The Product Account Manager will support a key account and product. In addition to supporting the client relationship, this role will lead product management and project manage operational projects for this product. The role will be responsible for managing any client requests for builds and any necessary drug lists and formularies.
The Product Account Manager will interact with the account, product, and clinical management teams. This role will be responsible for managing and implementing any client specific product specific requirements, such as a custom formulary
The Business Analyst, Call Center is responsible for analyzing call center performance data, identifying trends, and providing actionable insights to improve operational efficiency and customer satisfaction. This role will be an expert in call center platforms and responsible for leveraging its capabilities to drive business insights, manage data, and optimize call center operations. This role will involve generating critical reporting, managing outbound calling projects, ensuring data integrity, and staying ahead of platform updates to maintain peak performance and compliance.
Navitus Health Solutions is seeking a Channel Partner Relationships Manager to join our team!
The Manager, Channel Partner Relationships is responsible for developing and managing relationships with channel partners (including consultants, health plans, coalitions and TPAs) to drive sales and revenue. This role will identify and onboard new partners, provide support and training and manage the relationship and performance of existing partners. The Manager, Channel Partner Relationships will lead a team of Channel Partner Analysts responsible for day-to-day activities of our reseller clients, such as health plans, TPAs, and coalitions,...
Navitus Health Solutions is seeking a Telehealth Pharmacy Technician 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 delivery of clinical interventions and Medication Therapy Management (MTM) services for commercial and Medicare members. The MTM program will include telephonic and/or video chat outreach with members to complete an analysis of a member’s medication regimen.
Navitus Health Solutions is seeking a Sr. Product Owner, IT to join our team! We are seeking an enthusiastic, driven person to collaborate and facilitate value delivery. As a Product Owner you 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 customer needs. Is this you? Find out more below!
The Product Account Lead will support a key account and product. In addition to supporting the client relationship, this role will lead product management and project manage operational projects for this product. The role will be responsible for managing any client requests for builds and any necessary drug lists and formularies.
The Product Account Lead will interact with the account, product, and clinical management teams. This role will be responsible for managing and implementing any client specific product specific requirements, such as a custom formulary
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 center. If you are dependable with strong problem-solving and customer service skills apply now! This is an in office position.
Lumicera Health Services is seeking an Inventory and Procurement Specialist to join our Madison location!
What can you...
Lumicera Health Services is seeking a Reimbursement Specialist I 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...
The Pharmacist, Clinical Retrospective Case Management 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 addition, this role will have the opportunity to evaluate the data to identify actionable opportunities for specialty management and create clinical policies.
The Pharmacist, Clinical Retrospective Case Management is responsible for being the clinical expert for all specialty medications across both the pharmacy and the medical benefit. This role will be able to successfully communicate with physicians, nurses, pharmacists, and members related to...
The Pharmacist, Clinical Retrospective Case Management 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 addition, this role will have the opportunity to evaluate the data to identify actionable opportunities for specialty management and create clinical policies.
The Pharmacist, Clinical Retrospective Case Management is responsible for being the clinical expert for all specialty medications across both the pharmacy and the medical benefit. This role will be able to successfully communicate with physicians, nurses, pharmacists, and members related to...
Due to growth, we are adding a Pharmacist, Clinical Consultation to our Specialty Pharmacy Clinical Services department.
Due to growth we are adding an Intake 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 and patients via fax or phone or other communication means. The Intake Specialist I is also responsible...
Navitus Health Solutions is seeking a Sr. Account Manager to join our team!
The Sr. Account Manager will be part of an account team that values our client relationships and operational excellence and will play an integral role as the face of our organization to clients daily. The Sr. Account Manager will be responsible for leading projects and operational ownership for some of our most complex and strategic client accounts. The Sr. Account Manager will be responsible for the operational execution of client strategies and plan design and serve as the voice of the customer cross-functionally throughout...
Navitus Health Solutions is seeking a Pharmacy Reimbursement Administrator to join our team!
The Pharmacy Reimbursement Administrator (PRA) works in partnership with the Provider Relations Coordinators, IT Client Operations, and others to continually review, monitor, and update procedures to improve efficiencies of claims adjudication administration. The PRA will test and review pharmacy networks to ensure that claims are adjudicating per Navitus’ pharmacy contract agreements. The PRA is responsible for the process of pharmacy remittances, including the accuracy of data in pharmacy electronic payments (EFT) and/or 835-remittance advice and the oversight of recoveries of funds from pharmacies. The...
Navitus Health Solutions is seeking a Director, Actuarial to join our team!
Reporting to the VP, Underwriting Pricing and Analytics, the Director, Actuarial is responsible for guiding the actuarial and financial analytics, assumptions, and modeling to support the strategic objectives of Navitus. This leader directs the development, implementation, and monitoring of pricing models and strategies, financial forecasts, trend analytics, and risk modeling for all lines of business, including Medicare, Medicaid, Commercial, Self-Funded, EGWP, and Exchange products.
The Director, Actuarial works collaboratively with executive leadership, underwriting,...
Navitus Health Solutions is seeking an Analytics Engineer to join our team!
The Analytics Engineer ensures efforts are in alignment with the Analytics 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 Analytics Engineer will help define and grow our data centric architecture. The Analytics Engineer is responsible for implementing data ingestion, validation, and transformation pipelines. The Analytics Engineer will design and maintain batch and streaming integrations across a variety of data domains and platforms. The...
Navitus Health Solutions is seeking a Data Governance Sr. Analyst 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...
The Sr. Manager, IT Delivery, is responsible for leading and contributing to the delivery, stability, security, and compliance of Archimedes’ enterprise IT platforms, infrastructure, and client-facing applications. This role provides day-to-day leadership and direction for the IT Delivery team, which encompasses security, DevOps, compliance, cloud engineering, and Tier 2 IT support functions. By combining strategic oversight with direct involvement in service delivery, the Sr. Manager ensures that Archimedes maintains a secure, resilient, and audit-ready technology environment that supports both internal operations and client commitments.
Operating within IT Service Management (ITSM) best practices, the Sr. Manager ensures...
Due to growth, we are adding a Supervisor, Specialty Pharmacy Services to our Specialty Pharmacy Operations-Madison department.
The Sr. Manager, IT Delivery, is responsible for leading and contributing to the delivery, stability, security, and compliance of Archimedes’ enterprise IT platforms, infrastructure, and client-facing applications. This role provides day-to-day leadership and direction for the IT Delivery team, which encompasses security, DevOps, compliance, cloud engineering, and Tier 2 IT support functions. By combining strategic oversight with direct involvement in service delivery, the Sr. Manager ensures that Archimedes maintains a secure, resilient, and audit-ready technology environment that supports both internal operations and client commitments.
Operating within IT Service Management (ITSM) best practices, the Sr. Manager ensures...
Due to growth, we are adding a Service Delivery Specialist to our Specialty Pharmacy Operations-Madison department.
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...
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 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. Key contacts will include prospective clients, channel partners, and internal teams....
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 Operations Manager, Medicare Part D to join our Government Programs Team!
As part of the Government Programs Team and reporting to the General Manager, Medicare Part D, the Operations Manager, Medicare Part D leads the team responsible for Navitus’ Medicare EGWP Product operational processes, including benefit requirements, member materials, web content, and general Medicare Part D support. The Manager will ensure successful completion of projects led by the team and ongoing support of the resulting processes. This position will interface primarily with the Government Programs Medicare Functional Product Team, Technical Operations Team, Part D...
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 idea candidate will have 3-5 years of experience working as a Microsoft C# developer with 2-3 years in an AWS environment with a solid understanding of eventing patterns. This candidate will have worked with a primary focus in backend deliverables such as API development and ETL processes.
The Sr. Software Developer’s role is to define, design, develop, test, analyze, and maintain new and existing applications in support of the achievement of business requirements....
Navitus Health Solutions is seeking a Business Continuity Disaster Recovery Specialist to join our team!
The Specialist, Business Continuity Disaster Recovery (BCDR) assists with planning, governance, implementation, maintenance, and execution of the corporate business continuity plan and supporting documentation components. The role will work under the oversight of the Facilities Manager and engage directly with critical process leaders to ensure that policies, plans, procedures, and strategies are documented, validated and evidenced to ensure restoration of critical processes and limit business interruption. The BCDR plan has expanded to...
Due to growth, we are adding aDirector, Strategic Accounts to our Lumicera Administration department
Navitus Health Solutions is seeking a Director of Rebate Operations to join our team! This is a great role for someone with deep technical expertise working at a mid-scale rebate operation.
Reporting to Vice President, Formulary and Industry Relations, the Director of Rebate Operations is responsible for all operational aspects of Navitus’ rebate program including but not limited to – core operations, client operations, rebate optimization, sales support, pricing/guarantees, point of sale rebates and vendor management.
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 Director, Product Marketing and Training to our Marketing department.
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...
Are you a former pharmacist who has moved into a sales role? If so, Navitus Health Solutions is seeking a Sr. Director of Clinical Account Management to join our team!
The Sr. Director of Clinical Account Management (SDCAM) leads the Clinical Account team and applies their understanding of healthcare trends by bringing a clinical voice to our current and prospective clients. This includes directing the vision, strategy, and design for the overall clinical product and service offerings, including but not limited to utilization management, population health, specialty pharmacy, and clinical support of Medicare and Medicaid programs. In addition, the SDCAM oversees and directs...
Due to growth, we are adding a Sr. Executive Assistant to our growing PBM administrative team in Madison, WI. If you have experience at a PBM, national pharmacy, or national insurance company or similar, this role is perfect for you!
The Sr. Executive Assistant II will be responsible for executive level administrative support to the Chief Pharmacy Officer within Navitus. The position requires excellent administrative and organizational skills, handling of the highest level of confidential information, and outstanding communications skills. This individual will exercise discretionary powers and independent judgment that directly support management activities daily and perform tasks under...
Navitus Health Solutions is seeking a Business Intelligence Developer to join our team!
The Business Intelligence Developer brings together theory and practice to identify and communicate data-driven insights that allow managers, stakeholders, and other executives in the organization to make informed decisions. The Business Intelligence Developer will have an intermediate understanding of the company’s databases, business intelligence (BI) tools, and existing reports and act as a resource in internal and external meetings. A good candidate will be detail oriented, analytical, a skilled communicator, and a quick learner with experience in analytics, data...
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.
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
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 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...
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...
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...
The Director, Corporate Communications is responsible for leading the development and execution of strategic communication initiatives to engage stakeholders, enhance the company's reputation and support business objectives.
Reporting to the VP, Marketing & Enterprise Product Strategy, this people leader oversees internal and external communications, including public relations and media within social and traditional channels. In addition, this director will demonstrate public affairs competencies, working with cross-functional leaders to maintain and strengthen positive relationships with government officials and agencies.
The Compliance Analyst is responsible for organizing aspects of the Navitus and Lumicera Corporate Compliance and HIPAA Privacy Programs and be responsible for performing regularly scheduled policy, risk assessment and documentation reviews to ensure adherence with HIPAA Privacy and other regulatory compliance areas. The Analyst will coordinate breach and disclosure assessment, tracking and client reporting and remain current on HIPAA Privacy and regulatory compliance environment changes directly or indirectly impacting Navitus or Lumicera. The Analyst will assist the Associate Director, Compliance and SIU with duties related to privacy, compliance committee, metrics calculation and reporting of results. The Analyst will work closely...
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...
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...