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.
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.
Navitus Health Solutions is seeking a Utilization Management Analyst to join our team!
The Analyst,
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...
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: formulary development across pharmacy and medical benefits for specialty drugs and clinical management of accounts.
The Operations Director is a highly motivated professional with 5+ years of experience successfully managing complex operations. This individual is responsible for strategic and tactical execution and management of claims, contact center and various other operations. Their responsibilities would include management of any Operations team.
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...
The Operations Director is a highly motivated professional with 5+ years of experience successfully managing complex operations. This individual is responsible for strategic and tactical execution and management of claims, contact center and various other operations. Their responsibilities would include management of any Operations team.
Navitus Health Solutions is seeking a part time Telehealth Pharmacist to join our team!
The Telehealth Pharmacist will be a key contributor to the success of the Clinical Engagement Center (CEC), focused on improving member’s health and wellness via tele-pharmacy and wellness coaching. This pharmacist is responsible for the delivery of the Medication Therapy Management (MTM) services for Medicare and commercial members. In addition, the Telehealth Pharmacist will assist in the development and execution of additional clinical outreach programs to exceed client expectations.
Is this you? Find out more below!
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.
The Engineer, Cloud specializes in architecting and automating secure, scalable Azure environments. This role focuses on designing infrastructure-as-code solutions and is responsible for deploying core Azure services, managing hybrid workloads, and implementing infrastructure-as-code using Terraform, Bicep, and ARM templates. Ensures network security, cost optimization, and high availability across IaaS and PaaS resources. The Engineer ensures high availability, performance, and security across IaaS and PaaS services, including Azure App Services, AKS, SQL, and networking components. Supports observability, incident response, and compliance with regulatory standards through advanced monitoring, security tooling, and ITSM practices.
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 a Tester, Benefit Configuration to join our CAO Client department!
The Tester, Benefit Configuration 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...
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.
The Engineer, Cloud specializes in architecting and automating secure, scalable Azure environments. This role focuses on designing infrastructure-as-code solutions and is responsible for deploying core Azure services, managing hybrid workloads, and implementing infrastructure-as-code using Terraform, Bicep, and ARM templates. Ensures network security, cost optimization, and high availability across IaaS and PaaS resources. The Engineer ensures high availability, performance, and security across IaaS and PaaS services, including Azure App Services, AKS, SQL, and networking components. Supports observability, incident response, and compliance with regulatory standards through advanced monitoring, security tooling, and ITSM practices.
Due to Growth, we are adding a Manager, 340B Pharmacy Services to our team!
The Manager, 340B Pharmacy Services is responsible for optimizing successful and compliant participation in the federal 340B program for external partners of Lumicera Health System Solutions and Navitus Clients. This role and the team will work cross-functionally with teams at Lumicera and Lumicera-operated pharmacies to deliver value for partners through designing, implementing, and continually improving workflows and processes in scope of the 340B program. In addition, this role will provide subject matter expertise and guidance for Navitus and...
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...
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...
Navitus Health Solutions is seeking an Analyst, Rebate Operations to join our Rebate Operations department!
The Analyst, Rebate Operations is responsible for analyzing, understanding, and implementing PBM to pharmaceutical manufacturer or GPO rebate submission and reconciliation processes. This individual will work closely with the Manager of Rebate Operations to assure complete accurate and timely claim data submissions to Prime Therapeutics. In addition, the Analyst will assure rebate submission standards are met, rebate payments are reconciled and investigate and resolve any discrepancies. Will be expected to understand the departments and...
Developer I, Application Systems Dynamics 365 (CRM ) 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 such as Dynamics CRM, SharePoint, K2 as well as other vendor purchased applications used at Navitus. This role will also drive citizen development with the application framework. This individual will work directly with business users to develop requirements ensuring the business needs are met.
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...
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...
This is a hybrid configuration role working 2-3 days per week at our corporate campus located at 361 Integrity Dr, Madison, WI 53717 and 2-3 days per week from home. A remote working configuration is not being considered for this role at this time.
Navitus Health Solutions is seeking an Accountant to join our Accounting department!
The position of Accountant acts as a General Accountant for the Accounting Department.
This is a hybrid configuration role working 2-3 days per week at our corporate campus located at 361 Integrity Dr, Madison, WI 53717 and 2-3 days per week from home. A remote working configuration is not being considered for this role at this time.
Navitus Health Solutions is seeking a Sr. Analyst, Revenue Cycle Management to join our Accounting department!
The Sr. Analyst, Revenue Cycle Management is responsible for supporting client onboarding and ongoing contract administration of the Navitus Clients best-in-class billing and analytics systems and processes. The primary goal of this role is to ensure revenue capture is accurate and timely with emphasis on reducing manual...
The RN, Clinical Operations is an active registered nurse responsible for assisting in the management of clinical programs within the specialty pharmacy. The primary purpose of this position is to provide telephonic education to patients and caregivers following the Clinical Protocols and working within the nursing scope of practice and guidelines. This individual will offer clinical intervention, counseling, and support services, which require substantial knowledge, judgement and professionalism based upon the foundation of nursing practice and superior patient care. The RN, Clinical Operations, assists in compliance, adherence and persistency programing within the specialty pharmacy. This position may also facilitate with manufacturer...
The Application Systems Developer role ensures efforts are aligned 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 using Microsoft Power Platform to enable Robotic Process Automation. This role will also drive citizen development with the application framework. This individual will work directly with business users to develop requirements ensuring the business needs are met.
Navitus Health Solutions is seeking a Supervisor, Rebate Operations to join our team!
The Supervisor, Rebate...
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...
The Trainer, Learning and Development will deliver highly interactive, engaging, and impactful virtual and in person instructor-led, and video-conferenced training to employees at all levels of the organization. Training topics will include interpersonal and leadership skills, which will necessitate a high level of emotional intelligence on the part of the Trainer. Responsibilities will also include completing the tactical and operational tasks required to meet the training needs of learners and Learning Services team members. The Trainer will use the corporate Learning Management System to schedule, share and document training and evaluate training effectiveness. The Trainer will also conduct training needs assessment, as well as analysis, design, development,...
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.
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....
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...
Lumicera Health Services is seeking a Pharmacy Technician at our Madison Facility!
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...
Navitus Health Solutions is seeking a SIU Analyst I to join our team!
The SIU Analyst position is responsible for conducting moderate to complex research using internal and external databases to perform analyses and develop recommendations on suspected fraud, waste, and abuse related to members, prescribers, pharmacies, and clients. In addition, the Analyst is responsible for regular and proactive extraction and evaluation of mined data, scoping data for investigations, and responding with reports and data for audits, universes, and impact assessments. The Analyst will coordinate and support data requests from third parties regarding fraud,...
Due to growth, we are adding a Specialist III, Prior Authorization to our Pharmacy Patient Services department.
Navitus Health Solutions is seeking a Med D Compliance Oversight Analyst to join our team!
This position is an Med D Compliance Oversight Analyst SME directly responsible for conducting internal and external audits and monitoring activities for the PBM Employer Group Waiver Program (EGWP) and MA-PD/MMP Health Plan audits. The Med D Compliance Oversight Analyst (COA) will conduct quality assurance review on all audit and monitoring results. The COA will be responsible for providing monthly/quarterly audit and monitoring reports to the internal...
Lumicera Health Services is seeking a Specialty Pharmacy Intern to join our team!
The Specialty Pharmacy Intern will assist with customer service and clinical programs of Lumicera Specialty Pharmacy. 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 in a Specialty Pharmacy. Additionally, this person must have the ability to assess patient needs, consult on specialty pharmaceuticals and disease states, accurately set up orders and needed medication supplies. This role focuses on the clinical management...
Navitus Health Solutions is seeking a Coordination of Benefits Product Manager to join our team!
The Product Manager, Coordination of Benefits is responsible for the development, administration, maintenance, and oversight of the COB Program. The Product Manager will ensure that the appropriate software, processes, procedures, and oversight monitoring are implemented and operational to meet changing COB program needs. The Product Manager, Coordination of Benefits will work closely with members of the following departments: Analytics, Benefit Systems, Claims Adjudication Development, Client Services, Compliance, Data Services, Government Programs, Implementation, and Member Service, ensuring COB is administered and maintained according to industry, state, federal,...
Navitus Health Solutions is seeking a Sr. Manager, Clinical Account Executive to join our team!
The Sr. Manager, Clinical Account Executive is a highly motivated professional with at least 5 years of successful clinical experience interfacing directly with large complex clients. This key position is responsible for leading and developing Clinical Staff within the Account Management department as well as the co-development of long-term account strategy for the Clients assigned to the team they support. The SMCAE has exceptional clinical, business and relationship building skills and possesses the ability to apply sound clinical judgment to a...
Due to growth we are adding a Provider Services Supervisor to our team!
The Supervisor, Provider Services is a highly motivated professional experience working in a pharmacy or interfacing directly with pharmacies or accounts, preferably in healthcare. Responsibilities include the oversight for executing contracts and/or credentials with pharmacies, responding to pharmacy inquiries, and completing the tactical and operational tasks required to maintain contracted pharmacy networks. The individual(s) in this position will oversee end to end operational aspects of administration, analysis, and quality assurance for network design and...
Due to growth, we are adding a Sr. IT Business Relationship Manager to our IT Management department.