Navitus Health Solutions is seeking an Sr. Account Manager - Health Plans with experience with Government Programs to join our team!
The Sr. Account Manager will be part of an account team that values our client relationships and operational excellence and will play an integral role as the face of our organization to clients daily. The Sr. Account Manager will be responsible for leading projects and operational ownership for some of our most complex and strategic client accounts. The Sr. Account Manager will be responsible for the operational execution of client strategies and plan design and serve as...
Due to growth, we are adding a Client Services Executive to our team!
Due to growth, we are adding a Clinical Account Executive to our team!
The Clinical Account Executive at Lumicera Health Services is a remote position responsible for managing and growing relationships with clinic accounts, ensuring a seamless referral and prescription management process with a strong clinical focus. This role builds on expertise in specialty pharmacy and client engagement, collaborating...
Navitus Health Solutions is seeking a Clinical Grievance and Appeals Pharmacist to join our team!
The Clinical Grievance and Appeals Pharmacist will be responsible for performing Appeals and Redeterminations, Grievance Quality of Care reviews, perform duties related to Drug Utilization Review including concurrent, retrospective, and prospective components, and serve as a liaison and clinical support the Grievance and Appeals staff for clinical calls...
The Trainer, Learning and Development will deliver highly interactive, engaging, and impactful virtual and in person instructor-led, and video-conferenced training to employees at all levels of the organization. Training topics will include interpersonal and leadership skills, which will necessitate a high level of emotional intelligence on the part of the Trainer. Responsibilities will also include completing the tactical and operational tasks required to meet the training needs of learners and Learning Services team members. The Trainer will use the corporate Learning Management System to schedule, share and document training and evaluate training effectiveness. The Trainer will also conduct training needs assessment, as well as analysis, design, development,...
Archimedes is looking for a Clinical Account Executive (RPh) to join our team located in the Bloomington/Indianapolis Indiana area.
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: formulary development...
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 software. The Pharmacy Technician I may also be responsible for selecting the medication...
Navitus Health Solutions is seeking a Pricing and Underwriting Analyst II to join our Lumicera Specialty Pharmacy team!
The Analyst II, Pricing and Underwriting is responsible for supporting the Pricing and Underwriting team with financial price modeling of provider networks, manufacturer rebates, cost of risk, and client administrative fees. The Analyst II will support the growth team with client proposals and will be responsible for performing an array of analyses and...
Navitus Health Solutions is seeking a Developer II, Application Systems
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 directly with business users to develop requirements...
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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Navitus Health Solutions is seeking a Software Developer II to join our team!
The Software Developer II 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. The Software Developer IIs role is to define, develop, test, analyze, and maintain new and existing software applications in support of the achievement of business requirements. This includes designing, documenting, coding, testing, and analyzing software programs and applications. The Software Developer II will also research, design, document, and modify software specifications throughout the production life...
Navitus Health Solutions is seeking a Platform Engineering and FinOps Manager to join our team!
The Manager, Platform Engineering and FinOps leads a team focused on enabling secure, scalable, and cost-effective software delivery platforms. This role oversees platform engineering functions such as CI/CD pipelines, developer tooling, and container orchestration, observability, while also managing the cloud financial operations (FinOps) and software procurement functions. This role partners closely with the Infrastructure and Cloud Operations team to ensure alignment on tooling, architecture, platform reliability and cost governance.
The Manager,...
Navitus Health Solutions is seeking an Associate Product Manager-Innovative Pharmacy Programs to joing our team!
The Associate Product Manager (APM) will be responsible for managing operations for both existing products and new product development for assigned specialty and strategic products. Working under the direction of the Sr. Product Manager, Innovative Pharmacy Programs and working with other Product Managers, the APM will manage and coordinate the execution of assigned programs and products. The APM, will oversee day-to-day activities to ensure that the relevant products are fully integrated with the communication and sales plans. The...
Navitus Health Solutions is seeking a Clinical Engagement Center Product Manager to join our team!
The Product Manager, Clinical Engagement Center (CEC) is responsible for providing program management support for the CEC, which provides telehealth services across the nation. The Product Manager (PM) will facilitate efforts to develop and co-implement clinical products aimed at improving the health of members. Administrative oversight and management of all CEC product line offerings is expected. The Product Manager will also be asked to provide production timetables, product pricing, and time-integrated plans for production. In addition, the Product Manager will develop marketing strategies, product...
Navitus Health Solutions is seeking a Pharmacy Technician, Telehealth to join our team!
This position will have the opportunity to impact patient’s health every day via the delivery of best-in-class interventions and patient care. Working with pharmacists, nurses and a supportive leadership team, the Telehealth Pharmacy Technician (CPhT) is responsible for aiding in the delivery of clinical interventions and Medication Therapy Management (MTM) services for commercial and Medicare members. The MTM program will include telephonic and/or video chat outreach with members to complete an analysis of a member’s medication regimen.
In addition, the Telehealth CPhT will assist in clinical outreach...
Navitus Health Solutions is seeking an Account Manager to join our team!
The Account Manager will be part of an account team that values our client relationships and operational excellence and will play an integral role as the face of our organization to clients daily. The Account Manager will be responsible for the operational execution of client strategies and plan design and serve as the voice of the customer cross-functionally throughout the organization. Through operational expertise, The Account Manager will be able to advise clients and co-workers on plan design considerations and opportunities for improvement.
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The Executive Assistant II will be responsible for executive level administrative support to the SVP, Chief Financial Officer and key members of his staff. This role is hybrid, 3 days in office and 2 days remote.
Position requires excellent administrative and organizational skills, handling of the highest level of confidential information, and good public relations. Exercise discretionary powers and independent judgment that directly support management activities daily. Perform tasks under general supervision.
Navitus Health Solutions is seeking a Pharmacy Network Reporting Specialist to join our team!
The Reporting Specialist, Pharmacy Network will play a key role in supporting the analytical operations of the Provider Services department. The Specialist will be responsible for understanding business processes, the supporting data, and performing an array of analyses and report creations that facilitate critical...
Navitus Health Solutions is seeking a Network Contracting Analyst to join our team!
The Analyst, Network Contracting will be responsible for the financial management of retail, specialty, and mail order pharmacy contracting, issue management, and reporting, in support of the network strategy to deliver value to Navitus clients. The primary responsibilities of this role are to analyze current and new pharmacy contracts and provide support for all phases of the pharmacy contracting process, including national and regional chain providers, pharmacy services administration organizations (PSAOs) and independent pharmacies for all lines of business.
The Network Contracting...
Lumicera Health Services is seeking a Pharmacist in Charge to join our team!
The Pharmacist in Charge (PIC) is an active pharmacist responsible for the management of day-to-day pharmacy operations and ensuring compliance with all regulations governing the operation of the assigned specialty pharmacy location including licensing of the pharmacy. The PIC provides direct or indirect supervision to all specialty pharmacy staff responsible for duties within the dispensing pharmacy, including clinical pharmacists, interns, pharmacy technicians, fulfillment specialists, and any other support staff. The PIC is responsible for planning and directing the work of the pharmacy operations and ensuring adherence to the company’s policies and procedures. This position will be...
Lumicera Health Services is seeking a Pharmacy Technician I to join 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 software. The...
Navitus Health Solutions is seeking a Client Services Executive 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 these opportunities appropriately to be incorporated into...
Navitus Health Solutions is seeking a Coordination of Benefits Product Manager to join our team!
The Product Manager, Coordination of Benefits is responsible for the development, administration, maintenance, and oversight of the COB Program. The Product Manager will ensure that the appropriate software, processes, procedures, and oversight monitoring are implemented and operational to meet changing COB program needs. The Product Manager, Coordination of Benefits will work closely with members of the following departments: Analytics, Benefit Systems, Claims Adjudication Development, Client Services, Compliance, Data Services, Government Programs, Implementation, and Member Service, ensuring COB is...
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...
Navitus Health Solutions is seeking a Sr. Coordinator, Med-D 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.
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Lumicera Health Services is seeking a Director, Strategic Partnerships to our team!
Reporting to the SVP, Specialty Pharmacy, the Director, Strategic Partnerships is responsible for leading a team of experienced professionals that establish, maintain, and enhance effective relationships with strategic partners to the specialty pharmacy. Strategic partners include pharmaceutical manufacturers (Pharma), wholesalers, health systems, pharmacy benefit managers (PBMs) and other pertinent partners. The Director,...
Due to growth, we are adding a Prior Authorization Supervisor to our Pharmacy Patient Services department.
Under direction from the Assoc. Manager, Specialty Pharmacy Services and pharmacists in the Specialty Pharmacy, the Supervisor, Prior Authorization is primarily responsible...
Navitus Health Solutions is seeking a Proposal Manager to join our team!
The Proposal Manager will manage, develop, and lead a team of proposal management professionals in the development of strategic and client-focused proposal content, written proposals, and other sales-related documents for a variety of client audiences. The Proposal Manager is a key contributor on the Proposal team, accountable for analyzing opportunities, creating competitively positioned content, and conveying a powerful corporate image to result in significant market share and profitability. This position ensures on-time and quality completion of projects in accordance...
Navitus Health Solutions is seeking a Specialist, Formulary Operations to join our Formulary Services department!
The Specialist, Formulary Operations will perform the daily, weekly, and monthly/periodic administrative functions necessary to update and maintain the formularies for Navitus’ clients for all lines of business. This includes working with the Formulary Services Supervisors to make all changes to the formulary information accessed by clients, as well as day to day formulary maintenance; and having advisory...
Archimedes is a rapidly growing leader in the specialty drug benefit management space. We are looking for a Member Services Supervisor in our Brentwood, TN office. The Member Services Supervisor is responsible for the overall performance of the call center. They will make decisions regarding people, processes, technology, and customer service. This person is jointly responsible for the success of the call center team with the Sr. Director – PBM Operations. A deep understanding of Archimedes’ culture and mission is vital to the success of this position.
Navitus Health Solutions is seeking a Marketing Manager to join our team!
The Marketing Manager plays a pivotal role in executing brand-aligned marketing programs that support business growth and client engagement. This role brings the brand to life through thoughtful campaign execution, content development, and performance tracking. The Marketing Manager collaborates across departments to ensure consistency, relevance, and impact in every customer and stakeholder touchpoint.
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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. This is accomplished by recommending, implementing and evaluating clinical programs and services. The Clinical Account Executive focuses on a proactive, consultative and comprehensive approach. The position is a key member of the Client Services Team and is responsible for the account relationship and ultimate retention of the account and growth of the business. Proficiency required in interpreting drug literature and clinical trial evaluation, including proficiency with electronic databases (e.g., Micromedex, Medline, Internet...
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...
This position is an onsite role working out of our Appleton office located at 1025 West Navitus Drive, Appleton, WI 54913.
Navitus Health Solutions is seeking a UM Operations Coordinator to join our Prior Authorization department!
The Coordinator, Utilization Management (UM) Operations role is to support the operational work of the Utilization Management Program. Job duties will include reporting and administrative functions. Specifically, the Coordinator...
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 Senior Strategic Planning Analyst to our department.
The Coordinator, Talent Acquisition (CTA) will provide front line support for the recruiting function. Reporting to the Sr. Manager, Talent Acquisition, the CTA will assist the HR department in carrying out programs, processes, policies, and procedures; including duties related to recruitment, hiring, record keeping, new hire file maintenance, and compliance with state and federal employment laws. The CTA will ensure accurate new employee records in accordance with employment regulations; assist in the full-service recruiting process which may include interview scheduling, initiating background checks, eI-9 verification and record keeping. Update and maintain the job description database. Assist in...
Navitus Health Solutions is seeking an Executive Assistant II to join our IT Management team!
This position is in person located in our Appleton WI location.
The Executive Assistant II will be responsible for executive level administrative support to the VP. Position requires excellent administrative and organizational skills, handling of the highest level of confidential information, and good public relations. Exercise discretionary powers and independent judgment that directly support management activities daily. Perform tasks under general supervision.
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Lumicera Health Solutions is seeking a Supervisor, Specialty Pharmacy Support Services to join our team!
Under general direction of the Associate Manager, Pharmacy Services, the Supervisor, Specialty Pharmacy Support Services is responsible for managing the day-to-day operations of a team of either Reimbursement or Intake Specialists. This position monitors productivity and performance standards and plans and directs workflow and project assignments. Oversees production volume to ensure service standards are met. The Supervisor, Specialty Pharmacy Support Services will participate in hiring, training, and evaluation of staff, as well as be...
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...