Due to growth we are adding a Account Management Team Lead to our team!   As a Team Lead, Account Management, you will lead a team of Account Managers and Sr. Account Managers as well as hold a small book of business comprised of key accounts. The Team Lead will be responsible for the coaching, development and performance of a team as well as serve as a resource for escalated client situations. Coaching the team on the core competencies of their role will be an essential part of your responsibilities. The Team Lead will serve as a member of a client account team that values our client relationships and operational excellence and will play an...

Due to growth we are adding a Financial Systems Architect to our Accounting department!   The Financial Systems Architect will be responsible for managing, maintaining, and configuring the systems that process financial and billing data. This role collaborates with internal teams and stakeholders to identify and understand business changes and solutions within the financial systems software to meet those objectives. The Financial Systems Architect reviews and updates client-specific data, monitors and reinforces financial processes, and works with the business to identify efficiencies and document requirements.   Is this you? Find out more below!

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...

This is a hybrid role working onsite at our headquarters each week located at 361 Integrity Drive  Madison, WI 53717.  

Due to growth, we are adding a Sales Executive to EpiphanyRx. Our idea candidate will be in West Coast time zone.    The Sales Executive will manage the entire scope of the sales process for new EpiphanyRx business in the employer self-funded space. The Sales Executive will work with Executive Sales leadership to develop and execute market strategies for these market segments. The Sales...

Due to growth, we are adding a Sr. Analyst, Data Governance to our Data & Digital department.   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...

Due to growth we are adding a UM Reporting Supervisor to our Prior Authorization department!   The Supervisor, UM Reporting will have ownership and oversight of Utilization Management reporting and analytics. In coordination with the Sr Manager, UM Operations, the Supervisor will develop and maintain the long term and immediate roadmap for UM Reporting. The Supervisor will gain an industry and regulatory understanding of UM reporting, understand Navitus’ current state and improve reporting for internal and external benefit. The Supervisor will interface with clients and internal stakeholders to understand needs and areas for improvement.   Is...

Lumicera Health Services is seeking a Prior Authorization Specialist to join the 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 Authorization Specialist may also be responsible for ensuring that all pertinent patient information is contained within the record....

Navitus Health Solutions is seeking a Coordinator, Eligibility to join our CAO Client department!    The Coordinator, Eligibility ensures efforts are in alignment with the Claim Adjudication Operations (CAO) team to leverage technology and process improvement for the purpose of meeting the business needs of Navitus customers, clients, members, and pharmacies by accurately administering benefits. The Coordinator, Eligibility is responsible for the...

Lumicera Health Services is seeking a Reimbursement Specialist to join our team!   Under direction from the Assoc. Manager, Specialty Pharmacy Services, Reimbursement Team Lead, and pharmacists in the Specialty Pharmacy, the Reimbursement Specialist I is primarily responsible for following standard operating procedures to obtain and process manufacturer copay assistance program reimbursement. The Reimbursement Specialist I shall have knowledge of billing procedures and work to reduce discrepancies, inaccuracy, and outstanding balances. The Reimbursement Specialist I may also assist in contacting patients with an outstanding balance to communicate billing options.   Is this you? Find out more below!

Archimedes is a rapidly growing leader in the specialty drug benefit management space.  We are looking for a Member Services Representative to work on-site in our Earth City, MO office.  This position is responsible for delivering excellent service to members utilizing processes and technology within a call center.  If you are reliable with strong problem-solving and customer service skills, we would love to hear from you

Archimedes is a rapidly growing leader in the specialty drug benefit management space.  We are looking for a Member Services Representative to work on-site in our Brentwood, TN office.  This position is responsible for delivering excellent service to members utilizing processes and technology within a call center.  If you are reliable with strong problem-solving and customer service skills, we would love to hear from you

Navitus Health Solutions is seeking an Tester, Benefit Configuration to join our CAO Support department!   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...

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.

Due to growth, we are adding Benefit Configuration Trainer to 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 Trainer, Benefit Configuration facilitates and completes the new hire training program within CAO. This position requires knowledge of both the technical and operational sides of the business utilizing Navitus’ adjudication system and other applications. The Trainer, Benefit Configuration will closely collaborate with CAO coaches and benefit...

Due to growth, we are adding an Analyst, Benefit Configuration to our CAO Government Programs department.     This position ensures efforts are in alignment with the Claim...

Due to growth, we are adding a Grievance and Appeals Pharmacist to our Grievance and Appeals department!   The Clinical Grievance and Appeals Pharmacist will be responsible for performing Appeals and Redeterminations, Grievance Quality of Care reviews, perform duties related to Drug Utilization Review including concurrent, retrospective, and prospective components, and serve as a liaison and clinical support the Grievance and Appeals staff for clinical calls requiring pharmacist intervention. The Clinical Grievance and Appeals Pharmacist is also responsible for interfacing with physicians, pharmacists, and specialty pharmacy providers with...

Due to growth, we are adding a Coordinator, Grievance and Appeals to our Grievance and Appeals department.     The Navitus Grievance and Appeals process is an essential...

Due to growth, we are adding a Utilization Management Analyst to our Prior Authorization department!   The Analyst,

Due to growth, we are adding an Analyst, PA Accel to our Prior Authorization department. 

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...

Lumicera Health Services is seeking a Manager, Industry Relations to join our Pharmacy Trade Relations department!   Reporting to the Director, Strategic Partnerships, the Manager, Industry Relations is responsible for establishing, maintaining, and enhancing effective relationships with pharmaceutical manufacturers (manufacturer) that produce specialty pharmaceuticals; and negotiating contracts with such manufacturers to ensure the specialty pharmacy can obtain specialty pharmaceuticals and pricing to meet the demands of its payers and patients. Additionally, the Manager,...

Due to growth, we are adding a Pharmacy Technician I to our Specialty Pharmacy Operations-Valley Health department.     Under direction from the Pharmacist-in-Charge 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.

Due to growth, we are adding a Clinical Liaison to our Specialty Pharmacy Operations department.   The Clinical Liaison will focus on integrating patient care and clinical coordination while leading the development, implementation and ongoing monitoring of programs and initiatives between to clinics and Lumicera Health Services.

This is an onsite role based at our Lumicera headquarters located at 310 Integrity Dr, Madison, WI 53717.  

The Summer Intern supports the function of their designated department within Navitus, Lumicera or Epiphany.   Is this you? Find out more below!  

This is a Hybrid position in Madison WI. This role offers a $5k sign on bonus of a highly qualified candidate.   Navitus Health Solutions is seeking a Billing Manager to join our Accounting department! 

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 confidence that their transition needs will be successfully...

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 looking for Director Call Center Operations to streamline our existing processes, scale operations and ensure a high-quality experience. The ideal candidate has a passion for leading a team of representatives and running an operation that coordinates care between physicians, patients and pharmacies. This person will work cross-functionally to ensure the member experience is exemplary. This is a great opportunity to own a critical part of the customer experience for a high growth, service-oriented company.

Navitus Health Solutions is seeking a Lean Portfolio Manager, EPMO to join our team!   The Lean Portfolio Manager, EPMO is a highly collaborative role responsible for managing portfolio epics and developing business cases. The Lean Portfolio Manager, EPMO partners with key stakeholders to identify, define, and refine epics and to articulate value and benefits to the organization. Additionally, the Lean Portfolio Manager, EPMO will guide epics through the various stages of Portfolio Management and partner with Release Train Engineers, Enterprise Architecture, Business Leads, and agile delivery teams to initiate the development activities...

Navitus Health Solutions is seeking a Proposal Manager to join our Proposals department!   The Proposal Manager will manage, develop, and lead a team of proposal management professionals in the development of strategic and client-focused proposal content, written proposals, and other sales-related documents for a variety of client audiences. The Proposal Manager is a key contributor on the Proposal team, accountable for analyzing opportunities, creating competitively positioned content, and conveying a powerful corporate image to result in significant market share and profitability. This position ensures on-time and quality completion of...

Archimedes is a specialty medical management company with an industry-leading technology platform that client groups can use to manage specialty medical spend. We are looking for an experienced Sr Software Developer to join our technology team.

Archimedes is a specialty medical management company with an industry-leading technology platform that client groups can use to manage specialty medical spend. We are looking for an experienced Sr Software Developer to join our technology team.

Navitus Health Solutions is seeking a Medicare Services Executive to join our Government Programs department's team! 

Due to growth, we are adding an Analyst, IT Governance to our IT Infrastructure Services department.    The Analyst, IT Governance is responsible for developing and maintaining IT policies, procedures, guidelines, and standards in alignment with ITIL best practices. This role will work directly with application developers, business users, internal IT,...

Due to growth we are seeking a Provider Services Support Specialist to join our Provider Services team!   The Provider Services Support Specialist is responsible for supporting Retail, Specialty and Mail initiatives in coordination with the Provider Services team. This position will be proficient in the analysis of Navitus claims and supplementary pharmacy data to support reporting and contract compliance. The Provider Services Support Specialist supports and evaluates agreements with providers and prospective clients via analysis, and reporting. This individual will also act as subject matter expert on pharmacy networks, programs and inquiries...

This is a hybrid position in Madison WI.    Due to growth, we are adding a Paralegal to our Legal and Regulatory Affairs department!    This Paralegal role will report to the Assistant General Counsel -Contracts and support in drafting contracts and other legal documents for Navitus Health Solutions, LLC and its Subsidiaries. This role may also support Navitus, Lumicera, and their subsidiaries by (a) managing licensing processes; (b) drafting legal documents and templates, managing document templates and corporate legal records, performing records and...

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 their assigned clients. Working with subject matter experts, the CSE will be for responsible for identifying “up...

Navitus Health Solutions is seeking a Sr. National Account Executive to join our Strategic Account Management department!     The Sr. National Account Executive (NAE) is a highly motivated professional with at least 10 years of successful experience interfacing directly with larger more complex clients in the managed healthcare arena. The Sr. NAE will lead strategy, overall service performance, and account service teams for existing PBM clients. The position is responsible for the co-development of long-term account strategy for the identified clients assigned to the...

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...

Navitus Health Solutions is seeking an Identity and Access Management Engineer to join our team!   The Identity and Access Management (IAM) Engineer will be responsible for developing processes for account creation, modification, disabling and deleting accounts. This would include OKTA Directory, Active Directory, O365 and other downstream systems. The Engineer will work closely with application owners to develop processes to manage the entire user account lifecycle to include SSO (SAML) configurations, User Entitlement Review as well as meet audit and compliance requirements. The Identity and Access Management unit is responsible for...

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 center. If you are dependable with strong problem-solving and customer service skills apply now!  This is an in office position.

Due to growth we are seeking a Lead, Health Plan Product Strategy to join our Sales department!   The Lead, Health Plan Product Strategy will establish and drive health plan product strategies that support business growth goals. This includes development and oversight of a portfolio of initiatives enabling the development, sales, client management and execution of the Health Plan programs and products. The Lead provides expert leadership and support for all aspects of the Health Plan program strategy and operations. The Lead assesses the Health Plan solution model, program capacity and capabilities for managing new clients, manages the implementation of the Health Plan program and oversees subject matter...

This is a Hybrid position requires 3 days a week in our Madison WI Office.   Due to growth, we are adding an

Due to growth, we are adding a Network Engineer/Architect to our IT Infrastructure Services department.    The Network Engineer/Architect ensures IT activities are aligned with business goals and strategies and the IT Vision, a collaborative partner delivering innovative ideas, solutions, and services to simplify people’s...

This is a hybrid role working 2-3 days each week onsite at our Madison 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...

Due to growth, we are adding a Software Engineer to our IT Development department.    The Software Engineer position 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. They will serve in a more seasoned capacity,...

Navitus Health Solutions is seeking a Program Manager, Enterprise Strategy & Cost Operation to join our team! The Program Manager, Enterprise Strategy and Cost Operations will oversee and direct all project financial activities related to our Enterprise Strategy and Technology (ES&T) division to achieve organizational goals. Responsibilities include managing and coordinating the financial planning, budgeting, forecasting, and analysis processes for IT and the Enterprise Project Management Office (EPMO). The Program Manager will work closely with many stakeholders for the purposes of financial operations management. This position reports to the Sr. Director of Enterprise Project Management but will work closely with many leaders within the Enterprise...