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Archimedes is a specialty medical management company with an industry-leading technology platform that client groups can use to manage specialty medical spend. The focus of this roll is to lead our prior authorization, channel optimization and health economics product operational teams.. The Director is responsible for running an operation that coordinates care between physicians, patients, manufacturers, clients and pharmacies.
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.
The VP, PBM Client Implementation & Delivery Quality is accountable for leading and executing growth initiatives with a strong emphasis on high‑quality client implementation, delivery consistency, and operational excellence. This role ensures that new and existing clients receive services that align with contractual commitments, regulatory expectations, and Navitus quality standards.
The VP partners closely with Growth, Sales, Implementation, Product, and Customer Success leaders to ensure quality outcomes across the full client lifecycle,...
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 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...
Navitus Health Solutions is seeking a Sr. Developer, Application Systems to join our team!
The Sr. Developer, 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 well as other vendor purchased applications used at Navitus. The role of the Sr. Application Systems Developer will be responsible for creating technical specifications from business requirements, developing...
Navitus Health Solutions is seeking a Sr. Paralegal to join our team!
The ideal candidate will be located in Madison WI working hybrid.
The Sr. Paralegal will support Navitus, Lumicera, 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...
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.
Due to growth, we are adding a Sr. Analyst, Contract Performance to our team.
The Sr. Analyst, Contract Performance is responsible for providing, gathering, monitoring and reporting on contractual guarantees for Navitus clients. The Sr. Analyst will collaborate with all functional areas to establish the service performance guarantees being offered to prospective and current Navitus clients through the Request for Proposal (RFP) and renewal processes, respectively. An important aspect of this role includes the facilitation and coordination of...
Navitus Health Solutions is seeking an Analyst, Tech. Operations Government Programs to join our team!
The Analyst, Tech. Operations Government Programs has responsibility for executing Government Programs processes accurately, efficiently, and in compliance with CMS regulations.
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The RN, Utilization Case Manager will coordinate care between physicians, patients, and pharmacies, facilitating access to specialty medications for patients with complex disease states.
Navitus Health Solutions is seeking a Proposal Analyst to join our team!
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 proposals. This position ensures the timely completion of a project in accordance with defined project management processes and quality standards. The Proposal Analyst reports to the Manager or Sr. Manager,...
Navitus Health Solutions is seeking a Sr. Client Services Executive II to join our team!
The Sr. Client Services Executive II (SCSE) is a highly motivated professional with at least 7 years of successful experience interfacing directly with larger more complex clients preferably in healthcare, to manage existing PBM clients. The position is responsible for the co-development of long-term account strategy for their assigned Clients. Working with subject matter experts, the Sr. CSE will be responsible for identifying “up sell” and expansion opportunities and communicating these opportunities appropriately to be incorporated into the annual strategic...
Due to growth, we are adding a Pharmacist in Charge to our Specialty Pharmacy Clinical Services department.
The Pharmacist in Charge (PIC) is responsible for the day-to-day leadership, performance, and regulatory compliance of a specialty mail-order pharmacy operation. This role oversees dispensing workflows, patient service, inventory and...
Join Lumicera Health Services to lead the future of 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 design, process...
Navitus Health Solutions is seeking a Pharmacy Relations Specialist to join our team!
The Pharmacy Relations Specialist (PRS) is a highly motivated professional with at least 3 years of successful experience working in a pharmacy or interfacing directly with pharmacies or accounts, preferably in healthcare. Responsibilities include executing contracts with pharmacies, responding to pharmacy inquiries and completing the tactical and operational tasks required to maintain contracted pharmacy networks.
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Navitus Health Solutions is seeking a Coordinator, Benefits and HRIS to join our team!
This position is hybrid working three days in our Appleton WI location.
The Coordinator, Benefits and HRIS (Human Resources Information System) supports the administration of associate benefit programs and HRIS operations. This role is responsible for managing day-to-day benefit enrollment activities, including new hires and qualifying life events, while ensuring accurate and timely data processing within the HRIS.
The Coordinator serves as a key point of contact for associates, providing support for benefit-related inquiries, documentation, and...
If you have progressive experience in the healthcare industry supporting a 24/7/365 omnichannel member contact center, we invite you to apply and learn more about this opportunity.
Our Sr. Director, Healthcare Member Contact Center provides company-wide leadership, strategic direction, innovative and forward thinking and operational oversight for Navitus Customer Care, ensuring the delivery of highly effective, scalable, and resilient customer support model operation to fully maximize the 24/7/365 staffing model. This role is accountable for both near-term operational and tactical performance and long-term strategic execution and planning and partners closely with senior leadership and Customer Care Leaders to align daily...
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 role is recognized as the go-to person when technical support is required specifically as the primary admin for our Enterprise Content Management (Document/Workflow) Suite which provides a centralized...
Navitus Health Solutions is seeking a Senior Manager, Population Health to join our team!
The Senior Manager, Population Health provides strategic vision and operational oversight of the department as well as direct management and leadership of clinical staff within the department. The Senior Manager ensures timely program execution, represents products to external and internal clients, and drives results in support of the corporate strategic plan. The Senior Manager will have responsibility for the required clinical services and for driving outcome analysis initiatives to completion. The Senior Manager is responsible for duties related to the development, implementation, outcomes reporting, and ongoing administration of Navitus’ clinical...
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.
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...
Due to growth, we are adding a Fulfillment Specialist, Specialty Pharmacy to our team.
Under the general direction of the Technician Supervisor and the Pharmacist-in-Charge, the Fulfillment Specialist, Specialty Pharmacy is responsible for ensuring all scheduled orders are packaged appropriately and accurately according to company standards so that deliveries arrive to patients as expected. In addition to packaging, the Fulfillment Specialist is expected to receive, prepare, organize, and monitor shipping materials while keeping the Specialty Pharmacy’s storage area clean and organized.
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Navitus Health Solutions is seeking a Business Intelligence Developer to join our team!
The Business Intelligence Developer will generate and maintain data and analytic solutions that turn data into knowledge. The Business Intelligence Developer should understand how to interpret databases, develop data models within business intelligence (BI) tools and provide maintenance on existing applications.
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Due to growth, we are adding a Pharmacy Technician I to our team.
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 dispensing...
Due to growth, we are adding a Referral Coordinator to our team.
The ideal candidate for this position will be working remote out of California***
The Referral Coordinator will assist in processing all inbound specialty prescriptions from referring prescribers. They are tasked with coordinating and assuring the smooth flow of the prescription referral and prior authorization process to meet the needs of patients while establishing collaborative relationships and communication with the prescriber’s office.
Lumicera Health Services is seeking a Specialist, Workforce Management to join 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 staffing to consistently meet service levels and run and requests enhancements to analytic...
Lumicera Health Solutions is seeking a Specialty Pharmacy Clinical Intern to join our team at our Arizona location!
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...
Lumicera Health Services is seeking a Service Delivery Specialist to join 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 transit. The Service Delivery Specialist...
Lumicera Health Services is seeking a Trade Client Services Coordinator (TCSC) to join 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 assigned clients. Working with other...
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,...
Navitus Health Solutions is seeking a Analyst, Pharmacy Contract Audit to join our team!
The Analyst, Pharmacy Contract Audit is responsible for the oversight of Navitus’ contractual pharmacy network reimbursement accuracy. The individual in this position is expected to make independent assessments to confirm Navitus is conforming to contractual reimbursement obligations contained in Retail, Specialty, and Mail Order pharmacy agreements. The Analyst will continually review and monitor claims data, create, and update procedures, audit networks for...
Lumicera Health Services is seeking a Lead, Finance Capital Planning to join our team!
The Lead, Finance Capital Planning is responsible for the financial management of the enterprise capital project portfolio and capital plan for the assigned company. The role will oversee and maintain the system of accounting, budgeting, forecasting and financial reporting for capital project costs and benefits as well as the budgeting and reporting on the overall capital plan. The position will work with key stakeholders and partners in various areas within the assigned company and will present and report on...
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...
Due to growth, we are adding a Sr. Analyst, Government Pricing to our team.
The Sr. Analyst, Government Pricing is responsible for advanced analytical support of Medicaid FFS pharmacy programs, including MAC pricing, 340B program impacts, and Statement of Work (SOW)–driven cost analysis. This role evaluates pricing methodologies, utilization trends, and regulatory impacts to support accurate forecasting, program strategy, and client/vendor decision-making.
The Sr. Analyst, Government Pricing...
Due to growth, we are adding a Sr. Manager, Government Pricing to our team.
The Sr. Manager, Government Pricing is responsible for the strategic leadership, governance, and execution of Medicaid fee‑for‑service (FFS) drug pricing, reimbursement analysis, and drug economics activities. This role provides managerial oversight of analysts and senior analysts while serving as a subject matter expert (SME) in Medicaid drug pricing constructs, generic market dynamics, MAC and 340B file governance, and state‑specific regulatory initiatives.
Due to growth, we are adding a Reimbursement Analyst, Pharmacy Network to our team.
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.
Due to growth, we are adding a Sr. Data Analyst, Pharmacy Network to our team.
The Sr. Data Analyst, Pharmacy Network will play a key role in supporting the analytical operations of the Provider Services department. The Sr. Analyst will be responsible for understanding business processes, the supporting data, and performing an array of analyses and report creation that facilitate critical business decision-making processes. The objective is to utilize and harness data in an effective manner to best serve our providers, clients, and promote...
Due to growth, we are adding a Architect, Enterprise AI to our team!
The Architect, Enterprise AI is responsible for designing, governing, and advancing the enterprise architecture strategy for Artificial Intelligence and Agentic AI capabilities across the organization. This role partners with Enterprise Architecture, Platform Engineering, Data Engineering, and Product teams to define scalable AI architecture patterns, reference...
Due to growth, we are adding a Sr. Developer, Business Intelligence to our team.
The Sr. Developer, Business Intelligence is an expert level role that combines theory and practice to identify and communicate data-driven insights that allow managers, stakeholders, and other executives in the organization or within a state Medicaid Program to make informed decisions. A good candidate will be detail oriented, analytical, a skilled communicator, and a quick learner with experience in analytics, data modeling, or business intelligence.
Due to growth, we are adding a Engineer, Enterprise AI to our team!
The Engineer, Enterprise AI is responsible for designing, building, and operationalizing enterprise AI capabilities that enable the scalable adoption of Artificial Intelligence and Agentic AI across the organization. Working closely with the Enterprise AI Architect, this role translates enterprise AI architecture, patterns, and governance standards into implementable...
Navitus Health Solutions is seeking a Sr. Paralegal and Executive Assistant to join our team!
This is an onsite position at least three days in office in our Madison WI location.
The Sr. Paralegal and Executive Assistant will be responsible for both substantive paralegal work and executive level administrative support to the SVP, Chief Legal Officer. Success in this role requires the ability to handle a high volume of work with a sense of urgency and prioritization as well as advanced administrative, communication and organizational skills, handling highly confidential information with integrity, consistently maintaining excellent professional relations, and an understanding of legal actions and...
Navitus Health Solutions is seeking a Systems Architect to join our team!
The incumbent will be responsible for participating in the design, construction, maintenance, and enhancement of the Navitus IT infrastructure. With minimal leadership and tactical supervision, the incumbents collaborate with clients, staff, IT colleagues, and other stakeholders to identify user requirements, assess available technologies, and recommend solution options to meet the operational needs of Navitus. The main challenge to the Systems Architect is to architect and implement long term and short-term solutions to achieve the business needs. Incumbents also play...
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.