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This position is being maintained as an evergreen opportunity for anticipated future openings. While we may not have an immediate vacancy, we are proactively building a pipeline of qualified candidates. As related opportunities become available, we will review your background and reach out if there is a potential match.
The position is located in Madison WI working...
Navitus Health Solutions is seeking a Network Contracting Manager to join our team!
The Network Contracting Manager will be responsible for the management of retail, specialty, and mail order pharmacy contracting, issue management, reporting, and network strategy in support of Navitus’ objectives. The primary responsibility is to develop, implement, execute, and provide ongoing management of pharmacy contracts and relationships with pharmacy partners, including national and regional chain providers, pharmacy services administration organizations (PSAOs) and independent pharmacies for all lines of business. The Network Contracting Manager...
Lumicera Health Services is seeking a Specialty Market Strategy and Product Development join our team!
The ideal candidate would have in-depth experience in both developing and launching brand new business products or service offerings within the...
Navitus Health Solutions is seeking a Paralegal to join our team!
This is a hybrid position working in our Madison WI location.
The Paralegal will support Lumicera which is a subsidiary of Navitus by (a) managing licensing processes; (b) drafting legal documents and templates, managing document templates and corporate legal records, performing records and legal research and preparing correspondence under general supervision; and (c) identifying, reviewing, and interpreting legislation and regulatory environment changes directly or indirectly impacting Navitus and provide support and analysis related to the interpretation...
Due to growth, we are adding a Director, Clinical Strategy (RPh) to our team.
The Director, Clinical Strategy (RPh) is a clinical and strategic leader responsible for owning formulary strategy and clinical business development across the organization. This role translates clinical evidence, market dynamics, and client needs into actionable formulary and clinical strategies that drive improved patient outcomes, cost management, and competitive differentiation. This leader provides direction on drug information and clinical management,...
Due to growth, we are adding a Paralegal to our team.
This is a hybrid position in our Madison WI location.
The Paralegal will support Navitus, and their subsidiaries by (a) managing licensing processes; (b) drafting legal documents and templates, managing document templates and corporate legal records, performing records and legal research and preparing...
Navitus Health Solutions is seeking a Medicare Part D Senior Coordinator to join our team!
The Medicare Part D Senior Coordinator is responsible for providing administrative, technical and process support for Medicare Part D functions. The Senior Coordinator works closely with the Product Managers to ensure that deliverables are completed according to project plans. This role requires analytical skills, strong attention to detail, technical writing skills, and basic knowledge of Medicare Part D rules and regulations.
Is this you? Find out more below!
Navitus Health Solutions is seeking a Analyst, IT Governance to join our team!
The Analyst, IT Governance is responsible for developing and maintaining IT policies, procedures, guidelines, and standards in alignment with ITIL best practices. This role will work directly with application developers, business users, internal IT, and third-party vendors to improve performance, processes, and the overall health of the data. This role will participate in the planning and implementation of policies and procedures to ensure the systems are running optimal and processes are consistent with company goals, industry best practices and regulatory requirements.
The RN, Utilization Case Manager will coordinate care between physicians, patients, and pharmacies, facilitating access to specialty medications for patients with complex disease states.
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.
The Clinical Account Executive (RPh) is responsible for being the clinical expert for all specialty medications across both the pharmacy and the medical benefit. This role will communicate with clients, brokers, consultants, prospects, physicians, nurses, pharmacists, and...
Navitus Health Solutions is seeking a Developer II, Application Systems to join our team!
The Developer II, Application Systems 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 role will work...
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....
Lumicera Health Services is seeking a Principal, Product Strategy to join our team!
The Principal, Product Strategy is a senior individual contributor responsible for guiding the strategic direction and driving execution of disciplined, company aligned product design, development, go-to-market, and lifecycle governance initiatives aligned with...
Due to growth, we are adding a Sr. Manager, Enterprise Compensation to our team!
The Sr. Manager, Enterprise Compensation is responsible for the enterprise-wide strategy, design, governance, and execution of compensation programs, while leading and developing a team of compensation professionals to deliver consistent, high-quality outcomes across the organization. This role provides leadership oversight of compensation philosophy,...
Navitus Health Solutions is seeking 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. 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.
Is...
Looking to try a weekday only role that is not in person with patients? Our pharmacist operations manager works at our state-of-the-art new pharmacy distribution center.
Lumicera is offering a 10k relocation bonus to candidates outside of a 50-mile radius of our pharmacy location.
Take a video tour! Lumicera 360 Degree Virtual Tour
Looking to try a weekday only role that is not in person with patients? Our pharmacy fulfillment manager works at our state-of-the-art new pharmacy distribution center.
Take a video tour! Lumicera 360 Degree Virtual Tour
The Sr. Engineer, Development Operations serves as a technical leader responsible for architecting, governing, and advancing the organization's cloud platform, Infrastructure-as-Code (IaC), CI/CD, DevSecOps, automation, DataOps, MLOps, and enterprise integration capabilities. This role provides strategic technical leadership for Azure-based application, infrastructure, data, analytics, machine learning, and integration platforms. The Sr. Engineer establishes engineering standards, platform architectures, automation frameworks, governance controls, and operational best practices that enable secure, scalable, highly available, and cost-effective technology solutions across the enterprise. Operating in an Azure-first, Terraform-driven environment, the Sr. Engineer...
The Sr. Engineer, Data serves as the technical lead for enterprise data engineering, data architecture, lake house platforms, and AI-ready data solutions. This role is responsible for defining enterprise data architecture standards, canonical data models, data governance frameworks, integration patterns, and reusable data products that enable analytics, automation, machine learning, and artificial intelligence initiatives across the organization. Operating within an Azure-first, Databricks-centric environment, the Sr. Engineer provides technical leadership for the organization's transition from traditional SQL-based data architectures to a modern cloud-native lake house platform built on Azure Data Lake Storage Gen2, Azure Databricks, Delta Lake, Unity Catalog, and...
The Sr. Engineer, Cloud serves as the technical lead for Azure cloud architecture, governance, networking, security, observability, and platform operations. This role is responsible for establishing cloud engineering standards, reusable architecture patterns, landing zone strategies, infrastructure governance controls, and operational best practices supporting enterprise applications, data platforms, analytics, machine learning, and AI initiatives. The Sr. Engineer, Cloud supports enterprise data platform initiatives, including Azure Data Lake Storage Gen2, Azure Databricks, Unity Catalog, and related analytics services. This role is responsible for designing and operating the cloud infrastructure, networking, security, identity, governance, and platform services...
The Sr. Architect, Enterprise serves as the organization's principal architecture leader responsible for defining and governing enterprise technology architecture with a strategic focus on Data, Artificial Intelligence (AI), Enterprise Integration, and Digital Product Architecture. This role establishes the long-term technology vision, target-state architectures, architectural standards, governance frameworks, and modernization roadmaps that enable scalable, secure, interoperable, and AI-ready business capabilities across the enterprise. Operating within an Azure-first, Databricks-centric environment, the Senior Enterprise Architect provides leadership across enterprise applications, cloud platforms, data platforms, lake house architectures, artificial intelligence...
The Manager, Enterprise & Product Engineering is responsible for leading the design, development, delivery, and modernization of enterprise applications, APIs, digital products, automation platforms, and AI-enabled business solutions that leverage the organization's enterprise data assets. Operating within a data-first, AI-first technology strategy, this role is accountable for transforming governed enterprise data into scalable applications, intelligent workflows, digital experiences, automation capabilities, and AI-powered solutions that drive operational efficiency, customer outcomes, and business growth. This is a hands-on leadership role responsible for managing Software Developers, Senior Software Developers, and Senior Software Engineers while actively...
The Manager, Data Engineering is responsible for leading the design, implementation, operation, and modernization of the organization's enterprise data platform, lakehouse architecture, data integration ecosystem, and AI-ready data foundation. This role provides both technical leadership and people leadership across Data Engineering, Data Integration, DataOps, and enterprise data modernization initiatives. Operating within an Azure-first, Databricks-centric environment, the Manager, Data Engineering leads the organization's transition from traditional SQL-centric ETL architectures toward modern cloud-native lakehouse platforms utilizing Azure Databricks, Delta Lake, Unity Catalog, Azure Data Lake Storage Gen2, Azure Data Factory, APIs, event-driven architectures,...
The Manager, Cloud and DevOps Engineering is responsible for leading the design, implementation, operation, security, automation, and continuous improvement of the organization's cloud, platform, infrastructure, DevOps, observability, and platform engineering capabilities. Operating within an Azure-first, Databricks-centric environment, this role provides technical and people leadership for cloud infrastructure, networking, DevOps, Infrastructure-as-Code (IaC), platform engineering, cloud security, observability, reliability engineering, FinOps, and enterprise platform operations supporting business applications, data platforms, analytics, artificial intelligence (AI), machine learning (ML), automation, and enterprise technology services. This is a hands-on...
The Engineer, Development Operations is responsible for designing, implementing, and operating secure, scalable, and automated cloud infrastructure, Infrastructure-as-Code (IaC), CI/CD pipelines, and platform automation across Azure-based application, data, integration, and AI workloads. This role serves as a key technical owner for Infrastructure-as-Code, Continuous Integration/Continuous Delivery, deployment automation, cloud orchestration, and DevSecOps practices using Azure DevOps, GitHub Actions, Terraform, Bicep, Azure-native services, and related automation tooling. Operating in an Azure-first, Terraform-driven environment, the DevOps Engineer builds consistent, repeatable, version-controlled infrastructure and deployment patterns across development, test,...
The Engineer, Data is responsible for designing, building, and operating modern cloud-native data platforms, lake house architectures, data pipelines, and enterprise data products that enable analytics, artificial intelligence (AI), machine learning (ML), automation, and operational decision-making across the organization. Operating within an Azure-first, Databricks-centric environment, the Data Engineer develops scalable data solutions utilizing Azure Data Lake Storage Gen2, Azure Databricks, Delta Lake, Unity Catalog, Azure Data Factory, Synapse Analytics, APIs, event-driven integrations, and modern DataOps practices. The role supports the organization's transition from traditional SQL-based architectures to cloud-native lake house platforms that provide trusted,...
The Engineer, Data Integration is responsible for designing, implementing, and supporting enterprise integration solutions that enable secure, scalable, reliable, and governed data exchange across internal applications, cloud platforms, third-party vendors, healthcare partners, analytics platforms, automation services, and artificial intelligence (AI) solutions. Operating within an Azure-first, Databricks-centric environment, the Data Integration Engineer develops and supports API-based integrations, event-driven architectures, healthcare data exchanges, SaaS integrations, cloud-native messaging platforms, and enterprise workflow automation capabilities. This role serves as a key technical contributor in the organization's transition from traditional batch-based...
The Engineer, Cloud specializes in architecting and automating secure, scalable Azure environments. Cloud Engineer supports enterprise data platform initiatives, including Azure Data Lake Storage Gen2, Azure Databricks, and related analytics services. This role is responsible for designing and operating the cloud infrastructure, networking, security, identity, governance, and platform services that enable scalable, secure, and compliant lake house and AI workloads. The Engineer supports the organization's analytics, machine learning, and AI initiatives by implementing and operating cloud infrastructure, networking, security, identity, and platform services that enable secure, scalable, and compliant data, analytics, and AI workloads. The role assists in supporting...
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...
Navitus Health Solutions is seeking a Sr. Manager, Account Executive to join our team!
The Sr. Manager, Account Executive is responsible for the management of a portfolio of complex client accounts while providing direct leadership and oversight to a team of professionals who manage additional books of business. This role reports to the Sr. Director, Account Management and serves as a senior leader within the Account Management organization, balancing hands-on client ownership with people leadership, performance oversight, and execution of account strategies. The Sr. Manager partners closely with Sales, Operations, Clinical, Finance, and other internal stakeholders to support client retention, growth...
Navitus Health Solutions is seeking a Sr. Analyst, Financial to join our team!
The ideal candidate will be hybrid in Madison WI
The Sr. Analyst, Financial performs various financial analysis, forecasting and strategic planning activities. The Sr. Analyst compiles financial data in various formats to be used by Senior Leadership, SSM Health, and other key stakeholders in the organization.
Navitus Health Solutions is seeking a Sr. Executive Assistant II to join our team!
This is a hybrid position working three days in our Madison WI location.
The Sr. Executive Assistant II will be responsible for executive level administrative support for Navitus Legal division. This position requires excellent administrative and organizational skills, handling of the highest level of...
Navitus Health Solutions is seeking a Manager, Workforce Management to join our team!
The Manager of Workforce Management (WFM) leads the workforce management team to ensure optimal staffing and service level performance across the contact center. This role oversees all aspects of workforce planning, including setup, scheduling, forecasting, and analysis to meet internal and external commitments.
The Manager serves as the primary point of contact for WFM system maintenance, outages, and technical issue resolution, ensuring seamless integration between input and output systems. They are responsible for training associates on WFM technology and best practices. Additionally, the Manager drives data-driven decision-making by coordinating and performing...
Navitus Health Solutions is seeking a Client Services Executive (CSE) to join our team!
The Client Services Executive (CSE) is a highly motivated professional with at least 5 years of successful experience interfacing directly with varied complex clients preferably in healthcare, to manage existing Pharmacy Benefit Management clients. The position is responsible for the co-development of long-term account strategy for their assigned clients. Working with subject matter experts, the CSE will be for responsible for identifying “up sell” and expansion opportunities and communicating...
Due to growth, we are adding a Director, Network Pricing & Market Planning to our team!
The Director, Network Pricing & Market Planning is responsible for owning pharmacy network financial performance across all lines of business, with direct accountability for achieving contracted reimbursement guarantees, including effective rate (BER/GER) performance and MAC pricing outcomes. This role leads the Network Reconciliation and MAC Pricing teams and is accountable for...
The RN Case Manager, Telehealth (RN) will focus on improving members’ health and wellness via tele-pharmacy. In addition, the RN will assist in the development and execution of additional clinical outreach program(s) to exceed client expectations.
Additional responsibilities will be the provision of telehealth coaching to members in a variety of new program offerings aimed at improving adherence and driving to the lowest net cost formulary options. Remote engagement with members and prescribers will be frequent. The RN will also support department leadership with development of appropriate clinical resources, recommendations regarding targeted medication review selections, and policies and procedures. Other support provided will include clinical...
Do you have strong experience in data modeling and analytics at a PBM or healthcare company? Due to continued growth, this add to headcount role will drive value as we are expanding our team to include a Director, Network Informatics & Analytics. Please note, this is not an IT Network position.
The Director, Network Informatics & Analytics is a strategic leadership role responsible for the data, informatics, analytics, and quality governance that support pharmacy network contracting across Chain, Specialty, and Independent/Affiliated networks. This role serves as the centralized owner of network and contract data integrity, analytics, reporting, and analytical validation of...
Due to growth, we are adding a Supervisor, Claim Adjudication Operations to our team.
The Supervisor, Claim Adjudication Operations (CAO) ensures efforts are in alignment with the 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. This role will plan, design, coordinate and align resources to support the daily activities of the team. The Supervisor, CAO role will work closely with their team to identify, recommend, develop, implement, support, and improve customer-focused solutions.
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...
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...
Navitus Health Solutions is seeking a Sr. Analyst, Data Governance 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 leadership to actively support initiatives to implement Enterprise Data...
Navitus Health Solutions is seeking a Paralegal to join our team!
This position is located in Madison WI working hybrid two days in office.
The Paralegal will support Navitus, and their subsidiaries by (a) managing licensing processes; (b) drafting legal documents and templates, managing document templates and corporate legal records, performing records and legal research and preparing correspondence under general supervision; and (c) identifying, reviewing, and interpreting legislation and regulatory environment changes directly or indirectly impacting...
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.
Join Lumicera Health Services to lead the future of mail order pharmacy fulfillment- driving precision, scale, and innovation across a rapidly growing, multi-site pharmacy operation.
Under general direction of the Vice President, Operations at Lumicera Health Services, the Director, Fulfillment Operations is responsible for directing the vision, strategy, and delivery of Lumicera and Lumicera partner pharmacy fulfillment operations. The Director is responsible for creating compliant, safe, and efficient fulfillment operations including inventory management, cold chain management, prescription dispensing and final verification, shipping, and service delivery. The Director is responsible for development of an effective cross-functional department through organization...
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 Sr. Manager, Accounting to join our team!
The position of Sr. Manager, Accounting is responsible for the Company’s general ledger accounting and financial reporting. The Sr. Manager, Accounting leads the technical and general accounting functions. Other functions include fixed assets management, investment analysis, transaction accounting, coordination of month-end close and the annual financial audit. Significant elements of the work involve leading the team with problem solving, coordination of work activities,...
Due to growth, we are adding an Analyst, Government Pricing to our team.
The Analyst, Government Pricing is responsible for the development, maintenance, and administration of Medicaid FFS drug pricing methodologies and supporting analytical models. This role ensures accurate, compliant, and competitive reimbursement aligned with federal and state Medicaid requirements, including NADAC, CMS guidance, and HRSA 340B pricing constraints.
The Analyst, Government Pricing...