Archimedes - Transforming the Specialty Drug Benefit - Archimedes is the industry leader in specialty drug management solutions. Founded with the goal of transforming the PBM industry to provide the necessary ingredients for the sustainability of the prescription drug benefit – alignment, value and transparency – Archimedes achieves superior results for clients by eliminating tightly held PBM conflicts of interest including drug spread, rebate retention and pharmacy ownership and delivering the most rigorous clinical management at the lowest net cost. We are a rapidly growing leader in the specialty drug benefit management space. We are looking for a Senior Director of Operations to oversee work on-site in our Brentwood,...

Due to growth, we are adding a Lead, Continuous Improvement (CI) to our team.   The Lead, Continuous Improvement (CI) is a key driver of process excellence across the organization. This role manages strategic initiatives using proven methodologies to deliver measurable, sustainable results aligned with organizational goals. Acting as a project leader, mentor, and coach, the CI Lead will foster a culture of continuous improvement and empower teams at all levels to achieve operational excellence.   Is...

Due to growth, we are adding a Payroll Accountant to our team.   The Payroll Accountant is responsible for managing and overseeing payroll functions to ensure employees are paid accurately and on time. This role includes processing payroll for employees, maintaining payroll records, and ensuring compliance with federal, state, and local tax regulations. The Payroll Accountant also reconciles payroll accounts, prepares payroll reports. Strong attention to detail, confidentiality, and knowledge of payroll systems are essential for success in this position.

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.

Navitus Health Solutions is seeking a Sr. Paralegal and Executive Assistant to join our team!   This is an onsite position in Madison WI   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 operations.   The Sr. Paralegal and Executive Assistant...

Due to growth, we are adding a Manager, Quality to our team.   The Manager, Quality leads the specialty pharmacy’s Internal Quality & Audit Program, providing oversight of telephonic quality monitoring and operational process audits to ensure adherence to organizational standards, regulatory requirements, and accreditation expectations. This role is responsible for maintaining a high-reliability quality framework that evaluates patient interactions, workflow integrity, and documentation practices to safeguard patient safety, compliance, and service excellence.  

The Engineer, Security specializes in designing, implementing, and operating security controls for Azure and Microsoft cloud services. This role is responsible for protecting systems and applications that process, store, or transmit Protected Health Information (PHI), ensuring compliance with HIPAA Security Rule requirements through secure design, monitoring, and continuous risk management. This role focuses on reducing risk through secure architecture, security automation, and continuous monitoring across IaaS, PaaS, and identity workloads. The Engineer partners closely with Infrastructure, DevOps, and Software Engineering teams to embed security-by-design into platforms and delivery pipelines. This role also serves as the primary application security engineering...

Navitus Health Solutions is seeking a Analyst, Regulatoryto join our team!   The Regulatory Analyst will support Navitus and its subsidiaries by: (a) reviewing proposed legislation on a state and national level, evaluating its potential impact; (b) identifying, reviewing, and interpreting legislation and regulatory environment changes directly or indirectly impacting Navitus; (c) providing support and analysis related to the interpretation and adoption of policies, processes, and procedures necessary for compliance with such changes; (d) effectively...

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...

Due to growth, we are adding a Clinical Grievance and Appeals Pharmacist to 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 requiring pharmacist intervention. The Clinical Grievance and Appeals Pharmacist is also responsible for interfacing with...

The Summer Intern supports the function of their designated department within Navitus, Lumicera or Epiphany.   This position is for our Appleton Wisconsin Location working fully in office.    Is this you? Find out more below! 

Due to growth, we are adding a Sr. Engineer, Development Operations to our team.   The ideal candidate should possess over 8 years of hands‑on experience with AWS, Terraform, and Kubernetes, and demonstrate strong technical leadership, strategic vision, and architectural expertise across DevOps capabilities.  

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.    Is...

Navitus Health Solutions is seeking a Coordinator, Grievance and Appeals to join our teams!   This is an onsite role located at our Appleton, WI office.   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 been delegated to Navitus. The Navitus Grievance & Appeals Coordinator serves to administrate the Navitus Grievance and Appeals processes as outlined by Client/Plan Sponsors, departmental policies and...

Due to growth, we are adding a Sr. Client Services Executive II to 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...

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.  

Due to growth, we are adding a Business Analyst, Government Programs, Med-D to our team.   The Business Analyst provides business analysis support for development, implementation, and maintenance of all products within the Technical Operations Department. The Business Analyst interacts with key operating departments related to Technical Operations business development and operational compliance. The Business Analyst also understands the roles and responsibilities of the business area and how it fits within the entire corporation....

Due to growth, we are adding a Claims Adjudication Product Manager (CAPM) to our team.   The Claims Adjudication Product Manager (CAPM) is responsible for ensuring Med D, Medicaid, and Exchange claims are adjudicating per CMS regulations as well as specific client needs. The CAPM will collaborate with other Navitus teams to ensure that the appropriate software, procedures, and oversight monitoring are implemented and operational in support of an environment of continuous improvements with claims adjudication.  

Due to growth, we are adding a Claims Quality Analyst to our team.   The Claims Quality Analyst is responsible for validating that Med D, Medicaid, and Exchange claims are adjudicating per State/CMS regulations as well as specific client needs.   Is this you? Find out more below!

Due to growth, we are adding a Customer Insights Analyst to our team.   The Customer Insights Analyst supports the development and execution of Lumicera’s comprehensive, data-driven Voice of the Customer (VoC) program by transforming customer feedback into actionable insights. This role is responsible for analyzing feedback across multiple channels to identify trends, uncover root causes, and surface opportunities to improve the customer experience. The Analyst...

The Operations Director is a highly motivated professional with 5+ years of experience successfully managing complex operations. This individual is responsible for strategic and tactical execution and management of claims, contact center and various other operations.

Navitus Health Solutions is seeking a Pharmacist, Telehealth 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 improving member’s health and wellness via tele-pharmacy and wellness coaching. This pharmacist is responsible for the delivery of the Medication Therapy Management (MTM) services for commercial and Medicare members. In addition, the Telehealth Pharmacist will assist in the development and execution of additional clinical outreach program to exceed client expectations.   Is this you? Find out more below!

Lumicera Health Services is seeking a Pharmacy Technician II to join our team!   The ideal candidate for this position will have infusion experience.    Under direction from the Pharmacist-in-Charge and other pharmacists in the Specialty Pharmacy, the Pharmacy Technician II is primarily responsible for assisting the pharmacist in obtaining all the necessary information for dispensing and adjudicating a medication correctly. The Pharmacy Technician II has the responsibility to answer phone calls and contact doctors and patients via fax or phone or other communication means. The Pharmacy Technician II is also responsible for accurately...

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...

Navitus Health Solutions is seeking a Project Manager, Implementation HP Strategic Clients (IPM) to join our team!   The Project Manager, Implementation HP Strategic Clients (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, etc. and more. This role is responsible for building early relationships with the clients so they learn to trust us and have confidence that their transition needs will be successfully met as seamlessly as possible. The IPM...

Navitus Health Solutions is seeking a Manager, Clinical Operations to join our team!   This exciting position will have the opportunity to impact patients’ health every day via the delivery of best-in-class interventions and patient care within Navitus’ Clinical Engagement Center (CEC). The Manager, Clinical Operations will oversee the day-to-day execution of activities that support the delivery of clinical interventions and Medication Therapy Management (MTM) services for commercial and Medicare members. These programs include telehealth outreach to members to complete an analysis...

Navitus Health Solutions is seeking a Rebate Account Specialist II to join our team!   The Rebate Account Specialist II is responsible for analyzing, understanding and implementing PBM to GPO and pharmaceutical manufacturer rebate submission and reconciliation processes. This individual will work closely with the Manager of Rebate Operations to ensure complete, accurate and timely audit of eligible claim data for rebate invoicing. In addition, the Rebate Account Specialist II will work with the IRC Contracting/strategy team to ensure rebate submission standards are met. The Rebate Account...

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...

Navitus Health Solutions is seeking a Pharmacy Relations Specialist (PRS II) to join our team!   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 the tactical and operational tasks required to maintain contracted pharmacy networks.   Is this you? Find out more below!

Are you a pharmacist with rebate strategy experience? If so, we are looking for you! Navitus Health Solutions is seeking a Director, Industry Relations & Contracting to join our team.   Reporting to the Sr. Director, Industry Relations, the Director, Industry Relations & Contracting is responsible for leading the team of Rebate Contractors to support the maintenance and enhancement of effective relationships with all pharmaceutical manufacturers (Pharma). This includes negotiating contracts with respect to rebates and discounts for formulary inclusion to...

Based on our rapid growth, we are expanding our operations team at an exciting time in our history. The Claims Operations Analyst will be a key member of the operations team supporting pharmacy data management, process improvement, and problem resolution. The ideal candidate will be a self-starter, eager to learn as well as contribute, and be willing to drive end to end processes with all levels of the organization. Given our continued growth trajectory, we are looking for someone who can grow with the company’s core operations and become a key individual contributor.   The Claims Operations Analyst will be responsible for working with internal and external partners to help manage the many moving...

Based on our rapid growth, we are expanding our operations team at an exciting time in our history. The Claims Operations Analyst will be a key member of the operations team supporting pharmacy data management, process improvement, and problem resolution. The ideal candidate will be a self-starter, eager to learn as well as contribute, and be willing to drive end to end processes with all levels of the organization. Given our continued growth trajectory, we are looking for someone who can grow with the company’s core operations and become a key individual contributor.   The Claims Operations Analyst will be responsible for working with internal and external partners to help manage the many moving...

Due to growth, we are adding a Manager, Market Conduct Exams to our team.   The Manager, Market Conduct Exams will act as the liaison for market conduct exams across the nation, using state rules and regulations, established procedures, and industry standards and best practices to complete the examinations on behalf of Navitus to state regulators. The role will take the lead in coordinating data and document responses with internal departments for audits/examinations; communication with regulators regarding requests and clarifications as needed; finalize responses with the...

Lumicera Health Services is seeking a Client Services Executive, Specialty to join our team!    

Lumicera Health Services is seeking an Accreditation Product Manager (APM) to join our team!      The Accreditation Product Manager (APM) will ensure Lumicera and its health system pharmacy partners locations satisfy and maintain ongoing compliance with accreditation program requirements. As new accreditation program opportunities arise, the APM will evaluate and determine how to integrate with existing accreditation program requirements. A successful APM requires strong leadership skills, extensive document creation,...

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 across pharmacy and medical benefits for specialty drugs and clinical management of accounts.  

Due to growth, we are adding a Senior Strategic Planning Analyst to our department. 

Navitus Health Solutions is seeking a Sr. Coordinator, Client Audits to join our team!   The Sr. Coordinator, Client Audits is responsible for providing administrative, technical and process support for client audit functions. The Sr. Coordinator works closely with the subject matter experts across the organization to ensure that deliverables are completed according to client audits. This role requires analytical skills, strong attention to detail, spreadsheet administration, and basic knowledge of standard audit practices.   Is this you? Find out more below!

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 accurately articulates...

Archimedes is a rapidly growing leader in the specialty drug benefit management space.  We are looking for a Member Services Representative to work on-site in our Earth City, MO office.  This position is responsible for delivering excellent service to members utilizing processes and technology within a call center.  If you are reliable with strong problem-solving and customer service skills, we would love to hear from you

The Manager, Health System Pharmacy Revenue Integrity, is responsible for optimizing health system pharmacy strategies and programs to ensure financial resilience and success for partners of Lumicera Health System Solutions and Navitus Clients. The Manager and their team 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 that achieve revenue and operating margin goals. In addition, this associate will provide subject matter expertise and guidance for Navitus and Navitus’ Clients seeking strategic guidance on health system revenue...

Navitus Health Solutions is seeking a Sr. Manager, Medical & Specialty Products to join our team!   The Sr. Manager, Medical & Specialty Products leads the integrated strategy of high-cost medications across medical and pharmacy benefits in collaboration with our enterprise partners, Archimedes and Lumicera. This position is responsible for coordinating the development, delivery, marketing, and service of related products across the Navitus book of business including Commercial, Exchange, Medicaid, and Medicare. This position will also lead the development of our medical data center of excellence as foundational to adjudication, utilization management, clinical programs, reporting and outcomes...

Due to growth, we are adding a Vendor Relationship Manager to our team.   The Vendor Relationship Manager will partner closely with stakeholders to ensure business needs are clearly outlined and communicated to responsible parties. Primary duties will be focused on ensuring elements of contracts with clients and vendors are implemented correctly and timely, tracking that contractual service level agreements (SLAs) or performance guarantees (PGs) are met. The Vendor Relationship Manager will ensure routine oversight and analyses are performed to ensure ongoing contractual compliance, service or product performance, and identify needs...

Due to growth, we are adding a Enterprise Security Architect to our team!   The Enterprise Security Architect is responsible for participating in the design, construction, maintenance, and enhancement of the Navitus IT Security and infrastructure landscape. With minimal leadership and tactical supervision, the Enterprise Security Architect collaborates with clients, staff, IT colleagues, and other stakeholders to identify user requirements, assess available technologies, and recommend solution options to meet the...

Due to growth, we are adding headcount! Our Principal, Business and Regulatory Strategy will be the liaison between legal and our provider services team using superior knowledge of PBM regulatory requirements to align them with our payables and reimbursement strategies.    The Principal, Business and Regulatory Strategy is for driving business solutions and readiness that aligns with regulatory transformation and requirements. Acting as a connective tissue between...

Due to growth, we are adding a Advisor, Industry Standards to 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...

Lumicera Health Services is seeking a Pharmacist, Clinical Operations  to join our team!      The Pharmacist, Clinical Operations will be responsible for performing telephonic consultations with patients regarding the use of their specialty medication and management of their disease state. They will perform medication reconciliation, screen for potential drug interactions, and provide side effect management recommendations. Another main duty of this role will include a high volume of product verification to ensure accuracy of orders prior to shipment. The Pharmacist, Clinical Operations can expect to interpret prescribers’ prescriptions,...

Due to growth, we are adding a Manager, Application Systems Development to our team!    The Manager, Application Systems Development provides leadership, planning, prioritization, scheduling, reporting, and effective execution of application maintenance, support, and/or development services for our vendor purchased or...

The RN, Clinical Physician Concierge will be responsible for delivering clinical messages to physicians around the prior authorization program for specified populations. This role will need to be able to identify and manage high-touch prescribers and members and usher the prescriber through the prior authorization process. This position will also be responsible for being a clinical expert for physician inquiries. The RN, Clinical Physician Concierge will interface with the prior authorization and account management teams to monitor all identified members in specific populations that qualify for physician concierge.

Lumicera Health Services is seeking a Sr. Executive Assistant to join our team!   The Sr. Executive Assistant will be responsible for executive level administrative support to the Vice President or Senior Vice President(s) within Navitus. The position requires excellent administrative and organizational skills, handling of the highest level of confidential information, and good public relations. This individual will exercise discretionary powers and independent judgment that directly support management activities daily and perform tasks under only general supervision.