Navitus Health Solutions is seeking a Billing and Revenue Cycle Management Manager to join our Accounting department!    The Manager, Billing and Revenue Cycle Management will direct, lead and oversees accounts receivable, customer invoicing, cash application, and collections management responsibilities and processes. The Manager will lead a team of Accountants and Accounting Coordinators responsible for Accounts Receivable and Billing...

This is a hybrid role working 2-3 days each week onsite at our campus located at 361 Integrity Dr, Madison, WI 53717.   Navitus Health Solutions is seeking a Rebate Accountant II to join our team!    The position of Rebate Accountant II acts as a Financial Analysis Accountant for...

EpiphanyRx is seeking a Project Manager, Implementation to join our team!    The Project Manager, Implementation (IPM) is a highly motivated professional with at least 3 years of successful client implementation experience. The IPM will interface with employer type clients as well as brokers, consultants, and coalitions to manage projects that could include transitioning clients to EpiphanyRx from their current PBM, implementing new services/programs,...

Navitus Health Solutions is seeking a Grievance and Appeals Coordiantor to join our Grievance and Appeals department!    The Navitus Grievance and Appeals process is an essential function to Navitus’ compliance with CMS regulations, accrediting body standards, other applicable regulatory requirements, and member expectations. The Navitus Grievance and Appeals department serves as the central repository for all complaints received by Navitus and all appeal requests where the responsibility has...

Due to growth, we are adding a Clinical Operations RN to our team!     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...

This is an onsite role at our Lumicera headquarters located at 310 Integrity Dr, Madison, WI 53717.   Due to growth, we are adding a Pharmacy Technician to our team!     Under direction from the Pharmacist-in-Charge and other...

Due to growth, we are adding a Service Delivery Specialist to our team!   Under direction from the Supervisor, Specialty Pharmacy Operations and the Pharmacist in Charge and/or Supervisor of Service Delivery, the Service Delivery Specialist is primarily responsible for the ongoing monitoring and carrier communication to help assure shipments deliver as intended. The Service Delivery Specialist’s objective is to use carrier or third-party resources at their disposal to quickly and efficiently resolve issues that may occur during shipment...

Due to growth, we are adding  aTrade Client Services Coordinator to our team!   The Trade Client Services Coordinator (TCSC) is a highly motivated professional with at least 3 years of successful experience with operational experience in specialty pharmacy. The TCSC will have primary responsibilities for management of manufacturer, payor and strategic partners requiring enhanced operational support. The position is responsible for the co-development of long-term account strategy and supporting the Specialty Trade Account Executive for their...

This role is located onsite at our facility located at 9185 E. Pima Pkwy. Ste. 200 Scottsdale, Arizona 85054 United States.   Due to growth, we are adding Clinical Operations Pharmacist to our team!   The Pharmacist, Clinical Operations’ main duty is to interpret physicians'...

 Due to growth, we are adding a Sr. Manager, Lumicera Compliance to our team!    The Sr. Manager, Lumicera Compliance is responsible for coordinating, facilitating and maintaining compliance with all aspects of pharmacy practice for Lumicera specialty...

Navitus Health Solutions is seeking a SIU Investigator to join our Compliance department!    The Investigator I, SIU will assist the Sr. Manager, Compliance and SIU and SIU Investigators in the execution and maintenance of the Navitus fraud, waste and abuse program, including controls, policies & procedures, communications and training. The Investigator I will work in a semi-professional role with an intermediate level of independence, to ensure case...

Navitus Health Solutions is seeking a Claims Analyst to join our CAO Support department!   This position 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 Claims Analyst role is responsible for analyzing, documenting and reporting findings of claim processing issues. Individuals in this role will...

Lumicera Health Services is seeking a Software Developer II to join our Lumicera IT department!  

Due to growth, we are adding a Client Onboarding Advisor to our team!   The Client Onboarding Advisor will play a key role during new client implementations to understand the client’s current processes, requirements and goals and will cross reference these to Navitus’ product offerings to strategize on how to meet the client’s needs. This individual is responsible for the creation and execution of onboarding plans created specifically for the client and will oversee the entire onboarding process end-to-end for their functional area. The...

Due to growth, we are adding a Client Onboarding Advisor to our team!     The Client Onboarding Advisor will play a key role during new client implementations to understand the client’s current processes, requirements and goals and will cross reference these to Navitus’ product offerings to strategize on how to meet the client’s needs. This individual is...

Due to growth, we are adding a Client Onboarding Advisor to our team!   The Client Onboarding Advisor will play a key role during new client implementations to understand the client’s current processes, requirements and goals and will cross reference these to Navitus’ product offerings to strategize on how to meet the client’s needs. This individual is responsible for the creation and execution of onboarding plans created specifically for the client and will oversee the entire onboarding process end-to-end for their functional area. The...

Due to growth, we are adding a Software Engineer to our IT Development department.    The Software Engineer position ensures efforts are in alignment with the Information Technology team, to support customer-focused objectives and the IT Vision, a collaborative partner delivering innovative ideas, solutions, and services to simplify people's lives. They will serve in a more seasoned capacity,...

Due to growth, we are adding an Regulatory Adherence and Audit Manager to our compliance department.   This position is responsible for company-wide internal audits in accordance with annual audit objectives and work plans, established audits, and state and federal regulations implemented by Navitus’ Legal team.   This also includes responding to external audit activities and facilitating enhancements to established audits. The Manager will be responsible for prioritizing and coordinating all audit activities, conducting quality...

Due to growth, we are adding Program Manager, 340B Pharmacy Services to our Lumicera Trade Relations department.   The Program Manager of 340B Pharmacy Services is responsible for optimizing qualifications of claims eligible for the 340B program in collaboration with our external partners from organizations with Covered Entity locations.  This associate 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...

Due to growth, we are adding a Reimbursement Specialist I to our Lumicera Patient Services department.    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...

Using deep PBM knowledge and experience with pharmacy reimbursement methodologies and generic drug pricing, plus previous team management experience, this role will support and advise senior leadership regarding provider agreements, administration of the MAC Program, and network adequacy.    Putting People First in Pharmacy- Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models.  We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them.   At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages...

Navitus Health Solutions is seeking a Benefit Configuration Analyst to join our team!    The Analyst, Benefit Configuration position is responsible for analysis, interpretation, integration and business decisions with regards to hierarchy, pharmacy network rates and Navitus’ formulary configuration designs.   This position requires knowledge of both the technical and operational sides of the business utilizing...

Due to growth, we are adding Director, Pharmacy Fulfillment Operations to our Lumicera Administration department!  An unrestricted pharmacy license is required for this role, and we encourage pharmacist applications with central fill, pharmacy product logistics exposure, and/or experience opening new pharmacies, moving existing establishments, or workflow process optimization.      

Navitus Health Solutions is seeking a Sr. Copywriter to join our Marketing Communications department! 

Due to growth, we are adding a Pharmacy Technician I to our Lumicera Pharmacy Cape Girardeau department.    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...

Navitus Health Solutions is seeking a Clinical Account Executive (RPh) to join our Clinical Account Management department!   This key position acts as manager and coordinator of the clinical relationship with existing clients. The objective of the clinical relationship with the client is to improve the quality of care while controlling or decreasing overall health care costs....

Navitus Health Solutions is seeking a Reporting Specialist, Pharmacy Network  to join our Pharmacy Network Contracting department!  

Navitus Health Solutions is seeking a Sr. Software Engineer to join our Information Technology department!   

Navitus Health Solutions is seeking a Sr. Financial Analyst, Medicare Part D to join our Government Programs department!  

Due to growth, we are adding a Sr. Business Intelligence Analyst to our FFS Solutions Resources department.  

Navitus Health Solutions is seeking a Medicare Services Executive to join our Government Programs department's West Coast team! 

Job Summary: The Reimbursement Analyst, Pharmacy Network is responsible for the operation of the Navitus Maximum Allowable Cost (MAC) pricing program and other generic and brand reimbursement systems with pharmacy providers.  The objective is to achieve market leading discounts, fair reimbursement to providers, and to ensure maximum competitive pricing is attained. The Analyst supports and evaluates agreements with providers and the 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...

As part of the Government Programs Team and reporting to the General Manager, Medicare Part D, the Operations Manager, Medicare Part D administers operational responsibilities on behalf of Navitus’ Medicare Product and implements systemic process and systems updates based on CMS regulatory changes for all Navitus Part D clients. The Manager will ensure success completion of projects led by the team, implement and administer processes that govern those projects, and is responsible for ongoing operational processes. This position will interface primarily with the Government Programs Medicare Functional Product Team, Technical Operations Team, Part D Compliance Team, and Client Account Management.

Due to growth, we are adding Systems and Quality Analyst Manager to our team.    The Systems and Quality Analyst Manager will provide support for the development, implementation, and maintenance of our FFS Medicaid products.   The FFS...

The Sr. Business Analyst provides business analysis support to the development, implementation, and maintenance of all products within the Fee For Service(FFS) Department. The Sr. Business Analyst will interact with key operating departments related to Fee For Service (FFS) Department  business development and operational compliance. The Sr. Business Analyst also understands the roles and responsibilities of the business area and how it fits within the entire corporation. This individual develops an understanding of Government Programs regulations and related CMS and/or specific state guidance and is responsible for proactive review of all CMS and state regulations and guidance....

This is a hybrid role working 2-3 days onsite each week at our Madison campus located at 361 Integrity Dr, Madison, WI 53717.   Due to growth, we are adding a Analyst, Revenue Cycle Management to our Accounting team.   The Analyst, Revenue Cycle Management is responsible for supporting the Sr. Manager, Revenue Cycle Management in implementation and ongoing administration of best-in-class billing and accounts receivable systems and processes.  The...

The Manager, Accounting is responsible for overseeing the day-to-day operations of the accounts payable and payroll functions within the accounting department. This involves managing a team of accounts payable specialists, ensuring accurate and timely processing of invoices, maintaining vendor relationships, and collaborating with internal team members. Manage the payroll team and provide strategic direction and expertise in the payroll functions. This positions also works to maintain data quality in the financial system, develop effective internal controls and processes, and lead process improvement projects.