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

The Vendor Procurement Principal is a senior-level role responsible for driving complex vendor negotiation and acquisition that align with enterprise strategy transformation objectives. This position ensures that procurement activities support modernization initiatives, regulatory compliance, and operational efficiency under the Strategic Transformation Officer (STO). This role promotes critical advisory and sourcing to ensure support for business initiatives ensuring operational efficiency, scalability, and innovation. This role collaborates with existing organizational vendor-related roles and external consultants to champion and ensure vendor expectations are met or exceeded. This role will consult with and support stakeholders...

Lumicera Health Services is seeking a Prior Authorization Specialist I to join our team!   Under direction from the Supervisor, Specialty Pharmacy Services, and pharmacists in the Specialty Pharmacy, the Prior Authorization Specialist I is primarily responsible for obtaining information and assisting providers and insurance companies in triaging prior authorizations for patients of the specialty pharmacy. The Prior Authorization Specialist’s main objective is to answer phone calls and contact the doctors and patients via fax or phone or other communication means to facilitate and document prior authorization approval. The Prior...

Navitus Health Solutions is seeking an IT Support Technician to join our team!   This is an onsite position in our Appleton WI location.    The IT Support Technician will be responsible for providing first level technical assistance and support related to computer systems and hardware. Respond to queries, execute basic diagnostic programs, isolate problems, and determine proper escalation within Navitus and/or vendor support. Individuals in this job position are competent to perform work at the entry level technical skill set within this job...

Lumicera Health Services is seeking an Engineer, Development Operations to join our team!   The ideal candidate will have 5+ years of professional hands-on experience with AWS, Terraform, Kubernetes, Azure DevOps and Grafana Labs.   The Engineer, Development Operations is responsible for complete administration, support, troubleshooting and implementation of Azure DevOps whether hosted on premises or at a remote location. The Engineer, Development Operations supports CI/CD/RM/DevOps at team(s) level to deliver business value, automate...

The Sr. Executive Assistant II will be responsible for executive level administrative support to the Vice President or Senior Vice President(s) within Navitus. The position requires excellent administrative and organizational skills, handling of the highest level of confidential information, and good public relations. This individual will exercise discretionary powers and independent judgment that directly support management activities daily and perform tasks under only general supervision.   Is this you? Find out more below!

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

Navitus Health Solutions is seeking a Quality Control Analyst to join our team!   The Quality Control Analyst (QCA) is responsible for supporting and coordinating quality control analysis and related processes for activities performed by Navitus Health Solutions. The QCA I is responsible for engaging in preventive and detective quality controls that can be measured quantitatively and qualitatively to validate Navitus processes. The QCA I will work with oversight and moderate independence to ensure quality control validations are completed in a timely manner. This individual requires an intermediate understanding of quality controls and how to apply such controls to department processes. The QCA I shall have the ability to learn critical department processes with...

The part time Executive Assistant I will be responsible for executive level administrative support to the President and CEO with Archimedes, a division of Navitus Health Solutions. The position requires excellent administrative and organizational skills, handling of the highest level of confidential information, and good public relations. This individual will exercise discretionary powers and independent judgment that directly support management activities daily and perform tasks under only general supervision.   Is this you? Find out more below!

Navitus Health Solutions is seeking an Implementation Operations Analyst to join our team!   The Analyst, Implementation Operations supports the development and maintenance of implementation processes, tools, and systems. This role analyzes data to identify trends and collaborates with internal teams to ensure operational compliance and support business development efforts. The Analyst contributes to process improvements and assists in resolving implementation-related issues under the guidance of senior team members.   Is this you? Find out more below!

The Assoc. Product Manager, Med-D has responsibility for ensuring Medicare processes are being administered correctly, efficiently, and fully compliant with CMS regulations. The Assoc. Product Manager, Med-D aids in quality assurance checks for regulatory and client reporting and works closely with various departments to help ensure all deliverables are completed according to plan.    Is this you? Find out more below!

  $750 sign on bonus!    Are you looking to try a weekday only role that is not in person with patients? Our team is growing and we provide paid training for candidates who want to be licensed pharm techs and outstanding promotional opportunities for experienced pharmacy techs! Our pharm tech role works at our state-of-the-art new pharmacy distribution center in Madison, Wisconsin.   Lumicera Health...

Navitus Health Solutions is seeking an Sr. Account Manager - Health Plans with experience with Government Programs 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...

Lumicera Health Services is seeking a Pharmacist, Regional Clinical Operations to join our team! 

Due to Growth, we are adding a Manager, 340B Pharmacy Services to our team!   The Manager, 340B Pharmacy Services is responsible for optimizing successful and compliant participation in the federal 340B program for external partners of Lumicera Health System Solutions and Navitus Clients.   This role and the team 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 of the 340B program. In addition, this role will provide subject matter expertise and guidance for Navitus and...

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...

Navitus Health Solutions is seeking a Sr. Analyst, Financial to join our team! This is a hybrid role two days in our Madison location.    The Sr. Analyst, Financial performs various financial analysis, forecasting and strategic planning activities. The Financial Analyst compiles financial data in various formats to be used by Senior Leadership, SSM Health, and...

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.

Navitus Health Solutions is seeking a Business Intelligence Developer to join our team!    The Business Intelligence Developer 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 Business Intelligence Developer will have an intermediate understanding of the company’s databases, business intelligence (BI) tools, and existing reports and act as a resource in internal and external meetings. A good candidate will be detail oriented, analytical, a skilled communicator, and a quick learner with experience in analytics, data...

Lumicera Health Services is seeking a Pharmacy Technician I to join our team!    Under direction from the Pharmacist-in-Charge and other pharmacists in the Specialty Pharmacy, the Pharmacy Technician I is primarily responsible for assisting the pharmacist in obtaining all the necessary information for dispensing and adjudicating a medication correctly. The Pharmacy Technician I’s main objective is to answer phone calls and contact the doctors and patients via fax or phone or other communication means. The Pharmacy Technician I is also responsible for accurately...

Due to growth, Navitus Health Solutions is seeking a Director of Underwriting and Actuarial to join our team!   The Director, Underwriting and Actuarial is responsible for guiding the actuarial and financial analytics, assumptions, and modeling to support the strategic objectives of Navitus. This leader directs the development, implementation, and monitoring of pricing models and strategies, financial forecasts, trend analytics, and risk modeling for all lines of business, including Medicare, Medicaid, Commercial, Self-Funded, EGWP, and Exchange products. The Director, Underwriting and Actuarial works collaboratively with executive leadership, underwriting, clinical, and...

The Director, Software Engineering provides strategic, architectural, and operational leadership for enterprise software development initiatives, with a strong emphasis on data engineering, cloud architecture, SaaS product development, and DevOps automation. This role oversees multiple engineering teams responsible for building enterprise applications and SaaS platforms using .NET Core, MVC, React, AngularJS, and modern frameworks, while ensuring adherence to agile methodologies and industry best practices.   The Director, Software Engineering establishes standards for API development (SOAP/REST), CI/CD pipelines, automated testing, and infrastructure automation, and drives architectural decisions that...

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 Sales Analyst to join our team!     The Sales Analyst supports the client acquisition and retention efforts of Navitus 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...

Due to growth, we are adding a Clinical Account Executive to our team!     The Clinical Account Executive...

Navitus Health Solutions is seeking a Clinical Intern to join our team!  The Clinical Intern 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. Under the supervision of a clinician, this individual is responsible for the delivery of the Medication Therapy Management (MTM) services for commercial and Medicare members. In addition, the Clinical Intern will assist in the development and execution of additional clinical outreach programs to exceed...

Due to growth, we are adding a Clinical Account Executive to our team!    The Clinical Account Executive at Lumicera Health Services is a remote position responsible for managing and growing relationships with clinic accounts, ensuring a seamless referral and prescription...

Navitus Health Solutions is seeking a Supervisor, Claim Adjudication Operations to join our team!    The Supervisor, Claim Adjudication Operations (CAO) ensures efforts are in alignment with the 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 will plan, design, coordinate and align resources to support the daily activities of the team. The Supervisor, CAO role will work closely with their team to identify, recommend,...

Due to growth, we are adding a Product Manager, Innovative Pharmacy Programs to our team!   The Product Manager (PM) 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 Assoc. Director, Innovative Pharmacy Programs, the PM will manage and coordinate the execution for certain Innovative Pharmacy Programs. The PM will oversee day-to-day activities to...

Due to growth, we are adding a Sr. Systems Engineer to join our team!   The ideal candidate for this role will be primary in the support and maintenance of the organization Oracle OCI framework as well as the overall AWS and Azure Cloud platform, applications and secrets management. The Sr. Systems Engineer ensures efforts are in alignment with the IT Enterprise Services Department to support customer-focused objectives and the IT Vision, a collaborative partner delivering innovative ideas, solutions, and services to simplify people's lives.

Navitus Health Solutions is seeking a Business Analyst, FFS Medicaid to join our team!    The Business Analyst, Fee for Service (FFS) Medicaid “BA” will provide Business Analysis support for the development, implementation, and maintenance of various products within the FFS Medicaid Department. The initial product requiring support is the Prescriber Services Module. The scope of this module is to provide timely and accurate member and...

Navitus Health Solutions is seeking an Analyst, Claims Extract to join our team!    The Analyst, 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. This role is responsible for the ongoing management of client claims extract processes and will...

Due to growth, we are adding a Government Relations Director to our team!   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.

Due to growth, we are adding a Sr. Manager, EPMO Portfolio Operations to our team!  

Navitus Health Solutions is seeking a Manager, Implementation HP/Strategic Client to join our team!    The Manager, Implementation HP/Strategic Client is responsible for the co-development of long-term implementation and project management strategy for all new Clients assigned to the team for transition support. The position is responsible for the building an early relationship with the clients so they learn to trust us and have confidence that their transition needs will be successfully met as seamlessly as possible. The Manager works with not only the client team members but...

Due to growth, we are adding a Senior Content Editor to join our team!    The Senior Content Editor role designs and owns the architecture for the overall proposal content...

Navitus Health Solutions is seeking a Sales Executive to join our West Coast team!  

Looking to try a role that is not in person with patients? Our pharm tech role works at our state-of-the-art new pharmacy distribution center to pack and ship specialty pharmacy medications to patients around the US.    What can you expect from Lumicera

Due to growth, we are adding a Lead, Change Management to our team! 

Due to growth, we are adding a Human Resources Generalist to our team!   This is a Hybrid position out of our Appleton WI locations.    The Human...

Navitus Health Solutions is seeking a Sr. Human Resources Generalist to join our Human Resources department!    This position is Hybrid out of our Madison WI office location.    The Sr. Human Resources Generalist acts as an advisor across the enterprise, supporting and leading HR programs, policies, initiatives and oversees the compliance with federal and state employment regulations. This role provides expert guidance...

The Data Engineer is responsible for designing, building, and maintaining scalable data pipelines and infrastructure that support enterprise analytics, reporting, and operational data flows. This role plays a critical part in enabling data-driven decision-making across Centene and SPM by ensuring the availability, integrity, and performance of data systems. The Data Engineer collaborates with data scientists, analysts, software developers, and business stakeholders to deliver robust ETL solutions, optimize data storage and retrieval, and implement secure, compliant data architectures in cloud and hybrid environments. Operating within a healthcare-focused, compliance-heavy landscape, the Data Engineer ensures that data platforms...

Navitus Health Solutions is seeking a Manager, Government Clinical Services to join our team! The Manager, Government Clinical Services provides strategic vision and operational oversight of the department as well as direct management and leadership of clinical staff within the department. The Manager ensures prompt program execution, presents products to external and internal clients, and drives results in support of the corporate strategic plan. The Manager will have responsibility for the required clinical services and for driving outcome analysis initiatives to completion. The Manager, in coordination with the Program Manager of Government Clinical Services, oversees...

The Data Engineer is responsible for designing, building, and maintaining scalable data pipelines and infrastructure that support enterprise analytics, reporting, and operational data flows. This role plays a critical part in enabling data-driven decision-making across Centene and SPM by ensuring the availability, integrity, and performance of data systems. The Data Engineer collaborates with data scientists, analysts, software developers, and business stakeholders to deliver robust ETL solutions, optimize data storage and retrieval, and implement secure, compliant data architectures in cloud and hybrid environments. Operating within a healthcare-focused, compliance-heavy landscape, the Data Engineer ensures that data platforms...

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

Due to growth, we are adding a Sr. Product Manager to our team! 

Due to growth, we are adding a Human Resources Generalist to our team!   This is a Hybrid position out of our Madison WI   The Human Resources Generalist provides front-line HR...

The VP, Enterprise Product Strategy and Development is a strategic leadership role responsible for shaping the enterprise-wide product roadmap, innovation agenda, and clinical solutions portfolio across pharmacy services. This executive will lead a multidisciplinary team in designing and launching differentiated offerings that improve clinical outcomes, optimize the cost of care, and enhance the member and provider experience. The VP, Enterprise Product Strategy and Development, reporting to the Chief Growth Officer, is a member of the Operating Committee and is accountable for driving product strategies across the enterprise, including Navitus, its affiliates, and the vendor-managed products offered by Navitus that support business growth goals and visibility...

Navitus Health Solutions is seeking an Analyst, Tech. Operations Government Programs to join our team!     The Analyst, Tech. Operations Government Programs has responsibility for executing Government Programs processes accurately, efficiently, and in compliance with CMS regulations.   Is this you? Find out more below!