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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
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...
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...
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 Clinical Account Executive to our team!
The Clinical Account Executive 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...
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 Sr. Executive Assistant II 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...
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,...
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...
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 Director, Network Pricing & Market Planning to our team!
The Director, Network Pricing & Market Planning is responsible for owning pharmacy network financial performance across all lines of business, with direct accountability for achieving contracted reimbursement guarantees, including effective rate (BER/GER) performance and MAC pricing outcomes. This role leads the Network Reconciliation and MAC Pricing teams and is accountable for...
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...
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...
Due to the creation of Clarventa, we are adding a Director, Trade Negotiations and Contracting- GPO to our team. We are looking for innovators to help us create disruption in the market. This role will lead contracting and trade relations across our GPO and member pharmacies.
Reporting to the VP, Supply Chain, the Director, Wholesaler Relations & Contracting is responsible for leading all wholesaler and distributor facing contracting strategies that optimize cost, access, and financial value for Lumicera and its GPO member pharmacies. This role oversees negotiations with drug wholesalers, distributors, and suppliers to secure competitive pricing, strengthen supply chain reliability, and...
Do you have strong experience in data modeling and analytics at a PBM or healthcare company? Due to continued growth, this add to headcount role will drive value as we are expanding our team to include a Director, Network Informatics & Analytics. Please note, this is not an IT Network position.
The Director, Network Informatics & Analytics is a strategic leadership role responsible for the data, informatics, analytics, and quality governance that support pharmacy network contracting across Chain, Specialty, and Independent/Affiliated networks. This role serves as the centralized owner of network and contract data integrity, analytics, reporting, and analytical validation of...
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.
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...
Navitus Health Solutions is seeking a Sr. Analyst, Data Governance to join our team!
The Sr. Analyst, Data Governance role has a direct impact on maturing the organization forward; toward a data-driven culture. The Sr. Analyst, Data Governance champions Enterprise Data Governance within the organization and is essential for helping define and execute a Data Strategy roadmap. This individual will support the development and execution of the data governance framework by partnering with Domain Owners and Data Stewards to organize data assets and train the organization to adopt data governance best practices. The Sr. Analyst, Data Governance works in close partnership with technology and senior leadership to actively support initiatives to implement Enterprise Data...
Navitus Health Solutions is seeking a Paralegal to join our team!
The ideal candidate will be located in Madison WI working hybrid.
The Paralegal will support Navitus, 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 correspondence under general supervision; and (c) identifying, reviewing, and interpreting legislation and regulatory environment changes directly or indirectly impacting Navitus...
Due to growth, we are adding an Assistant General Counsel for Archimedes to our team!
The Assistant General Counsel for Archimedes reports to the Chief Legal Officer and is responsible for managing a team of attorneys and paralegals that provide day-to-day legal support for Archimedes.
Navitus Health Solutions is seeking a Proposal Analyst to join our team!
The Proposal Analyst 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 Proposal Analyst ensures agreed upon strategies are incorporated into persuasive, compelling, and customer-focused proposals. This position ensures the timely completion of a project in accordance with defined project management processes and quality standards. The Proposal Analyst reports to the Manager or Sr. Manager,...
Due to growth, we are adding a Pharmacist in Charge to our Specialty Pharmacy Clinical Services department.
Lumicera is offering a 10k relocation bonus to candidates outside of a 50-mile radius of our pharmacy location.
Join Lumicera Health Services to lead the future of fulfillment- driving precision, scale, and innovation across a rapidly growing, multi-site pharmacy operation.
Under general direction of the Vice President, Operations at Lumicera Health Services, the Director, Fulfillment Operations is responsible for directing the vision, strategy, and delivery of Lumicera and Lumicera partner pharmacy fulfillment operations. The Director is responsible for creating compliant, safe, and efficient fulfillment operations including inventory management, cold chain management, prescription dispensing and final verification, shipping, and service delivery. The Director is responsible for development of an effective cross-functional department through organization design, process...
Navitus Health Solutions is seeking a Coordinator, Benefits and HRIS to join our team!
This position is hybrid working three days in our Appleton WI location.
The Coordinator, Benefits and HRIS (Human Resources Information System) supports the administration of associate benefit programs and HRIS operations. This role is responsible for managing day-to-day benefit enrollment activities, including new hires and qualifying life events, while ensuring accurate and timely data processing within the HRIS.
The Coordinator serves as a key point of contact for associates, providing support for benefit-related inquiries, documentation, and...
The Administrator II, Applications Systems 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 application administration including server maintenance, application upgrades, application support and requests, disaster recovery planning, and providing any other support within the vendor purchased applications used at Navitus. This role is recognized as the go-to person when technical support is required specifically as the primary admin for our Enterprise Content Management (Document/Workflow) Suite which provides a centralized...
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 Product Manager to join our team!
We’re looking for someone who enjoys bringing moving pieces together, connecting with others, and taking ownership from kickoff through delivery. The ideal candidate takes initiative in defining and measuring outcomes, thoughtfully manages budgets, and clearly communicates the goals and value of their work. They build strong relationships and approach challenges with confidence and creative problem-solving.
The Product Manager will be responsible for managing both existing products and new product...
Lumicera Health Solutions is seeking a Specialty Pharmacy Clinical Intern to join our team at our Arizona location!
The Specialty Pharmacy Clinical Intern will perform telephonic consultations with patients regarding the use of their specialty medication from and management of their disease state. 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. Additionally, this role will assess patient needs, perform medication reconciliation, and conduct properly document patient encounters and clinical interventions. The Clinical Intern is part of our experiential learning...
Navitus Health Solutions is seeking a Sr. Manager, Accounting to join our team!
The position of Sr. Manager, Accounting is responsible for the Company’s general ledger accounting and financial reporting. The Sr. Manager, Accounting leads the technical and general accounting functions. Other functions include fixed assets management, investment analysis, transaction accounting, coordination of month-end close and the annual financial audit. Significant elements of the work involve leading the team with problem solving, coordination of work activities,...
Due to growth, we are adding an Analyst, Government Pricing to our team.
The Analyst, Government Pricing is responsible for the development, maintenance, and administration of Medicaid FFS drug pricing methodologies and supporting analytical models. This role ensures accurate, compliant, and competitive reimbursement aligned with federal and state Medicaid requirements, including NADAC, CMS guidance, and HRSA 340B pricing constraints.
The Analyst, Government Pricing...
Due to growth, we are adding a Sr. Analyst, Government Pricing to our team.
The Sr. Analyst, Government Pricing is responsible for advanced analytical support of Medicaid FFS pharmacy programs, including MAC pricing, 340B program impacts, and Statement of Work (SOW)–driven cost analysis. This role evaluates pricing methodologies, utilization trends, and regulatory impacts to support accurate forecasting, program strategy, and client/vendor decision-making.
The Sr. Analyst, Government Pricing...
Due to growth, we are adding a Sr. Manager, Government Pricing to our team.
The Sr. Manager, Government Pricing is responsible for the strategic leadership, governance, and execution of Medicaid fee‑for‑service (FFS) drug pricing, reimbursement analysis, and drug economics activities. This role provides managerial oversight of analysts and senior analysts while serving as a subject matter expert (SME) in Medicaid drug pricing constructs, generic market dynamics, MAC and 340B file governance, and state‑specific regulatory initiatives.
Due to growth, we are adding a Architect, Enterprise AI to our team!
The Architect, Enterprise AI is responsible for designing, governing, and advancing the enterprise architecture strategy for Artificial Intelligence and Agentic AI capabilities across the organization. This role partners with Enterprise Architecture, Platform Engineering, Data Engineering, and Product teams to define scalable AI architecture patterns, reference...
Due to growth, we are adding a Sr. Developer, Business Intelligence to our team.
The Sr. Developer, Business Intelligence is an expert level role that combines theory and practice to identify and communicate data-driven insights that allow managers, stakeholders, and other executives in the organization or within a state Medicaid Program to make informed decisions. A good candidate will be detail oriented, analytical, a skilled communicator, and a quick learner with experience in analytics, data modeling, or business intelligence.
Due to growth, we are adding a Engineer, Enterprise AI to our team!
The Engineer, Enterprise AI is responsible for designing, building, and operationalizing enterprise AI capabilities that enable the scalable adoption of Artificial Intelligence and Agentic AI across the organization. Working closely with the Enterprise AI Architect, this role translates enterprise AI architecture, patterns, and governance standards into implementable...
Navitus Health Solutions is seeking a Systems Architect to join our team!
The incumbent will be responsible for participating in the design, construction, maintenance, and enhancement of the Navitus IT infrastructure. With minimal leadership and tactical supervision, the incumbents collaborate with clients, staff, IT colleagues, and other stakeholders to identify user requirements, assess available technologies, and recommend solution options to meet the operational needs of Navitus. The main challenge to the Systems Architect is to architect and implement long term and short-term solutions to achieve the business needs. Incumbents also play...
Due to growth, we are adding a Learning and Development Generalist to our team.
The Learning and Development Generalist supports enterprise‑wide people development strategies as part of the Learning Services Center of Excellence. This role functions as a learning specialist responsible for the design, delivery, and evaluation of engaging virtual, in‑person, and video‑conferenced learning experiences for associates across the organization. The position partners closely with business leaders, subject matter experts, and Human Resources Business Partners to assess learning needs and develop targeted solutions, while...
The Engineer, Development Operations (DevOps) is responsible for designing and implementing secure, scalable, and automated cloud infrastructure and CI/CD pipelines using Azure DevOps, GitHub Actions, and various Infrastructure-as-Code tools. This role focuses on enabling efficient software delivery, enforcing DevSecOps practices, and supporting microservices, data workflows, and machine learning environments. The Engineer collaborates closely with development, data, and security teams to ensure high availability, observability, rapid software delivery, and compliance across cloud-native platforms.
Navitus Health Solutions is seeking a Project Manager, Implementation HP Strategic Clients (IPM) to join our team!
The Project Manager, Implementation HP Strategic Clients (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. This role is responsible for building early relationships 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 IPM...
Lumicera Health Services is seeking a Pharmacist, Clinical Operations to join our Arizona team!
The Pharmacist, Clinical Operations will be responsible for performing telephonic consultations with patients regarding the use of their specialty medication and management of their disease state. They will perform medication reconciliation, screen for potential drug interactions, and provide side effect management recommendations. Another main duty of this role will include a high volume of product verification to ensure accuracy of orders prior to shipment. The Pharmacist, Clinical Operations can expect to interpret prescribers’ prescriptions,...
Due to growth, we are adding a Portfolio Value Manager, EPMO to our team!
The Portfolio Value Manager, EPMO is responsible for ensuring that enterprise initiatives deliver measurable business value across assigned portfolios. The Portfolio Value Manager partners with business and technology leaders to define, evaluate, and refine portfolio projects/epics and to provide transparency into value, benefits, dependencies, progress, barriers, and...
Navitus Health Solutions is seeking a Pharmacy Network Reporting Specialist to join our team!
The Reporting Specialist, Pharmacy Network will play a key role in supporting the analytical operations of the Provider Services department. The Specialist will be responsible for understanding business processes, the supporting data, and performing an array of analyses and report creations that...
Navitus Health Solutions is seeking a Network Contracting Analyst to join our team!
The Analyst, Network Contracting will be responsible for the financial management of retail, specialty, and mail order pharmacy contracting, issue management, and reporting, in support of the network strategy to deliver value to Navitus clients. The primary responsibilities of this role are to analyze current and new pharmacy contracts and provide support for all phases of the pharmacy contracting process, including national and regional chain providers, pharmacy services administration organizations (PSAOs) and independent pharmacies for all lines of business.