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Due to growth, we are adding a Sr. Manager, Finance & Value Realization to our team!
The Sr. Manager, Finance & Value Realization serves as a strategic finance partner responsible for strengthening financial discipline, business case governance, portfolio performance, and value realization across enterprise transformation investments. This position partners with finance, transformation, technology, operations, legal, compliance, and business leaders to evaluate...
Lumicera Health Services is seeking a Pharmacist, Clinical Operations to join our 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, contact...
Navitus Health Solutions is seeking a Accountant II to join our team!
This is a hybrid position in Madison WI working 2-3 days in office.
The Accountant II acts as a key resource for multiple entities within the Navitus Accounting Department by providing financial support across assigned business functions. Some of the tasks included within this role consist of general ledger reconciliations, customer invoicing, accounts receivable management, cash application and fixed asset management.
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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 PRA is responsible for recuperation of monies from pharmacy...
Due to growth, we are adding a Analyst, Pharmacy Contract Audit to our team!
The Analyst, Pharmacy Contract Audit is responsible for the oversight of Navitus’ contractual pharmacy network reimbursement accuracy. The individual in this position is expected to make independent assessments to confirm Navitus is conforming to contractual reimbursement obligations contained in Retail, Specialty, and Mail...
Navitus Health Solutions is seeking a Sr. Account Executive to join our team!
The Sr. Account Executive (Sr. AE) is a senior level individual contributor responsible for full strategic ownership of complex client accounts within the health plan and employer PBM space. This role leads sophisticated client relationships and books of broker, consultants and/or TPA Agents, serving as the primary strategic partner for Company level clients with high customization, elevated service needs, and complex benefit designs. The Sr. Account Executive independently manages account strategy, resolves complex situations, leads Quarterly...
Archimedes is seeking a Representative, Member Services (SPBM) to join our team!
The Representative, Member Services (SPBM) is responsible for responding to routine member, pharmacy, and physician-office inquiries through supported service channels. Using established procedures, systems, and resources, the Representative provides accurate information, documents interactions, completes standard transactions, and escalates issues that require additional research, specialized knowledge, or higher authority. The role builds foundational knowledge of SPBM programs and contributes to service, quality,...
Navitus Health Solutions is seeking a Business Intelligence Developer to join our team!
The Business Intelligence Developer will generate and maintain data and analytic solutions that turn data into knowledge. The Business Intelligence Developer should understand how to interpret databases, develop data models within business intelligence (BI) tools and provide maintenance on existing applications.
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Navitus Health Solutions is seeking a Developer I, Application Systems to join our team!
The Developer I, Application 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 development support, design, programming, and implementation of custom processes within the framework of various enterprise systems as well as other vendor purchased applications used at Navitus. This role will also drive citizen development where applicable within the applications framework. This role will work with IT Analysts and directly with business users to develop requirements...
Lumicera Health Services is seeking a Pharmacy Technician I to join our 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 medication into the pharmacy dispensing software. The...
Due to growth, we are adding an Engineer, Cloud Security to our team!
The Engineer, Cloud Security will drive continuous improvement to our cloud and will be responsible for designing, deploying, and overseeing the management of group wide security solutions and executing against the company's Information Security and Compliance roadmap. Working closely with technology partners, you will help guide the...
Due to growth, we are adding an Architect, Oracle Functional Solutions to our team!
The Financial ERP Oracle Functional Solutions Architect is the functional architecture authority for Oracle Fusion Cloud ERP and Oracle Revenue Management and Billing (ORMB), with responsibility for solution strategy, functional design, platform...
Navitus Health Solutions is seeking a Pharmacist, Population Health to join our team!
The Pharmacist, Population Health will be responsible to perform duties related to the development, implementation, outcomes reporting, and ongoing administration and support of Navitus Clinical Programs including Drug Utilization Review (i.e., RDUR, CDUR), Health Management (i.e., clinical edits, Asthma Management, COPD Management, Pharmacogenomics, Pharmacoadherence, Prescriber Insights, MTM), and other strategic clinical initiatives (i.e., Residency Program) across all lines of business. The Pharmacist, Population Health will also provide support to other clinical areas...
Due to growth, we are adding a Director, Provider Relations to our team.
The Director, Provider Relations is responsible for developing and executing the strategic vision for provider engagement, provider operations, account management, and provider support functions across the Lumicera Direct business. As a key member of the commercial leadership team, this position is accountable for the growth, retention, satisfaction, operational performance, and long-term strategic development of Lumicera...
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...
Due to growth, we are adding a Supervisor, Quality Assurance Automation to our team!
The Supervisor, Quality Assurance Automation will work with the Strategic Technology Systems Development team to support customer-focused objectives and the IT Vision. This position will implement a suite of testing tools and further develop our software quality assurance expertise as well as implement a suite of automation frameworks and lead a group of...
Navitus Health Solutions is seeking a Reimbursement Analyst, Pharmacy Network to join our team!
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 market leading MAC program....
The Director, Proposals will lead and grow a team of proposal development and management professionals who are accountable for preparing strategic customer-focused proposal content, including written proposals and other sales-related documents for a variety of client audiences. The Director will participate in the analysis and discernment of Request for Proposal (RFP) opportunities to help the organization optimize resource allocation in response to proposal requests.
By leveraging both quantitative and qualitative insights, the Director, Proposals is accountable for ensuring that the Proposal team prepares accurate, timely, clear, and concise responses that effectively communicates Archimedes best in class pharmacy benefit...
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.
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.
The Sr. Analyst, Data leads complex analytical initiatives and designs reliable data solutions that support analytics, reporting, and operational decision-making across the organization. This role partners with stakeholders to translate ambiguous or complex business problems into scalable analytical approaches, trusted datasets, and clear recommendations.
The Sr. Analyst, Data has deep knowledge of Archimedes business offerings, healthcare and pharmacy benefit management data, analytical workflows, and data dependencies. Leveraging advanced SQL expertise, data modeling knowledge, and strong business judgment, this role promotes best practices, improves legacy and modern reporting processes, mentors other analysts, and helps ensure that the organization makes...
Are you a pharmacist with rebate strategy experience? If so, we are looking for you! Navitus Health Solutions is seeking a Director, Industry Relations & Contracting to join our team.
Reporting to the Sr. Director, Industry Relations, the Director, Industry Relations & Contracting is responsible for leading the team of Rebate Contractors to support the maintenance and enhancement of effective relationships with all pharmaceutical manufacturers (Pharma). This includes negotiating contracts with respect to rebates and discounts for formulary inclusion to...