Navitus Health Solutions, LLC

Sr. Software Engineer

Navitus Health Solutions, LLC · Full Time · 17 hours ago

🌎 United States 💵 $108K - $135K per year ⭐ 10+ yrs exp 💼 Software Development

Develop, test, and analyze software applications while aligning efforts with Enterprise Architecture to support business objectives. Lead the design and implementation of scalable, maintainable solutions and provide technical coaching to colleagues.

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Project Manager, EPMO

Navitus Health Solutions, LLC · Full Time · 5 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $85063.95 - $104K per year ⭐ 5-10 yrs exp 💼 Product

The Project Manager leads cross-functional IT and business teams to achieve project goals within scope, time, and budget constraints. Key duties include managing project artifacts, reporting progress to stakeholders, and serving as an Agile Epic Owner.

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Data Engineer - Archimedes

Navitus Health Solutions, LLC · Full Time · 5 days ago

Navitus Health Solutions, LLC

🌎 United States ⭐ 5-10 yrs exp 💼 Software Development

The Data Engineer designs and maintains scalable data pipelines and infrastructure to support enterprise analytics and operational data flows. They collaborate with cross-functional teams to deliver robust ETL solutions while ensuring data security and regulatory compliance.

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Assoc. Product Manager, Innov. Pharm. Prog.

Navitus Health Solutions, LLC · Full Time · 6 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $63827 - $76900 per year ⭐ 0-2 yrs exp 💼 Product

The Associate Product Manager manages operations for existing and new specialty pharmacy products, ensuring integration with sales and communication plans. They are responsible for monitoring product performance, documenting claims adjudication, and coordinating system enhancements.

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Lead Analyst, IT Governance

Navitus Health Solutions, LLC · Full Time · 6 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $74997.43 - $92021.38 per year ⭐ 5-10 yrs exp 💼 Others

The Lead Analyst is responsible for developing and maintaining IT policies, procedures, and standards aligned with ITIL best practices. This includes overseeing governance committees and managing ITSM processes such as incident, change, and asset management.

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Team Lead, Specialty Pharmacy Intake

Navitus Health Solutions, LLC · Full Time · 7 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $21.05 - $25.06 per hour ⭐ 2-5 yrs exp 💼 Healthcare

The Team Lead manages prescription data entry and insurance investigations while overseeing the intake team's queues. They are responsible for mentoring staff, providing corrective action, and coordinating communication between patients and prescribers.

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Sr. Business Intelligence Developer

Navitus Health Solutions, LLC · Full Time · 7 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $87954 - $107K per year ⭐ 5-10 yrs exp 💼 Software Development

The role involves creating applications and data models using BI tools to provide data-driven insights for stakeholders and executives. Responsibilities include managing ETL processes, ensuring data integrity, and serving as a technical mentor and point of contact for audits.

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Business Analyst II

Navitus Health Solutions, LLC · Full Time · 7 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $71716.18 - $86405.04 per year ⭐ 2-5 yrs exp 💼 Software Development

The Business Analyst II aligns strategic initiatives with the Enterprise Project Management Office by eliciting and validating business needs for medium to large projects. Key duties include documenting requirements, creating process flow models, and executing test plans to ensure system enhancements meet deliverables.

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Sr. Director, Healthcare Member Contact Center

Navitus Health Solutions, LLC · Full Time · 7 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $152K - $190K per year ⭐ 10+ yrs exp 💼 Support

Provide strategic leadership and operational oversight for a 24/7/365 omnichannel healthcare member contact center. Lead operational redesigns, workforce planning, and technology adoption to enhance service performance and customer experience.

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Intake Specialist I

Navitus Health Solutions, LLC · Full Time · 7 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $20 - $21.96 per hour ⭐ 2-5 yrs exp 💼 Others

The Intake Specialist is responsible for enrolling new specialty pharmacy patients and collecting essential demographics, medication history, and payer information. They manage communication between patients, doctors, and insurance companies to ensure accurate prescription entry and triage prior authorizations.

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Manager, Platform Engineering and FinOps

Navitus Health Solutions, LLC · Full Time · 7 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $112K - $140K per year ⭐ 5-10 yrs exp 💼 Others

Lead a team focused on secure, scalable, and cost-effective software delivery platforms, overseeing CI/CD, observability, and developer tooling. Manage cloud financial operations (FinOps) and software procurement to ensure fiscal accountability and AWS cost optimization.

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Specialist I, Prior Authorization-Lumicera

Navitus Health Solutions, LLC · Full Time · 7 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $18.67 - $21.96 per hour ⭐ 2-5 yrs exp 💼 Others

The specialist is responsible for triaging prior authorizations by contacting providers and insurance companies via phone and fax. They must ensure accurate documentation of patient demographics, medication history, and payer information within records.

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Account Manager

Navitus Health Solutions, LLC · Full Time · 7 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $60214.3 - $72547.34 per year ⭐ 2-5 yrs exp 💼 Sales

The Account Manager serves as the primary face of the organization to clients, managing the operational execution of client strategies and plan designs. They are responsible for maintaining trusted advisor relationships and collaborating cross-functionally to ensure high-quality customer service and benefit solutions.

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Director, PBM PSAO/Indy Pharmacy Network Contracting

Navitus Health Solutions, LLC · Full Time · 7 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $142K - $177K per year ⭐ 10+ yrs exp 💼 Healthcare

Lead the negotiation and execution of pharmacy network contracts across various provider segments, including PSAOs and independent pharmacies. Accountable for contract strategy, reimbursement structures, and the financial outcomes of pharmacy provider agreements.

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Sr. Manager, Account Executive

Navitus Health Solutions, LLC · Full Time · 7 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $108K - $135K per year ⭐ 5-10 yrs exp 💼 Sales

Manage a portfolio of complex, high-value client accounts while providing leadership and oversight to a team of account professionals. Partner with internal stakeholders to drive client retention, growth, and the execution of long-term account strategies.

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Lead, Events Operations

Navitus Health Solutions, LLC · Full Time · 7 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $85064 - $104K per year ⭐ 5-10 yrs exp 💼 Others

Responsible for the end-to-end planning, coordination, and execution of corporate events, conferences, and brand-building initiatives. This includes managing budgets, overseeing logistics, and collaborating with C-suite executives to align events with business objectives.

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Product Manager, Product Management - Archimedes

Navitus Health Solutions, LLC · Full Time · 7 days ago

Navitus Health Solutions, LLC

🌎 United States ⭐ 2-5 yrs exp 💼 Product

The Product Manager manages existing products and new development to drive differentiation within the PBM industry. This includes overseeing strategic programs, analyzing market trends, and collaborating cross-functionally to align products with sales and client growth plans.

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Sr. Coordinator, Client Audits

Navitus Health Solutions, LLC · Full Time · 8 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $51408.7 - $61200.83 per year ⭐ 5-10 yrs exp 💼 Others

Provides administrative and technical support for client audit functions, coordinating deliverables and data extractions with subject matter experts. Manages the audit SharePoint site and assists in implementing corrective action plans.

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Client Services Executive

Navitus Health Solutions, LLC · Full Time · 10 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $74997 - $92021 per year ⭐ 5-10 yrs exp 💼 Support

The Client Services Executive manages existing Pharmacy Benefit Management clients by co-developing long-term account strategies and identifying expansion opportunities. They are responsible for client retention, solving contract and reporting issues, and leading projects across multiple organizational levels.

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Director, PBM Specialty Pharmacy Network Contracting

Navitus Health Solutions, LLC · Full Time · 11 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $142K - $177K per year ⭐ 10+ yrs exp 💼 Healthcare

Lead the negotiation, execution, and management of specialty pharmacy network contracts across various provider segments. Accountable for contract strategy, reimbursement structures, and financial outcomes to ensure alignment with enterprise pricing and regulatory requirements.

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Analyst, Benefit Configuration

Navitus Health Solutions, LLC · Full Time · 11 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $20.19 - $23.11 per hour ⭐ 0-2 yrs exp 💼 Others

The Analyst configures pharmacy benefits in the claim adjudication system based on client specifications to ensure accurate claims processing. They also perform quality assurance reviews and support internal customers during program implementations and audits.

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Learning and Development Generalist

Navitus Health Solutions, LLC · Full Time · 11 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $67656.79 - $81514.2 per year ⭐ 2-5 yrs exp 💼 Recruitment

Design, deliver, and evaluate engaging virtual and in-person learning experiences for associates across the organization. Partner with business leaders and SMEs to conduct needs assessments and administer the corporate learning management system.

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Pharmacist, Formulary Operations - Archimedes

Navitus Health Solutions, LLC · Full Time · 12 days ago

Navitus Health Solutions, LLC

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

Leads clinical strategy and manages formulary and drug lists for pharmacy and medical specialty drugs. Oversees the creation of prior authorization guidelines and ensures the implementation of clinical strategy initiatives.

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Supervisor, Claim Adjudication Operations

Navitus Health Solutions, LLC · Full Time · 12 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $63927.28 - $76900.12 per year ⭐ 2-5 yrs exp 💼 Others

Oversee the Claim Adjudication Operations team to ensure accurate benefit administration and timely data transfers. Manage daily activities using Kanban boards, conduct performance 1:1s, and collaborate with partners to implement customer-focused solutions.

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Coordinator, Eligibility

Navitus Health Solutions, LLC · Full Time · 12 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $39992.37 - $47049.84 per year ⭐ 0-2 yrs exp 💼 Others

The Coordinator manages client eligibility data and processes to ensure accurate benefit administration for members and pharmacies. They collaborate with IT and Account Management teams to resolve data errors and participate in process improvement and system testing.

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Product Manager, Population Health

Navitus Health Solutions, LLC · Full Time · 12 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $65686 - $79140 per year ⭐ 2-5 yrs exp 💼 Product

The Product Manager is responsible for managing tactical operations and development for clinical and strategic population health products. This includes measuring KPIs, executing product roadmaps, and collaborating with pharmacists to ensure flawless program delivery.

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Lead, EPMO Operations & Enablement

Navitus Health Solutions, LLC · Full Time · 12 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $101K - $126K per year ⭐ 5-10 yrs exp 💼 Others

The role focuses on enhancing and sustaining the operational infrastructure of the EPMO to ensure scalable project delivery. Key duties include managing the knowledge ecosystem, curating the resource library, and developing executive-level visual narratives and communications.

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Director, Account Management Operations

Navitus Health Solutions, LLC · Full Time · 13 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $132K - $166K per year ⭐ 10+ yrs exp 💼 Others

The Director of Account Management Operations drives operational excellence and scalability across Customer Success and Account Management functions. This role focuses on designing operating models, monitoring KPIs, and leading cross-functional initiatives to enhance client experiences.

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Program Manager, 340B Optimization

Navitus Health Solutions, LLC · Full Time · 14 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $90593.12 - $111K per year ⭐ 2-5 yrs exp 💼 Product

Coordinate and advance 340B drug pricing program initiatives to support health system partners. Develop program strategies, track performance metrics, and synthesize financial data into actionable insights for operational decision-making.

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Sr. Manager, Strategic Growth & Proposal Perf

Navitus Health Solutions, LLC · Full Time · 14 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $116K - $145K per year ⭐ 5-10 yrs exp 💼 Marketing

Manage the end-to-end proposal process and strategic growth initiatives to enhance win rates and competitive positioning for Lumicera. Lead and develop a high-performing proposal team while optimizing manufacturer relationships and pricing strategies.

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Supervisor, Quality Assurance Benefit Config

Navitus Health Solutions, LLC · Full Time · 14 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $63827 - $76900 per year ⭐ 2-5 yrs exp 💼 Software Development

Oversee the Quality Assurance team to ensure accurate benefit configuration and data transfers for clients and members. Manage daily operations using Kanban boards, conduct performance reviews, and collaborate with business partners to improve customer-focused solutions.

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Sr. Manager, Quality Assurance Benefit Config

Navitus Health Solutions, LLC · Full Time · 14 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $108K - $135K per year ⭐ 10+ yrs exp 💼 Software Development

Lead the Quality Assurance function for benefit configuration to ensure accuracy and alignment with client requirements across all lines of business. Oversee a team of analysts in executing testing, validation, and audit activities to mitigate financial and compliance risks.

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Sr. Pharmacy Sales Representative (Orange County/County of San Diego)

Navitus Health Solutions, LLC · Full Time · 15 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $96481.66 - $118K per year ⭐ 5-10 yrs exp 💼 Sales

Manage the full sales process for new business in the California market to increase visibility of high-value pharmacy offerings. Collaborate with the Pharmacy Sales Director to execute market strategies and maintain relationships with clinics and manufacture partners.

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Reimbursement Specialist I (10:30-7:00pm CST)

Navitus Health Solutions, LLC · Full Time · 17 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $18.67 - $21.96 per hour ⭐ 0-2 yrs exp 💼 Others

The Reimbursement Specialist I is responsible for processing manufacturer copay assistance and monitoring claims activity for accuracy. They also manage patient billing information and resolve claim issues with internal teams.

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Director, Contract Strategy & Provider Engmt

Navitus Health Solutions, LLC · Full Time · 20 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $142K - $177K per year ⭐ 10+ yrs exp 💼 Others

Lead the strategic oversight and governance of pharmacy network contracting frameworks and provider-facing execution. Serve as a strategic liaison between providers and internal stakeholders to ensure contract alignment with pricing, quality, and regulatory objectives.

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Specialist, Formulary Operations

Navitus Health Solutions, LLC · Full Time · 20 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $20.19 - $23.75 per hour ⭐ 2-5 yrs exp 💼 Others

The Specialist manages the administrative functions required to update and maintain client formularies across various lines of business. This includes coordinating data entry from clinical committees and collaborating with client services for new implementations.

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Sales Analyst - Lumicera

Navitus Health Solutions, LLC · Full Time · 20 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $67657 - $81514 per year ⭐ 2-5 yrs exp 💼 Sales

The Sales Analyst supports client acquisition and retention by coordinating sales materials and managing CRM data. They are responsible for conducting market research, analyzing drug trends, and developing content for lead-generation campaigns.

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Manager, Software Development

Navitus Health Solutions, LLC · Full Time · 20 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $116K - $145K per year ⭐ 10+ yrs exp 💼 Software Development

Accountable for the end-to-end delivery of software within a Product Oriented Development (POD) team, ensuring scalable and secure solutions. Leads and mentors a cross-functional team while partnering with business owners to align deliverables with strategic objectives.

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Supervisor, Specialty Pharmacy Support Service

Navitus Health Solutions, LLC · Full Time · 21 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $56805 - $68441 per year ⭐ 2-5 yrs exp 💼 Support

Manage day-to-day operations for a team of Reimbursement or Intake Specialists, monitoring productivity and performance standards. Oversee staff hiring, training, and evaluation while implementing process improvements to enhance customer service.

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Sr. Director, Pharmacy Network Informatics

Navitus Health Solutions, LLC · Full Time · 22 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $147K - $184K per year ⭐ 10+ yrs exp 💼 Healthcare

Oversee the Pharmacy Network Informatics team to provide strategic direction on network pricing, risk analysis, and financial guarantees. Lead the development of business intelligence dashboards and manage the MAC program to optimize network performance and reduce financial risk.

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Sr. Business Intelligence Developer

Navitus Health Solutions, LLC · Full Time · 23 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $87954 - $107K per year ⭐ 5-10 yrs exp 💼 Software Development

The role involves creating applications and data models using BI tools to provide data-driven insights for stakeholders and state Medicaid Programs. Responsibilities include managing ETL processes, ensuring data integrity, and serving as a subject matter expert for audits and legislative inquiries.

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Advisor, Industry Standards

Navitus Health Solutions, LLC · Full Time · 23 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $74997.43 - $92021.38 per year ⭐ 2-5 yrs exp 💼 Others

Responsible for the compliant implementation and oversight of NCPDP standards within the claims adjudication system. This includes representing the company in industry work groups and translating regulatory changes into business requirements.

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Analyst, Government Pricing

Navitus Health Solutions, LLC · Full Time · 23 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $63827.16 - $76900.19 per year ⭐ 2-5 yrs exp 💼 Others

Develop and maintain Medicaid fee-for-service drug pricing methodologies and analytical models to ensure regulatory compliance. Collaborate cross-functionally to support Statements of Work, pricing exhibits, and financial impact analyses.

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Engineer, Development Operations - Archimedes

Navitus Health Solutions, LLC · Full Time · 23 days ago

Navitus Health Solutions, LLC

🌎 United States ⭐ 5-10 yrs exp 💼 Software Development

Design and implement secure, scalable cloud infrastructure and automated CI/CD pipelines using Azure DevOps and GitHub Actions. Collaborate with development and security teams to enforce DevSecOps practices and ensure high availability of microservices and data workflows.

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Enterprise Application System Architect

Navitus Health Solutions, LLC · Full Time · 23 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $90593.12 - $11157.2 per year ⭐ 5-10 yrs exp 💼 Software Development

The Systems Architect is responsible for the design, construction, and maintenance of the IT infrastructure and enterprise applications. This includes researching new technologies, performing proofs of concept, and collaborating with business teams to improve operational processes.

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Sr. Manager, Government Pricing

Navitus Health Solutions, LLC · Full Time · 23 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $105K - $131K per year ⭐ 5-10 yrs exp 💼 Others

Lead the strategic execution of Medicaid fee-for-service drug pricing, reimbursement analysis, and drug economics. Oversee a team of analysts to ensure the integrity of MAC and 340B pricing files while partnering with cross-functional teams and state agencies.

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Reimbursement Analyst, Pharmacy Network

Navitus Health Solutions, LLC · Full Time · 23 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $52656 - $62686 per year ⭐ 0-2 yrs exp 💼 Healthcare

Manage the operation of the Maximum Allowable Cost (MAC) pricing program and other reimbursement systems for pharmacy providers. Perform financial modeling and analysis to ensure competitive pricing and compliance with state requirements.

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Sr. Analyst, Government Pricing

Navitus Health Solutions, LLC · Full Time · 23 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $69627 - $83888 per year ⭐ 5-10 yrs exp 💼 Others

The role provides advanced analytical support for Medicaid Fee-for-Service pharmacy programs, focusing on MAC pricing and 340B program impacts. It involves developing predictive trending models and managing external pricing files to ensure compliant, data-driven outcomes.

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Sr. Data Analyst, Pharmacy Network

Navitus Health Solutions, LLC · Full Time · 23 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $58460.48 - $70434.31 per year ⭐ 2-5 yrs exp 💼 Software Development

The Sr. Data Analyst supports the Provider Services department by performing data modeling and analysis to evaluate pharmacy network adequacy and performance. They are responsible for creating critical reports, pharmacy directories, and ensuring compliance with state PBM and pharmacy access laws.

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Lead, Finance Capital Planning

Navitus Health Solutions, LLC · Full Time · 23 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $93672 - $114K per year ⭐ 5-10 yrs exp 💼 Finance

Manage the enterprise capital project portfolio, including budgeting, forecasting, and financial reporting for capital costs and benefits. Collaborate with stakeholders to track capitalization of spending and present financial results to senior leadership.

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Administrator II, Enterprise Content Management

Navitus Health Solutions, LLC · Full Time · 23 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $74997.43 - $92021.38 per year ⭐ 2-5 yrs exp 💼 Software Development

The role focuses on the primary administration and integration of a SaaS Enterprise Content Management suite, ensuring high availability and optimal performance. It involves managing server maintenance, application upgrades, and collaborating with vendors and internal teams to support workflow automation and digital content repositories.

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Director, Network Informatics & Analytics

Navitus Health Solutions, LLC · Full Time · 25 days ago

Navitus Health Solutions, LLC

🌎 United States 💵 $152K - $190K per year ⭐ 10+ yrs exp 💼 Software Development

Lead the data, informatics, and quality governance supporting pharmacy network contracting across various pharmacy segments. Develop advanced network models and analytical frameworks to optimize reimbursement strategies and network cost effectiveness.

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