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. ...

Due to growth, we are adding a Sr. Manager, Client Support to join our team!    The Sr. Manager, Client Support will play a key role in service as a client facing subject matter expert (SME) within the Navitus organization specializing in retail, specialty and mail order pharmacy networks. This role bridges the gap between account management and the...

Navitus Health Solutions is seeking a Industy Standards Advisor to join 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. The Advisor, Industry Standards, is the subject matter expert (SME) and assists in interpreting and conveying NCPDP standards to key stakeholders. This individual will actively participate in NCPDP Work Groups (WG), Task Groups (TG). This individual will...

Navitus Health Solutions is seeking a Telehealth Pharmacist    The Pharmacist, Telehealth will be a key contributor to the success of a newly launched Clinical Engagement Center (CEC) focused on improving member’s health and wellness via tele-pharmacy and wellness coaching. This...

Due to growth, we are adding a Supervisor, Issue Management to our CAO Quality department. 

Due to growth, we are adding a Sr. Issue Management Consultant to our CAO Quality department. 

Due to growth, we are adding a Manager, Issue Management to our CAO Quality department. 

Due to growth, we are adding an Issue Management Consultant to our CAO Quality 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 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...

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...

Navitus Health Solutions is seeking a Proposal Analyst to join our Proposals department!    The Proposal Analyst role is critical to the client acquisition and retention efforts of Navitus Health Solutions. This position works cross-functionally at a variety of levels to maximize sales and retention through the timely creation and management of competitive responses to Requests for Proposals (RFPs) and other sales related documents for a variety of audiences. The Proposal Analyst ensures agreed upon strategies are incorporated into persuasive, compelling, and customer-focused...

Due to growth, we are adding a Scrum Master to our department.   

Due to growth, we are adding a Senior Strategic Planning Analyst to our department. 

Navitus Health Solutions is seeking a Application Systems Developer II to join our team!   The Developer II, 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 such as Dynamics CRM, SharePoint, K2 as well as other vendor purchased applications used at Navitus. The role of the Developer II,...

Navitus Health Solutions is seeking a Application Systems Administrator II to join our team!   The Administrator II, Applications 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 application administration including server maintenance, application upgrades, application support and requests, disaster recovery planning, and providing any other support within the vendor purchased applications used at Navitus. This individual is recognized as the go-to person when technical support is required.  This individual...

Navitus Health Solutions is seeking a Product Manager, eHealth to join our department   The Product Manager, eHealth will be responsible for managing both existing products and new product development for assigned products within Navitus’ eHealth suite, which include e-prescribing (eRx), electronic prior authorization (ePA) and real time prescription benefits (RTPB). The Product Manager (PM) will report to and provide support to the Manager, Digital Health. The PM will assist with and identify solutions for system enhancements, stability, and quality by working with IT resources. The PM will work to create and monitor metrics that ensure product accuracy and quality, vendor strategy, and product management....

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!   What can you...

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...

Due to growth, we are adding a Manager, Specialty Account Executive (RPh) our team!     This position will execute market strategies for generating, maintaining and improving clinic relationships to result in increased script volume. The Specialty Account Executive is responsible for the Client Services Coordinator and will manage and oversee completion and assignments of their respective daily tasks while supporting large scale specialty initiatives to maximize revenue. Key contacts will include prospective clinics, manufacture partners, and internal client...

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 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 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 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 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 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...

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...

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.

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...