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 an Enterprise Solutions Architect to our IT Enterprise Architecture department.    

Due to growth, we are adding a Specialty Account Executive our team!     This position will execute market strategies for generating, maintaining and improving clinic relationships to result in increased script volume. The Specialty Account Executive is responsible for the Client Services Coordinator and will manage and oversee completion and assignments of their respective daily tasks while supporting large scale specialty initiatives to maximize revenue. Key contacts will include prospective clinics, manufacture partners, and internal client relationships. The...

Due to growth, we are looking to hire 7 new contact center Member Services represenatitves for our pharmacy! We offer our employees excellent insurance at low cost, generous PTO, 401k match, and more! 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...

This is an evergreen position allowing us to pool talent in anticipation of upcoming future needs.  Archimedes is a rapidly growing leader in the specialty drug benefit management space.  We are looking for a Case and Utilization Manager to coordinate care between physicians, patients and pharmacies. This is a great opportunity for a dependable and dedicated candidate with a passion for helping patients taking specialty medications to treat complex disease states. 

Navitus Health Solutions is seeking a Analyst, Benefit Configuration to join our CAO Client department!   The Analyst, Benefit Configuration 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 Analyst, Benefit Configuration configures benefits in the claim adjudication system based on specifications from internal customers and external clients. This role applies knowledge of highly diverse plan designs, formularies, and networks across multiple lines of business, ensuring that claims...

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, Implementation, and Customer Success teams in promoting high value programs for new and existing clients. The Manager, Clinical Sales Business Development reports to the VP, Clinical Services and works closely with department...

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 operational relevance and gain reasonable understanding for effective monitoring. The QCA I shall assess...

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 a Implementation Project Manager to join our team!   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, etc. and more. The position is responsible for the building an early relationship with the clients so they learn to trust us and have...

Navitus Health Solutions is seeking an Analyst, Rebate Operations to join our Rebate Operations department!   The Analyst, Rebate Operations is responsible for analyzing, understanding, and implementing PBM to pharmaceutical manufacturer or GPO rebate submission and reconciliation processes. This individual will work closely with the Manager of Rebate Operations to assure complete accurate and timely claim data submissions to Prime Therapeutics. In addition, the Analyst will assure rebate submission standards are met, rebate payments are reconciled and investigate and resolve any discrepancies. Will be expected to understand the departments and...

Developer I, Application Systems Dynamics 365 (CRM ) ensures efforts are in alignment with IT 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. This role is responsible for development support, design, programming, and implementation of custom processes within the framework of various enterprise systems such as Dynamics CRM, SharePoint, K2 as well as other vendor purchased applications used at Navitus. This role will also drive citizen development with the application framework. This individual will work directly with business users to develop requirements ensuring the business needs are met.

This role’s responsibilities will be to help in the in the onboarding and ongoing maintenance of Navitus’ vendor relationships. Under the oversight of the Sr Vendor Risk Manager, you will partner with various internal business owners to properly risk assess vendor relationships, set guidance on document collection, and connect with various Subject Matter Experts in evaluating the vendor relationship. You will also assist in bringing the current vendor relationship inventory into compliance with the Vendor Risk Management Program. This position reports up through the Compliance Department and works closely with Finance, Information Security, Infrastructure, Business Continuity, and other areas of the company. Vendor risk management is pervasive in health...

Based on our rapid growth, we are expanding our operations team at an exciting time in our history. The Claims Operations Analyst will be a key member of the operations team supporting pharmacy data management, process improvement, and problem resolution. The ideal candidate will be a self-starter, eager to learn as well as contribute, and be willing to drive end to end processes with all levels of the organization. Given our continued growth trajectory, we are looking for someone who can grow with the company’s core operations and become a key individual contributor.   The Claims Operations Analyst will be responsible for working with internal and external partners to help manage the many moving...

Based on our rapid growth, we are expanding our operations team at an exciting time in our history. The Claims Operations Analyst will be a key member of the operations team supporting pharmacy data management, process improvement, and problem resolution. The ideal candidate will be a self-starter, eager to learn as well as contribute, and be willing to drive end to end processes with all levels of the organization. Given our continued growth trajectory, we are looking for someone who can grow with the company’s core operations and become a key individual contributor.   The Claims Operations Analyst will be responsible for working with internal and external partners to help manage the many moving...

Archimedes is a rapidly growing leader in the specialty drug benefit management space.  We are looking for a Case and Utilization Manager to coordinate care between physicians, patients and pharmacies. This is a great opportunity for a dependable and dedicated candidate with a passion for helping patients taking specialty medications to treat complex disease states. 

Due to growth, we are looking to hire 7 contact center Member Services represenatitves by August 14th! 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...

This is a hybrid configuration role working 2-3 days per week at our corporate campus located at 361 Integrity Dr, Madison, WI 53717 and 2-3 days per week from home. A remote working configuration is not being considered for this role at this time.   Navitus Health Solutions is seeking an Accountant to join our Accounting department!   The position of Accountant acts as a General Accountant for the Accounting Department. 

This is a hybrid configuration role working 2-3 days per week at our corporate campus located at 361 Integrity Dr, Madison, WI 53717 and 2-3 days per week from home. A remote working configuration is not being considered for this role at this time.   Navitus Health Solutions is seeking a Sr. Analyst, Revenue Cycle Management to join our Accounting department!   The Sr. Analyst, Revenue Cycle Management is responsible for supporting client onboarding and ongoing contract administration of the Navitus Clients best-in-class billing and analytics systems and processes.  The primary goal of this role is to ensure revenue capture is accurate and timely with emphasis on reducing manual...

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 the nursing scope of practice and guidelines. This individual will offer clinical intervention, counseling, and support services, which require substantial knowledge, judgement and professionalism based upon the foundation of nursing practice and superior patient care. The RN, Clinical Operations, assists in compliance, adherence and persistency programing within the specialty pharmacy. This position may also facilitate with manufacturer...

The Application Systems Developer role ensures efforts are aligned with IT 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. This role is responsible for development support, design, programming and implementation of custom processes within the framework of various enterprise systems using Microsoft Power Platform to enable Robotic Process Automation. This role will also drive citizen development with the application framework. This individual will work directly with business users to develop requirements ensuring the business needs are met.  

Navitus Health Solutions is seeking a Supervisor, Rebate Operations to join our team! The Supervisor, Rebate...

Navitus Health Solutions is seeking a Rebate Account Specialist II to join our Rebate Operations department!   The Rebate Account Specialist II is responsible for analyzing, understanding and implementing PBM to GPO and pharmaceutical manufacturer rebate submission and reconciliation processes. This individual will work closely with the Manager of Rebate Operations to ensure complete, accurate and timely audit of eligible claim data for rebate invoicing. In addition, the Rebate Account Specialist II will work with the IRC Contracting/strategy team to ensure...

The Trainer, Learning and Development will deliver highly interactive, engaging, and impactful virtual and in person instructor-led, and video-conferenced training to employees at all levels of the organization. Training topics will include interpersonal and leadership skills, which will necessitate a high level of emotional intelligence on the part of the Trainer. Responsibilities will also include completing the tactical and operational tasks required to meet the training needs of learners and Learning Services team members. The Trainer will use the corporate Learning Management System to schedule, share and document training and evaluate training effectiveness. The Trainer will also conduct training needs assessment, as well as analysis, design, development,...

The Call Center Team Lead will assist the Call Center Supervisor in managing the performance of the call center to meet established SLA's in addition to assisting with both Inbound and Outbound calls. A deep understanding of Archimedes’ culture and mission is vital to the success of this position. 

Navitus Health Solutions is seeking a Market VP, Sales to join our team!   The Market VP, Sales will manage the entire scope of the sales process for new Navitus Health Solutions National Accounts business in the following markets: Employer, Government, Labor (municipal, Taft-Hartley), and Self-funded companies. The Market VP, Sales will work with Executive Sales leadership to develop and execute market strategies for these market segments. The Market VP, Sales is responsible for all phases of the sales process through finalist presentation and signed contract....

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...

Lumicera Health Services is seeking a Pharmacy Technician at our Madison Facility!   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 translating prescription information and all other information obtained to dispense the medication into the pharmacy...

Lumicera Health Services is seeking a Pharmacy Technician to join our Specialty Pharmacy Operations 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 translating prescription information and all other information obtained to dispense the...

Navitus Health Solutions is seeking a SIU Analyst I to join our team!   The SIU Analyst position is responsible for conducting moderate to complex research using internal and external databases to perform analyses and develop recommendations on suspected fraud, waste, and abuse related to members, prescribers, pharmacies, and clients. In addition, the Analyst is responsible for regular and proactive extraction and evaluation of mined data, scoping data for investigations, and responding with reports and data for audits, universes, and impact assessments. The Analyst will coordinate and support data requests from third parties regarding fraud,...

Due to growth, we are adding a Specialist III, Prior Authorization to our Pharmacy Patient Services department. 

Navitus Health Solutions is seeking a Med D Compliance Oversight Analyst to join our team!   This position is an Med D Compliance Oversight Analyst SME directly responsible for conducting internal and external audits and monitoring activities for the PBM Employer Group Waiver Program (EGWP) and MA-PD/MMP Health Plan audits. The Med D Compliance Oversight Analyst (COA) will conduct quality assurance review on all audit and monitoring results. The COA will be responsible for providing monthly/quarterly audit and monitoring reports to the internal...

Lumicera Health Services is seeking a Specialty Pharmacy Intern to join our team!   The Specialty Pharmacy Intern will assist with customer service and clinical programs of Lumicera Specialty Pharmacy. The primary responsibility of this position is to effectively communicate with patients, physicians, pharmacists, and payers in the fulfillment and patient care of specialty pharmacy medications in a Specialty Pharmacy. Additionally, this person must have the ability to assess patient needs, consult on specialty pharmaceuticals and disease states, accurately set up orders and needed medication supplies. This role focuses on the clinical management...

Navitus Health Solutions is seeking a Sr. Proposal Analyst to join our team!   The Sr. Analyst, Proposal role is critical to the client acquisition and retention efforts of Navitus Health Solutions. This position works cross-functionally at a variety of levels to maximize sales and retention through the timely creation and management of competitive responses to Requests for Proposals (RFPs) and other sales related documents for a variety of audiences. The Sr. Analyst, Proposal ensures agreed upon strategies are incorporated into persuasive, compelling, and customer-focused proposals. This position ensures the timely completion of projects in accordance with defined project management processes and quality standards.   Is this you? Find out more...

Due to growth we are adding a Technical Account Executive to our team!   The Technical Account Executive is a customer-facing role who ensures efforts are aligned between the Account Management team, the Navitus Technology teams, key internal business partners, and the customers to support client-focused objectives and the IT Vision. This role is a collaborative partner delivering innovative ideas, solutions, and services to simplify people’s lives. This individual will plan, coordinate, and align resources to support the daily activities of the team. They will create and update business processes to efficiently support client needs. The Technical Account Executive represents both the Customer and...

Navitus Health Solutions is seeking a Coordination of Benefits Product Manager to join our team!   The Product Manager, Coordination of Benefits is responsible for the development, administration, maintenance, and oversight of the COB Program. The Product Manager will ensure that the appropriate software, processes, procedures, and oversight monitoring are implemented and operational to meet changing COB program needs. The Product Manager, Coordination of Benefits will work closely with members of the following departments: Analytics, Benefit Systems, Claims Adjudication Development, Client Services, Compliance, Data Services, Government Programs, Implementation, and Member Service, ensuring COB is administered and maintained according to industry, state, federal,...

Navitus Health Solutions is seeking a Sr. Manager, Clinical Account Executive to join our team!   The Sr. Manager, Clinical Account Executive is a highly motivated professional with at least 5 years of successful clinical experience interfacing directly with large complex clients. This key position is responsible for leading and developing Clinical Staff within the Account Management department as well as the co-development of long-term account strategy for the Clients assigned to the team they support. The SMCAE has exceptional clinical, business and relationship building skills and possesses the ability to apply sound clinical judgment to a...

Due to growth we are adding a Provider Services Supervisor to our team!   The Supervisor, Provider Services is a highly motivated professional experience working in a pharmacy or interfacing directly with pharmacies or accounts, preferably in healthcare.  Responsibilities include the oversight for executing contracts and/or credentials with pharmacies, responding to pharmacy inquiries, and completing the tactical and operational tasks required to maintain contracted pharmacy networks. The individual(s) in this position will oversee end to end operational aspects of administration, analysis, and quality assurance for network design and...

Navitus Health Solutions is seeking a Reimbursement Analyst, Pharmacy Network to join our Provider Services department!   The Analyst supports and evaluates agreements with providers and the Maximum Allowable Cost (MAC) program through financial price modeling, analysis, and reporting. This position will communicate and work cross functionally with other teams on generic trends and generic drug discount change effects. Provider and network performance will be analyzed in support of network development, contracting negotiations, and RFP proposals.  The Analyst, under the direction and supervision of the Provider Services leadership, is responsible for maintaining a competitive and...

Due to growth, we are adding a Sr. IT Business Relationship Manager to our IT Management department. 

Due to growth, we are adding a Sr. Paralegal to our Legal & Regulatory Affairs department.

Navitus Health Solutions is seeking a Rebate Account Specialist II to join our Rebate Operations department!   The Rebate Account Specialist II is responsible for analyzing, understanding and implementing PBM to GPO and pharmaceutical manufacturer rebate submission and reconciliation processes. This individual will work closely with the Manager of Rebate Operations to ensure complete, accurate and timely audit of eligible claim data for rebate invoicing. In addition, the Rebate Account Specialist II will work with the IRC Contracting/strategy team to ensure rebate submission...

Due to growth, we are adding Systems and Quality Analyst Manager to our team.    The Systems and Quality Analyst Manager will provide support for the development, implementation, and maintenance of our FFS Medicaid products. The FFS implementations require full compliance...