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Lumicera Health Services is seeking an Accreditation Product Manager (APM) to join our team!
The Accreditation Product Manager (APM) will ensure Lumicera and its health system pharmacy partners locations satisfy and maintain ongoing compliance with accreditation program requirements. As new accreditation program opportunities arise, the APM will evaluate and determine how to integrate with existing accreditation program requirements. A successful APM requires strong leadership skills, extensive document creation,...
Navitus Health Solutions is seeking a Proposal Content Manager to join our team!
Along with designing and owning the architecture of the overall proposal content knowledgebase, the Proposal Content Manager supports RFP response editing efforts to support client acquisition and retention efforts of Navitus Health Solutions (Navitus). This wordsmith works cross-functionally at a variety of levels to craft, maintain and expand digital content while improving proposal quality and team productivity. The Content Manager ensures regular reviews of the knowledgebase and data integrity. Requires the ability to take complex concepts and translate them into a defined style that clearly and accurately articulates...
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
The Manager, Health System Pharmacy Revenue Integrity, is responsible for optimizing health system pharmacy strategies and programs to ensure financial resilience and success for partners of Lumicera Health System Solutions and Navitus Clients. The Manager and their 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 that achieve revenue and operating margin goals. In addition, this associate will provide subject matter expertise and guidance for Navitus and Navitus’ Clients seeking strategic guidance on health system revenue...
Navitus Health Solutions is seeking a Sr. Manager, Medical & Specialty Products to join our team!
The Sr. Manager, Medical & Specialty Products leads the integrated strategy of high-cost medications across medical and pharmacy benefits in collaboration with our enterprise partners, Archimedes and Lumicera. This position is responsible for coordinating the development, delivery, marketing, and service of related products across the Navitus book of business including Commercial, Exchange, Medicaid, and Medicare. This position will also lead the development of our medical data center of excellence as foundational to adjudication, utilization management, clinical programs, reporting and outcomes...
Due to growth, we are adding a Vendor Relationship Manager to our team.
The Vendor Relationship Manager will partner closely with stakeholders to ensure business needs are clearly outlined and communicated to responsible parties. Primary duties will be focused on ensuring elements of contracts with clients and vendors are implemented correctly and timely, tracking that contractual service level agreements (SLAs) or performance guarantees (PGs) are met. The Vendor Relationship Manager will ensure routine oversight and analyses are performed to ensure ongoing contractual compliance, service or product performance, and identify needs...
Due to growth, we are adding headcount! Our Principal, Business and Regulatory Strategy will be the liaison between legal and our provider services team using superior knowledge of PBM regulatory requirements to align them with our payables and reimbursement strategies.
The Principal, Business and Regulatory Strategy is for driving business solutions and readiness that aligns with regulatory transformation and requirements. Acting as a connective tissue between...
Due to growth, we are adding a Advisor, Industry Standards to our team!
The Advisor, Industry Standards is responsible for compliant implementation and oversight of the National Council of Prescription Drug Programs (NCPDP) Standards. This includes facilitating internal awareness of the impacts of NCPDP standard changes and their impact on the strategic vision for...
Navitus Health Solutions is seeking a Telehealth RN Case Manager to join our team!
The Telehealth RN Case Manager will be a key contributor to the success of our Clinical Engagement Center focused on improving member’s health and wellness via tele-pharmacy and wellness coaching. This Telehealth RN is responsible for the delivery of the Medication Therapy Management (MTM) services for commercial and Medicare members. In addition, the Telehealth RN will assist in the development and execution of additional clinical outreach programs to exceed client expectations.
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,...
Due to growth, we are adding a Manager, Application Systems Development to our team!
The Manager, Application Systems Development provides leadership, planning, prioritization, scheduling, reporting, and effective execution of application maintenance, support, and/or development services for our vendor purchased or...
The RN, Clinical Physician Concierge will be responsible for delivering clinical messages to physicians around the prior authorization program for specified populations. This role will need to be able to identify and manage high-touch prescribers and members and usher the prescriber through the prior authorization process. This position will also be responsible for being a clinical expert for physician inquiries.
The RN, Clinical Physician Concierge will interface with the prior authorization and account management teams to monitor all identified members in specific populations that qualify for physician concierge.
Lumicera Health Services is seeking a Sr. Executive Assistant to join our team!
The Sr. Executive Assistant will be responsible for executive level administrative support to the Vice President or Senior Vice President(s) within Navitus. The position requires excellent administrative and organizational skills, handling of the highest level of confidential information, and good public relations. This individual will exercise discretionary powers and independent judgment that directly support management activities daily and perform tasks under only general supervision.
Due to growth, we are adding a Sr. Staff Attorney to our team!
The Sr. Staff Attorney will assist the Navitus Chief Legal Officer, Deputy General Counsel, or Assistant General Counsel, Contracts, and be responsible for drafting legal documents and templates, managing document templates and corporate legal records, performing records and legal research and preparing correspondence under limited supervision.
Due to growth, we are adding a Project Manager, Regulatory Implementation to our team!
The Project Manager, Regulatory Implementation is responsible for creating and executing project artifacts including project plans, communication plans, resource plans, and other tools used to guide teams in meeting project goals within defined scope and timelines. This role ensures the organization adheres to relevant laws, state regulations, and internal policies by assessing compliance risks, providing insightful guidance, and...
Due to growth, we are adding a Portfolio Value Manager, EPMO to our team!
The Portfolio Value Manager, EPMO is responsible for ensuring that enterprise initiatives deliver measurable business value across assigned portfolios. The Portfolio Value Manager partners with business and technology leaders to define, evaluate, and refine portfolio projects/epics and to provide transparency into value, benefits, dependencies, progress, barriers, and...
Due to growth, we are adding a Director, Pharmacy Wholesaler Relations & Contracting to our team.
Reporting to the VP, Supply Chain, the Director, Wholesaler Relations & Contracting is responsible for leading all wholesaler and distributor facing contracting strategies that optimize cost, access, and financial value for Lumicera and its GPO member pharmacies. This role oversees negotiations with drug wholesalers, distributors, and suppliers to secure competitive pricing, strengthen supply chain reliability, and support profitable procurement models.
The Director serves as the organization’s primary leader for wholesaler...
The IT Strategic Sourcing Lead/Vendor Procurement Principal is an individual contributor role responsible for driving complex vendor negotiation and acquisition that align with enterprise strategy transformation objectives.
This position ensures that large IT procurement activities support modernization initiatives, regulatory compliance, and operational efficiency under the Strategic Transformation Officer (STO). This role promotes critical advisory and sourcing to ensure support for business initiatives ensuring operational efficiency, scalability, and innovation.
This role collaborates with existing organizational vendor-related roles and external consultants to...
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 self-motivated project management professional who has specialty drug management experience and a passion for cost management. Given our continued growth trajectory, we are looking for a motivated project manager who can grow with the company to buildout and lead large projects. The successful candidate will work directly with clients to ensure deliverables fall within the applicable scope, timing and budget. We are looking for a creative and dedicated individual who will fit with...
The Manager, Contact Center is responsible for overseeing the daily operations of the contact center, ensuring a high level of customer satisfaction, team performance, and service quality. This role leads a team of supervisors, team leads, and member service representatives, driving performance through effective coaching, workforce planning, process improvement, and customer-centric leadership.
Navitus Health Solutions is seeking a Pharmacy Network Reporting Specialist to join our team!
The Reporting Specialist, Pharmacy Network will play a key role in supporting the analytical operations of the Provider Services department. The Specialist will be responsible for understanding business processes, the supporting data, and performing an array of analyses and report creations that...
Due to growth, we are adding a Senior Analyst, Network Contracting to join our team!
The Senior Analyst, Network Contracting will be responsible for the financial management of retail, specialty, and mail order pharmacy contracting, issue management, and reporting, in support of the network strategy to deliver value to Navitus clients. ...
Navitus Health Solutions is seeking a Network Contracting Analyst to join our team!
The Analyst, Network Contracting will be responsible for the financial management of retail, specialty, and mail order pharmacy contracting, issue management, and reporting, in support of the network strategy to deliver value to Navitus clients. The primary responsibilities of this role are to analyze current and new pharmacy contracts and provide support for all phases of the pharmacy contracting process, including national and regional chain providers, pharmacy services administration organizations (PSAOs) and independent pharmacies for all lines of business.
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 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 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.
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.
Navitus Health Solutions is seeking a Human Resources Generalist to join our team!
This is a Hybrid position out of our Madison WI location.
The Human Resources Generalist provides front-line HR support to enterprise HR functions, assisting in the execution of HR programs, policies, and procedures. This role supports associate engagement, onboarding, training, benefits, leave administration, and compliance with employment laws. The HR Generalist serves as a key contact for associate relations and supports daily HR operations under the guidance of...
Lumicera Health Services is seeking a Clinical Liaison to join our team!
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.
Is this you? Find out more below!
The Manager, Contact Center is responsible for overseeing the daily operations of the contact center, ensuring a high level of customer satisfaction, team performance, and service quality. This role leads a team of supervisors, team leads, and member service representatives, driving performance through effective coaching, workforce planning, process improvement, and customer-centric leadership.
Due to growth, we are adding a Specialist, Workforce Management to our team!
The Specialist, Workforce Management. is responsible for supporting workforce management setup, scheduling, analysis, forecasting, etc. to ensure internal and external service levels commitments are achieved. The WFM Specialist performs basic troubleshooting with the workforce management systems including input and output systems and escalates as necessary. This individual will review available data or requests new reports to make recommendations on...
Due to growth, we are adding a Business Intelligence (BI) Developer to our team!
This is a hybrid role in Madison WI
The Business Intelligence (BI) 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 BI Developer will have an intermediate...
Navitus Health Solutions is seeking a Director, Clinical Account Management to join our team!
The Director, Clinical Account Management leads a team of Clinical Account Executives to deliver exceptional clinical strategies and support for health plans, employers, and consultants. This role ensures clinical programs align with client objectives, drives retention and growth, and serves as a strategic partner to internal and external stakeholders. The Director will oversee operational excellence, team development, and execution of clinical...
This is a highly technical, individual contributor IT HRBP role at a highly regulated company. We are looking to read resumes detailing your deep IT HRBP expertise in this add to headcount job opening as we continue to grow!
Join us as the HR Business Partner for our Technology division and help shape one of the fastest‑moving parts of our organization. You’ll partner directly with tech leaders using your experience supporting HR processes with IT and technical divisions to solve real people challenges, build high‑performing teams, and drive meaningful change. This is an addition to headcount for our organization.
We’re looking for a...
Due to growth, we are adding a Sr. Analyst, Data Governance to our team!
The Sr. Analyst, Data Governance role has a direct impact on maturing the organization forward; toward a data-driven...
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...
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...
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,...
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.
Lumicera Health Solutions is seeking a Specialty Pharmacy Clinical Intern to join our team!
The Specialty Pharmacy Clinical Intern will perform telephonic consultations with patients regarding the use of their specialty medication from and management of their disease state. 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. Additionally, this role will assess patient needs, perform medication reconciliation, and conduct properly document patient encounters and clinical interventions. The Clinical Intern is part of our experiential learning team and will interact with a variety of operations-based associates including...
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