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

Due to growth, we are adding Manager, Medicare Finance Operations to our Government Programs department.    As part of the Government Programs Team and reporting to the General Manger, Medicare Part D, the Manager, Medicare Finance Operations s administer all Medicare Finance operational responsibilities on behalf of Navitus’ Medicare Product and those operational responsibilities delegated to Navitus by our Medicare Part D...

Navitus Health Solutions is seeking a Clinical Prior Authorization Pharmacist to join our Prior Authorization department!    The Pharmacist I, Clinical Prior Authorization will be responsible for: performing Prior Authorizations; perform duties related to Drug Utilization Review including concurrent, retrospective, and prospective components; and support Customer Care with clinical calls requiring pharmacist intervention. The Pharmacist I, Clinical Prior...

Due to growth, we are adding a Sr. Software Developer to our IT Development department.   The Sr. Software Developer 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 Sr. Software Developer’s role is to define, design, develop, test, analyze, and maintain new...

Due to growth, we are adding Channel Partner Analyst to our  Sales and Marketing department.     The Analyst, Channel Partner supports the channel partner division in its efforts to bolster our downstream sales and collaborations. This role supports day-to-day activities of our reseller clients, such as health plans, TPAs, and coalitions, from RFP intake to delivery....

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 a Pharmacy Technician I to our Lumicera Pharmacy Phoenix 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...

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 Pharmacy Relations Specialist II to our Provider Services Operations department.    The Pharmacy Relations Specialist (PRS II) is a highly motivated professional with at least 2 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...

Due to growth, we are adding a Pharmacy Relations Specialist to our Pharmacy Network Operations department.    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...

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...

Due to growth, we are adding a Supervisor, Specialty Pharmacy Support Services to our Lumicera Patient Services department.     Under general direction of the Associate Manager, Pharmacy...

Navitus Health Solutions is seeking a Project Manager, Implementation HP Strat. to join our Implementation department!   The Project Manager, Implementation HP Strat. Clients (IPM) is a highly motivated professional with at least 4-6 years of successful project management experience. This IPM will interface with health plans and strategic employer clients which may include a government program component to manage projects including transitioning clients to Navitus from their current PBM, implementing new services/programs, facilitating a change in vendor relations, i.e. TPA, disease management organization,...

Navitus Health Solutions is seeking a Telehealth Pharmacist to join our team!    The Pharmacist, Telehealth will be a key contributor to the success of a newly launched Clinical Engagement Center (CEC) focused on...

Navitus Health Solutions is seeking a Hmong Bilingual Telehealth Pharmacy Technician to join our team!   

Navitus Health Solutions is seeking a Benefit Configuration Tester to join our Claim Adjudication Operations team.  

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...

Navitus Health Solutions is seeking a Business Information Specialist to join our Analytics department!  This is a hybrid position out of our Madison, WI location.    The Business Information Specialist (BIS) is an entry-level role that brings together theory and practice to identify and communicate data-driven insights that allow managers, stakeholders, and other executives in the organization to make informed decisions. The BIS will have a...

Navitus Health Solutions is seeking a part-time Pharmacist, Teleheath to join our Clinical Engagement Center department!    The Pharmacist, Telehealth will be a key contributor to the success of a newly launched Clinical...

Lumicera Health Services is seeking a VP, Operations to join our Lumicera Administration department!  

Due to growth, we are adding a Coordninator, Benefits and HRIS to our Human Resources department!    The Coordinator, Benefits and HRIS (Human Resources Information System) will partner with the Director, Total Rewards and HRIS and other department associates to support the administration of our associate benefit programs and the HRIS systems.  The incumbent is responsible for administering the day-to-day benefit enrollment...

Due to growth, we are adding Analyst, Cloud Security to our IT Security, Networking & Government department!   Navitus is seeking a Cloud Security Analyst to join our organization to drive continuous improvement to our cloud. Responsible for designing, deploying, and overseeing the management of group wide security solutions and executing against the company's Information Security and Compliance roadmap. Working closely with technology partners, you will help guide the selection, implementation, and...

Due to growth, we are adding a Manager, Enterprise Strategy & Cost Operations to our EPMO department. 

Due to growth, we are adding a Lead, Business Systems, CRM to our Implementation department.   

Due to growth, we are adding Sr. Software Developer to our Lumicera IT department!  

Due to growth, we are adding Sr. Pharmacy Sales Representative to our Lumicera Sales & Account Management department!   The Sr. Pharmacy Sales Representative is a customer-oriented pharmacy sales representative who can thrive and a fast-paced environment and will manage and assist the entire scope of the sales process for new Lumicera Health Services business in the California market.

Due to growth, we are adding an Analyst, Network Contracting Business Impact to our Pharmacy Network Contracting department.   

Due to growth, we are adding Pharmacist, Clinical Operations to our Lumicera Clinical Services department!   The Pharmacist, Clinical Operations’ main duty is to interpret physicians' prescriptions, contact doctors or other prescribers and/or patients to verify information on prescriptions and expedite processing of orders. This role will perform a high volume of product verification both prior to order set up as well as immediately prior to shipment. The Pharmacist, Clinical Operations will also provide telephonic...

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.      

Due to growth, we are adding Analyst, Operations CEC to our Clinical Engagement Center department!   The Analyst, Operations CEC is responsible for several critical functions within the Clinical Engagement Center (CEC) which may include process improvement, documentation, client communications, process execution, leadership support, member communication, sales support, and operational support. The Analyst, Operations CEC is a highly motivated professional with solid knowledge of Microsoft Excel, Word,...

Navitus Health Solutions is seeking a Sr. Software Developer to join our IT Development department!  

Navitus Health Solutions is seeking a Software Developer II to join our IT Development department!    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,...

Navitus Health Solutions is seeking a Pharmacy Technician, Telehealth to join our Clinical Engagement Center Operations department!  

Due to growth, we are adding Manager, Infusion Services to our Lumicera Pharmacy team. 

Navitus Health Solutions is seeking a Business Analyst, Government Programs to join our Government Programs Technical Operations department!  

Due to growth, we are adding Analyst, Utilization Management to our Prior Authorization department.  

Due to growth, we are adding a Pharmacist, Clinical Operations to our Lumicera Pharmacy Cape Girardeau department.    The Pharmacist, Clinical Operations’ main duty is to interpret physicians' prescriptions, contact doctors or other prescribers and/or...

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. Coordinator, Contract Performance to join our team!   The Sr. Coordinator, Contract Performance is responsible for maintaining centralized data and reporting of contractual guarantees for current and prospective Navitus clients.  The Sr. Coordinator will collaborate with all functional areas to gather and provide corporate and client reporting information.  An important aspect of this role includes the facilitation and coordination of...

Due to growth, we are adding Analyst, Technical Operations to our team!   The Analyst, Technical Operations, Government Programs has responsibility for executing Government Programs processes accurately, efficiently, and in compliance with CMS regulations.   Is this you? Find out more below!

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

Navitus Health Solutions is seeking a Sr. Compensation Analyst to join our talented HR team.  This role is a great fit for someone who wants to be a positive champion of our compensation program. This role will support our leaders’ needs through email and video call communication that is clear, positive, and direct. The Sr. Compensation Analyst will run meetings, asking...

Navitus Health Solutions is seeking a Clinical Intern to join our CEC Clinical Operations department!   

Navitus Health Solutions is seeking a Project Manager, Implementation TPA/Employer to join our Implementation department!   The Project Manager, Implementation TPA/Employer (IPMT) is a highly motivated professional with at least 3 years of successful project management experience interfacing with TPA and/or employer type clients to manage projects that could include but is not limited to transitioning clients to Navitus from their current PBM, implementing new services/programs, and facilitating a change in vendor relations. The position is responsible for building an early...

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

Navitus Health Solutions is seeking a Sr. Solutions Architect to join our IT Development department!  

Navitus Health Solutions is seeking an Assoc. Product Manager, Clinical Services to join our Clinical Services department!