Engineers while actively...

The Manager, Data Engineering is responsible for leading the design, implementation, operation, and modernization of the organization's enterprise data platform, lakehouse architecture, data integration ecosystem, and AI-ready data foundation. This role provides both technical leadership and people leadership across Data Engineering, Data Integration, DataOps, and enterprise data modernization initiatives. Operating within an Azure-first, Databricks-centric environment, the Manager, Data Engineering leads the organization's transition from traditional SQL-centric ETL architectures toward modern cloud-native lakehouse platforms utilizing Azure Databricks, Delta Lake, Unity Catalog, Azure Data Lake Storage Gen2, Azure Data Factory, APIs, event-driven architectures,...

The Manager, Cloud and DevOps Engineering is responsible for leading the design, implementation, operation, security, automation, and continuous improvement of the organization's cloud, platform, infrastructure, DevOps, observability, and platform engineering capabilities. Operating within an Azure-first, Databricks-centric environment, this role provides technical and people leadership for cloud infrastructure, networking, DevOps, Infrastructure-as-Code (IaC), platform engineering, cloud security, observability, reliability engineering, FinOps, and enterprise platform operations supporting business applications, data platforms, analytics, artificial intelligence (AI), machine learning (ML), automation, and enterprise technology services. This is a hands-on...

The Engineer, Development Operations is responsible for designing, implementing, and operating secure, scalable, and automated cloud infrastructure, Infrastructure-as-Code (IaC), CI/CD pipelines, and platform automation across Azure-based application, data, integration, and AI workloads. This role serves as a key technical owner for Infrastructure-as-Code, Continuous Integration/Continuous Delivery, deployment automation, cloud orchestration, and DevSecOps practices using Azure DevOps, GitHub Actions, Terraform, Bicep, Azure-native services, and related automation tooling. Operating in an Azure-first, Terraform-driven environment, the DevOps Engineer builds consistent, repeatable, version-controlled infrastructure and deployment patterns across development, test,...

The Engineer, Data is responsible for designing, building, and operating modern cloud-native data platforms, lake house architectures, data pipelines, and enterprise data products that enable analytics, artificial intelligence (AI), machine learning (ML), automation, and operational decision-making across the organization. Operating within an Azure-first, Databricks-centric environment, the Data Engineer develops scalable data solutions utilizing Azure Data Lake Storage Gen2, Azure Databricks, Delta Lake, Unity Catalog, Azure Data Factory, Synapse Analytics, APIs, event-driven integrations, and modern DataOps practices. The role supports the organization's transition from traditional SQL-based architectures to cloud-native lake house platforms that provide trusted,...

The Engineer, Data Integration is responsible for designing, implementing, and supporting enterprise integration solutions that enable secure, scalable, reliable, and governed data exchange across internal applications, cloud platforms, third-party vendors, healthcare partners, analytics platforms, automation services, and artificial intelligence (AI) solutions. Operating within an Azure-first, Databricks-centric environment, the Data Integration Engineer develops and supports API-based integrations, event-driven architectures, healthcare data exchanges, SaaS integrations, cloud-native messaging platforms, and enterprise workflow automation capabilities. This role serves as a key technical contributor in the organization's transition from traditional batch-based...

The Engineer, Cloud specializes in architecting and automating secure, scalable Azure environments. Cloud Engineer supports enterprise data platform initiatives, including Azure Data Lake Storage Gen2, Azure Databricks, and related analytics services. This role is responsible for designing and operating the cloud infrastructure, networking, security, identity, governance, and platform services that enable scalable, secure, and compliant lake house and AI workloads. The Engineer supports the organization's analytics, machine learning, and AI initiatives by implementing and operating cloud infrastructure, networking, security, identity, and platform services that enable secure, scalable, and compliant data, analytics, and AI workloads. The role assists in supporting...

Navitus Health Solutions is seeking a Lead, Event Operations to join our team!

The Director, Proposals will lead and grow a team of proposal development and management professionals who are accountable for preparing strategic customer-focused proposal content, including written proposals and other sales-related documents for a variety of client audiences. The Director will participate in the analysis and discernment of Request for Proposal (RFP) opportunities to help the organization optimize resource allocation in response to proposal requests. By leveraging both quantitative and qualitative insights, the Director, Proposals is accountable for ensuring that the Proposal team prepares accurate, timely, clear, and concise responses that effectively communicates Archimedes best in class pharmacy benefit...

Navitus Health Solutions is seeking a Sr. Manager, Account Executive to join our team!   The Sr. Manager, Account Executive is responsible for the management of a portfolio of complex client accounts while providing direct leadership and oversight to a team of professionals who manage additional books of business. This role reports to the Sr. Director, Account Management and serves as a senior leader within the Account Management organization, balancing hands-on client ownership with people leadership, performance oversight, and execution of account strategies. The Sr. Manager partners closely with Sales, Operations, Clinical, Finance, and other internal stakeholders to support client retention, growth...

The Product Manager, Product Management is responsible for managing both existing products and new product development to drive differentiation in the PBM industry. This role oversees execution of strategic programs, ensures alignment with Client Services and Sales growth plans, and serves as the voice of the customer. The Product Manager collaborates cross-functionally to enhance product performance, support strategic initiatives, and contribute to the development of innovative solutions aligned with organizational goals.

The Pharmacist, Utilization Case Manager will coordinate care between physicians, patients, and pharmacies, facilitating access to specialty medications for patients with complex disease states

Navitus Health Solutions is seeking a Coordinator, Human Resources to join our team!  

The Director, Specialty Pharmacy Network Contracting is responsible for leading the negotiation, execution, and ongoing management of specialty pharmacy network contracts across all provider segments. This role holds direct accountability for contract strategy, provider agreements, and the financial outcomes of negotiated specialty pharmacy reimbursement structures.   The Director serves as the contracting authority for specialty pharmacy provider agreements, leading negotiations with national chains, specialty pharmacies, health system–affiliated providers, and limited distribution networks. This role ensures that contract terms are competitive, sustainable, and aligned with enterprise pricing strategy, regulatory requirements, manufacturer distribution models, and...

The Director, Clinical Engagement Center is responsible for overseeing all telepharmacy and engagement operations assuring alignment with regulatory, client, and clinical requirements. Telepharmacy and health coaching activities focused on improving member health while providing an optimal member experience is key. Ability to develop clinical pathways aimed at improved health in a concierge-like environment to resolve pharmacy-related concerns is required. Additional focus on peer-to-peer engagement between healthcare professionals to improve prescribing practices and total cost of care will be a core function. The Director, Clinical Engagement Center will be responsible for key performance indicators (KPI) including traditional...

Navitus Health Solutions is seeking a Sr. Coordinator, Client Audits to join our team!   The Sr. Coordinator, Client Audits is responsible for providing administrative, technical and process support for client audit functions. The Sr. Coordinator works closely with the subject matter experts across the organization to ensure that deliverables are completed according to client audits. This role requires analytical skills, strong attention to detail, spreadsheet administration, and basic knowledge of standard audit practices.   Is this you? Find out more below!

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...

The Pharmacist, Formulary Operations leads clinical strategy and manages formulary and drug lists for pharmacy and medical specialty.

Due to growth, we are adding a Director, Account Management Operations to our team!   The Director, Account Management Operations is a senior operations leader responsible for driving operational excellence, scalability, and consistency across Customer Success and Account Management functions. This role provides strategic and operational leadership for company-level service delivery, operational performance management, and cross‑functional...

Due to growth, we are adding a Supervisor, Quality Assurance Benefit Configuration to our team!   The Supervisor, Quality Assurance Benefit Configuration ensures efforts are in alignment with the Quality 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 will plan, design, coordinate, and align...

Due to growth, we are adding a Sr. Pharmacy Sales Representative to our team.   The Sr. Pharmacy Sales Representative is a customer-oriented pharmacy sales representative who can thrive and a fast-paced environment and will manage and assist the entire scope of the sales process for new Lumicera Health Services business in the California market. The Sr. Pharmacy Sales Representative will work with the Pharmacy Sales Director to execute market strategies for a market segment. The Sr. Pharmacy Sales Representative will act as the link between our company and...

Due to growth, we are adding a Program Manager, 340B Optimization to our team.   The Program Manager, 340B Optimization is responsible for coordinating and advancing initiatives related to the 340B drug pricing program (340B program) in support of health system partners served by Lumicera Health Services. This role reports to the Manager, Health System Pharmacy Revenue Integrity and works closely with internal stakeholders including pharmacy operations, finance,...

Due to growth, we are adding a Sr. Manager, Strategic Growth & Proposal Performanceto our team.   The Sr. Manager, Strategic Growth & Proposal Performance will manage the strategic growth and management of proposals for Lumicera. This includes managing proposal processes, optimizing performance across RFP responses, and partnering with Sales and cross-functional teams to enhance win rates and competitive positioning. The Sr. Manager will participate in the analysis and discernment of Request...

Navitus Health Solutions is seeking a Sr. Analyst, Financial to join our team!   The ideal candidate will be hybrid in Madison WI     The Sr. Analyst, Financial performs various financial analysis, forecasting and strategic planning activities. The Sr. Analyst compiles financial data in various formats to be used by Senior Leadership, SSM Health, and other key stakeholders in the organization.  

Navitus Health Solutions is seeking a Paralegal to join our team!   This is a hybrid position working three days in our Madison WI location.    The Sr. Executive Assistant II will be responsible for executive level administrative support for Navitus Legal division. This position requires excellent administrative and organizational skills, handling of the highest level of confidential information,...

 Navitus Health Solutions is seeking a Manager, Clinical Sales Business Development to join our team!   The Manager, Clinical Sales Business Development is responsible for optimizing growth and enhancing the market presence of Clinical Services programs and representing the Health Strategies areas to prospective clients and consultants. This position oversees sales deliverables, ensuring all products are optimally positioned, and actively participates in the sales process for all lines of business including Commercial, Exchange, Medicare and Medicaid. The role will support the Health Strategies, Proposal, Growth,...

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...

Navitus Health Solutions is seeking a 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 this you? Find out more below!

Navitus Health Solutions is seeking a Associate Product Manager (APM) to join our team!   The Associate Product Manager (APM) will be responsible for managing operations for both existing products and new product development for assigned specialty and strategic products. Working under the direction of the Sr. Product Manager, Innovative Pharmacy Programs and working with other Product Managers, the APM will manage and coordinate the execution of assigned programs and products. The APM, will oversee day-to-day activities to ensure that the relevant products are...

Navitus Health Solutions is seeking a Specialist, Formulary Operations to join our team!   The Specialist, Formulary Operations will perform the daily, weekly, and monthly/periodic administrative functions necessary to update and maintain the formularies for Navitus’ clients for all lines of business. This includes working with the Formulary Services Supervisors to make all changes to the formulary information accessed by clients, as well as day to day formulary maintenance; and having advisory input to how this information is presented, maintained, and...

Navitus Health Solutions is seeking a Client Services Executive (CSE) to join our team!   The Client Services Executive (CSE) is a highly motivated professional with at least 5 years of successful experience interfacing directly with varied complex clients preferably in healthcare, to manage existing Pharmacy Benefit Management clients. The position is responsible for the co-development of long-term account strategy for their assigned clients. Working with subject matter experts, the CSE will be for responsible for identifying “up sell” and expansion opportunities and communicating...

The Director, Pharmacy Network Contracting is responsible for leading the negotiation, execution, and ongoing management of pharmacy network contracts across all provider segments. This role holds direct accountability for contract strategy, provider agreements, and the financial outcomes of negotiated reimbursement structures.   The Director serves as the contracting authority for pharmacy provider agreements, leading negotiations with national chains, grocers, PSAOs, and independent pharmacies. This role ensures that contract terms are competitive, sustainable, and aligned with enterprise pricing strategy, regulatory requirements, and long-term network objectives.   This role partners closely with the Senior Director, Network Contracting to drive...

Due to growth, we are adding a Lead, EPMO Operations & Enablement to our team!   The Lead, EPMO Operations & Enablement is a strategic individual contributor responsible for enhancing, maturing, and sustaining the operational project infrastructure that enables Navitus Health Solutions' Enterprise Project Management Office to deliver transformational outcomes at scale. This role serves as the connective tissue across the EPMO's...

Navitus Health Solutions is seeking a Coordinator, Eligibility to join our team!   The Coordinator, Eligibility 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 Coordinator, Eligibility will work closely with Information Technology, Benefit Configuration, Implementation, and Account Management teams to understand the interdependences of each functional area.   The Coordinator, Eligibility is responsible for the ongoing management of client eligibility processes and will function as the lead eligibility resource for assigned clients,...

Navitus Health Solutions is seeking a Paralegal to join our team!   This is a hybrid position in Madison WI.   The Sr. Paralegal will support Navitus, Lumicera, and their subsidiaries by (a) managing licensing processes; (b) drafting legal documents and templates, managing document templates and corporate legal records, performing records and legal research and preparing...

The RN Case Manager, Telehealth (RN) will focus on improving members’ health and wellness via tele-pharmacy. In addition, the RN will assist in the development and execution of additional clinical outreach program(s) to exceed client expectations. Additional responsibilities will be the provision of telehealth coaching to members in a variety of new program offerings aimed at improving adherence and driving to the lowest net cost formulary options. Remote engagement with members and prescribers will be frequent. The RN will also support department leadership with development of appropriate clinical resources, recommendations regarding targeted medication review selections, and policies and procedures. Other support provided will include clinical...

The Pharmacist, Telehealth will focus on improving members’ health and wellness via tele-pharmacy. In addition, the Telehealth Pharmacist will assist in the development and execution of additional clinical outreach program(s) to exceed client expectations.   Additional responsibilities will be the provision of telehealth coaching to members in a variety of new program offerings aimed at improving adherence and driving to the lowest net cost formulary options. Remote engagement with members and prescribers will be frequent. The Telehealth Pharmacist will also support department leadership with development of appropriate clinical...

Lumicera Health Services is seeking a Sales Analyst to join our team!   The Sales Analyst supports the client acquisition and retention efforts of Lumicera by providing professional and timely support to the Sales team while insuring the timely coordination and delivery of sales materials to key advisor relationships. The Sales Analyst participates in critical sales and marketing efforts. Among other job responsibilities, this position supports the maintenance, development, and distribution of a variety of sales collateral needs and works cross-functionally to ensure internal and...