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Due to growth, we are adding a Program Director, Strategic Initiatives
Navitus Health Solutions is seeking an Engineer, IT Support to join our team!
This is a full time position in Madison WI.
The Engineer, IT Support ensures efforts are in alignment with the Infrastructure team 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 on-site administration of Data Center facilities tests and troubleshooting hardware and software systems. This role is recognized...
Do you have experience at a PBM? Navitus Health Solutions is seeking a Director, Technical Operations with no less than 5 years of experience at a PBM, health plan, or managed care environment to join our team! This is not a call center or general operations leadership roles.
The Director, Technical Operations (DTO) is responsible for providing regulatory interpretation, operational expertise and oversight of technical programs for Government Programs which include enrollment/eligibility, regulatory encounter submission and reconciliation, claims adjudication accuracy, EOB Administration, recoveries processes, EGWP enrollment, coordination of benefits,...
Due to growth, we are adding an Assoc. Product Manager, eHealth to our team!
The Assoc. Product Manager, eHealth (APM) will be responsible for tactical support of Navitus eHealth services, which include e-prescribing (eRx), electronic prior authorization (ePA) and real time prescription benefits (RTPB). The APM will report to and provide support to the Manager, Digital Health. The APM will assist with and identify solutions for system enhancements, stability, and...
Due to growth, we are adding a Manager, Analytics & Data to our team!
The Manager, Analytics & Data is responsible for engaging internal and external customers to develop the enterprise data and analytics solutions that bring business value by providing critical, accurate and timely information. This role will be instrumental in promoting data-driven decision making and adoption of business intelligence...
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 Sr. Analyst, Financial to join our team!
The Sr. Analyst, Financial performs various financial analysis, forecasting and strategic planning activities. The Financial Analyst compiles financial data in various formats to be used by Senior Leadership, SSM Health, and other key stakeholders in the organization.
Is this you? Find out more below!
Navitus Health Solutions is seeking a Supervisor, Account Management to join our team!
Due to growth, we are adding a Sr. Systems Engineer to join our team!
The ideal candidate for this role will be primary in the support and maintenance of the organization Oracle OCI framework as well as the overall AWS and Azure Cloud platform, applications and secrets management. The Sr. Systems Engineer ensures efforts are in alignment with the IT Enterprise Services Department to support customer-focused objectives and the IT Vision, a collaborative partner delivering innovative ideas, solutions, and services to simplify people's lives.
Due to growth, we are adding a Sr. Manager, EPMO Portfolio Operations to our team!
The Data Engineer is responsible for designing, building, and maintaining scalable data pipelines and infrastructure that support enterprise analytics, reporting, and operational data flows. This role plays a critical part in enabling data-driven decision-making across Centene and SPM by ensuring the availability, integrity, and performance of data systems. The Data Engineer collaborates with data scientists, analysts, software developers, and business stakeholders to deliver robust ETL solutions, optimize data storage and retrieval, and implement secure, compliant data architectures in cloud and hybrid environments.
Operating within a healthcare-focused, compliance-heavy landscape, the Data Engineer ensures that data platforms...
The Data Engineer is responsible for designing, building, and maintaining scalable data pipelines and infrastructure that support enterprise analytics, reporting, and operational data flows. This role plays a critical part in enabling data-driven decision-making across Centene and SPM by ensuring the availability, integrity, and performance of data systems. The Data Engineer collaborates with data scientists, analysts, software developers, and business stakeholders to deliver robust ETL solutions, optimize data storage and retrieval, and implement secure, compliant data architectures in cloud and hybrid environments.
Operating within a healthcare-focused, compliance-heavy landscape, the Data Engineer ensures that data platforms...
Due to growth, we are adding a Solutions Architect to our team!
Due to growth, we are adding a Vendor File Management Analyst to our team!
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Navitus Health Solutions is seeking a Pricing and Underwriting Analyst II to join our Lumicera Specialty Pharmacy team!
The Analyst II, Pricing and Underwriting is responsible for supporting the Pricing and Underwriting team with financial price modeling of provider networks, manufacturer rebates, cost of risk, and client administrative fees. The Analyst II will support the growth team with client proposals and will be responsible for performing an array of analyses and...
Navitus Health Solutions is seeking a Platform Engineering and FinOps Manager to join our team!
The Manager, Platform Engineering and FinOps leads a team focused on enabling secure, scalable, and cost-effective software delivery platforms. This role oversees platform engineering functions such as CI/CD pipelines, developer tooling, and container orchestration, observability, while also managing the cloud financial operations (FinOps) and software procurement functions. This role partners closely with the Infrastructure and Cloud Operations team to ensure alignment on tooling, architecture, platform reliability and cost governance.
The Manager,...
Due to growth, we are adding a Senior Strategic Planning Analyst to our department.
Are you interested in working Monday to Friday (NO WEEKENDS) in a clean, bright environment with heat, air conditioning and best-in-class health benefits?
Lumicera Health Services is seeking a Pharmacy Technician at our Madison Facility! This role works at our state-of-the-art warehouse and is not in person patient-facing.
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.
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 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
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...
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...
Are you interested in working Monday to Friday (NO WEEKENDS) in a clean, bright environment with heat, air conditioning and best-in-class health benefits?
Due to growth, we are adding a Fulfillment 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 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...
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 Sr. Coordinator, Clinical Client Services to our team!
The Sr. Coordinator, Clinical Client Services (SrCCSC) is a highly motivated professional with at least 4 years of successful experience interfacing directly with clients and clinical team to assist Clinical Account Executives (CAE) in completing the tactical and operational tasks required to meet the needs of our PBM clients. The position is responsible for participating in issue resolution and daily support of client requests, responding to general internal and external inquiries regarding claims processing, and assisting new client implementations. In...