Due to growth, we are adding a Staff Attorney to our Legal & Regulatory Affairs department.    The Staff Attorney will assist the Navitus Chief Legal Officer and Associate General Counsel with legal matters and be responsible for drafting legal documents and templates, performing legal...

Navitus Health Solutions is seeking a Benefit Configuration Tester to join our team!    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 primary functions of the Tester, Benefit Configuration involve performing and documenting benefit configuration testing ensuring Navitus maintains an accurate, efficient, and versatile claims adjudication system. This position develops tactical tasks and processes to incorporate client and company initiatives into testing to ensure...

Navitus Health Solutions is seeking a Client Services Executive to join our Strategic Account Management department!    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...

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

Due to growth, we are adding Recoveries Coordinator to our Government Programs  Technical Operations department!   The Recoveries Coordinator I position is responsible for reprocessing of claims of all levels of complexity to execute the claims adjudication process. The Coordinator will gain a beginners understanding, applying, and communicating client-specific benefits to manage the day to day processes and changes made to a client’s benefit or a...

Due to growth, we are adding Technical Operations Supervisor to our Government Programs Technical Operations department!     The Supervisor Technical Operations is responsible for leading Technical Operations team members. This individual will interact with key operating departments related to Technical Operations business development and operational compliance and...

This is a daily onsite role working out of our corporate headquarters located at 310 Integrity Drive Madison, Wisconsin 53717.   Lumicera Health Services is seeking a Clinical Operations Pharmacist to join our Clinical Services department!    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...

Navitus Health Solutions is seeking an Analyst, PA Accel  to join our Prior Authorization department!    The Analyst, PA Accel is to be a subject matter expert for...

Navitus Health Solutions is seeking a Manager, Government Clinical Services to join our Clinical Program Management department!    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...

Navitus Health Solutions is seeking a Pharmacy Technician, Telehealth 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...

Navitus Health Solutions is seeking a Sr. Manager, Enterprise Data Governance to join our Data department!    The primary responsibility will be implementing the Navitus Enterprise Data Governance operating model and creating and maintaining an accurate inventory of enterprise data assets for the organization. This role serves as the primary...

Navitus Health Solutions is seeking a Formulary Operations Specialist to join our Formulary Services department!   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 reviewed.  

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...

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...

Due to growth, we are adding a Formulary Lead, Implementation to our Formulary Services department.    The Formulary Lead, Implementation will perform the daily, weekly and monthly/periodic administrative functions relative to updating and maintaining the various formularies for Navitus clients. This includes all the duties of the Formulary Operations Specialist II, plus responsibilities for...

Due to growth, we are adding a Formulary Lead, Implementation to our Formulary Services department.    The Formulary Lead, Implementation will perform the daily, weekly and monthly/periodic administrative functions relative to updating and maintaining the various formularies for Navitus clients. This includes all the duties of the Formulary Operations Specialist II, plus responsibilities for...

Due to growth, we are adding a Enterprise Solutions Architect to our IT Enterprise Architecture department.    The Enterprise Solutions Architect is responsible for participating in the design, construction, maintenance, and enhancement of the Navitus IT infrastructure and...

Due to growth, we are adding an Analyst, Utilization Management to our Prior Authorization department. 

Due to growth, we are adding a Patient Care Assistant to our team!     Under general direction of the Supervisor, Pharmacy Services the person employed in this Patient Care Assistant/ Customer Service position will assist with the Specialty Pharmacy programs. Primary responsibility is to effectively communicate with patients, physicians, pharmacists, and payers to assist in the fulfillment and patient care of specialty pharmacy...

Due to growth, we are adding  Sales Analyst to our Sales department!   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...

Due to growth, we are adding Sr. Coordinator, Clinical Client Services to our team!     The Sr. Coordinator, Clinical Client Services (SrCCSC) is a highly motivated professional with at least 4 years of successful experience interfacing directly with clients and clinical team to assist Clinical Account Executives (CAE) in completing the tactical and operational tasks required...

Due to growth, we are adding a Clinical Account Executive (RPh) to 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...

This is an onsite role based out of our Madison, WI campus located at 310 Integrity Dr, Madison, WI 53717.   Due to growth, we are adding Fulfillment Specialist to our Lumicera Pharmacy in Madison, WI!   

Navitus Health Solutions is seeking a IT Product Owner to join our IT Delivery department!    The Product Owner, IT will collaborate and facilitate value delivery. The Product Owner 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...

Due to growth, we are adding a Specialist, Specialty Pharmacy Account Management Operations to our Lumicera Pharmacy St. Louis department.    The Specialist, Specialty Pharmacy Account Management Operations, will support and enable the operations of their assigned specialty pharmacy...

Navitus Health Solutions is seeking a Implementation Operations Analyst to join our Implementation department!    The Implementation Operations Analyst is a highly motivated professional with at least 3 years successful implementation experience and solid knowledge of Microsoft Excel, Word, PowerPoint, Visio and SharePoint. Experience with CRM, Smartsheet, NCRx, 3D and various reporting tools are a plus. Ability to analyze and interpret data is required....

Navitus Health Solutions is seeking a Medical Director to join our Health Strategies department.    The Navitus Medical Director serves as the medical expert within the Health Strategies Division to provide clinical leadership and guidance in support of clinical program development and execution, prior authorization (PA), grievance and appeals, and client directed initiatives. The Medical Director will assist the Health Strategies Division in assuring the prescription drug benefit is evidence based and provides clinical outcomes in a financially responsible manner in accordance with all applicable laws, regulations, and client expectations. Clinical policy development and oversight in support of prior...

Due to growth, we are adding Home Infusion Pharmacist to our Clinical Services department.    Under the direction of the Manager, Infusion Services, the Home Infusion Pharmacist is primarily responsible for providing clinical services for patients receiving specialty infusion products, and those with bleeding disorders, primarily hemophilia. The Home Infusion Pharmacist will be responsible for significant portions of daily pharmacy operations assisting in the management of...

This is an onsite position working in office at our Appleton, WI campus located at 1025 West Navitus Dr. Appleton, WI 54913.   Navitus Health Solutions is seeking a Coordinator I, Audit to join our Pharmacy Audit department!   The Coordinator I, Audit will assist the Manager, Pharmacy Audit and Audit Team in the execution and...

Due to growth, we are adding a Sr. Pharmacy Sales Representative to our Sales & Account Management deapartment.     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...

Due to growth, we are a Specialist, Specialty Pharmacy Account Management Operations adding  to our Trade Relations department.   The Specialist, Specialty Pharmacy Account Management Operations, will support and enable the operations of their assigned specialty pharmacy business line to ensure seamless operational delivery and service is provided for patients of the client. This role will be responsible for coordinating and completing tactical and operational projects required for accurate client relationship management (CRM) activities....

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

Due to growth, EpiphanyRx is adding a Client Services Executive to our team.    The Client Services Executive (CSE) 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...

Due to growth, we are adding a Formulary Lead, Implementation to our Formulary Services department.    The Formulary Lead, Implementation will perform the daily, weekly and monthly/periodic administrative functions relative to updating and maintaining the various formularies for Navitus clients. This includes all the duties of the Formulary Operations Specialist II, plus responsibilities for...

Due to growth, we are adding a Sr. Network Contracting Manager to our Pharmacy Network Contracting department.     The Sr. Network Contracting Manager will be responsible for the management of all major provider...

Due to growth, EpiphanyRx is seeking a Sr. Proposal Analyst to join our team.    The Sr. Proposal Analyst supports and/or leads the client acquisition and retention efforts of EpiphanyRx, including creation and management of strategic and client-focused...

Due to growth, we are adding Sr. Market VP, Consultant Relations to our Sales Support department.     The Sr. Market VP, Consultant Relations is responsible for the strategic account management of national benefit...

Due to growth, we are adding Supervisor, Specialty Pharmacy Support Services to our Lumicera Patient Services department.    Under general direction of the Associate Manager, Pharmacy Services, the Supervisor, Specialty Pharmacy Support Services is responsible for managing the day-to-day operations of a team of Intake Specialists. This position monitors productivity and performance...

Navitus Health Solutions is seeking a Medicaid Product Manager to join our Government Programs department!    The Medicaid Product Manager (MPM) will be responsible for providing regulatory support for the Navitus Medicaid program. The Product Manager (MPM) will facilitate efforts to develop and implement various Medicaid process changes...

Navitus Health Solutions is seeking a Director, PBM Network Contracting to join our Pharmacy Network Contracting department! This role is ideal for someone with previous pricing experience for or with a provider that may include

Navitus Health Solutions is seeking a Senior Implementation Operations Analyst to join our Implementation department!    The Senior Implementation Operations Analyst is a highly motivated professional with at least 5 years successful implementation experience and solid knowledge of Microsoft Excel, Word, PowerPoint, Visio and SharePoint. Experience with CRM, Smartsheet, NCRx, 3D and various reporting tools are a plus. Ability to analyze and interpret...

Navitus Health Solutions is seeking a Billing and Revenue Cycle Management Manager to join our Accounting department!    The Manager, Billing and Revenue Cycle Management will direct, lead and oversees accounts receivable, customer invoicing, cash application, and collections management responsibilities and processes. The Manager will lead a team of Accountants and Accounting Coordinators responsible for Accounts Receivable and Billing...

This is a hybrid role working 2-3 days each week onsite at our campus located at 361 Integrity Dr, Madison, WI 53717.   Navitus Health Solutions is seeking a Rebate Accountant II to join our team!    The position of Rebate Accountant II acts as a Financial Analysis Accountant for...

EpiphanyRx is seeking a Project Manager, Implementation to join our team!    The Project Manager, Implementation (IPM) is a highly motivated professional with at least 3 years of successful client implementation experience. The IPM will interface with employer type clients as well as brokers, consultants, and coalitions to manage projects that could include transitioning clients to EpiphanyRx from their current PBM, implementing new services/programs,...

Due to growth, we are adding Product Manager, Population Health to our Population Health department!   The Product Manager will be responsible for managing both existing products and new product development for assigned clinical and strategic products. The Product Manager will manage and coordinate the execution for certain clinical programs and products. Under direction, the Product Manager (PM) will be responsible for managing the tactical operations for existing clinical products/program (e.g., Asthma Management, Pharmacoadherence, Prescriber...

Navitus Health Solutions is seeking a Grievance and Appeals Coordiantor to join our Grievance and Appeals department!    The Navitus Grievance and Appeals process is an essential function to Navitus’ compliance with CMS regulations, accrediting body standards, other applicable regulatory requirements, and member expectations. The Navitus Grievance and Appeals department serves as the central repository for all complaints received by Navitus and all appeal requests where the responsibility has...

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...

This is an onsite role at our Lumicera headquarters located at 310 Integrity Dr, Madison, WI 53717.   Due to growth, we are adding a Pharmacy Technician to our team!     Under direction from the Pharmacist-in-Charge and other...

Due to growth, we are adding an Itake 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...

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...