The VP is responsible for leading growth initiatives with a focus on high-quality client implementation, delivery consistency, and operational excellence. They provide executive oversight to ensure delivery risks are identified and mitigated while ensuring services align with contractual and regulatory standards.
The Sr. Developer will create applications and data models to provide data-driven insights for organizational decision-making. They will also serve as a subject matter expert, lead stakeholder meetings, and ensure data integrity across reporting systems.
The Clinical Account Executive manages clinical relationships with existing clients to improve care quality and control healthcare costs. They are responsible for developing clinical plans, analyzing financial data, and representing the company in client meetings.
Manage and maintain positive relationships with vendors to ensure service quality and operational efficiency. Act as a primary point of contact for vendor inquiries and resolve any issues that arise during the partnership.
The Coordinator supports daily vendor management operations by facilitating communication, scheduling meetings, and managing vendor-related documentation. They also act as a liaison between internal departments and third-party vendors to ensure efficient service delivery and project support.
The Proposal Manager leads a team in developing strategic, client-focused proposals and sales-related documents to drive market share and profitability. They provide consultative support to the sales team and ensure high-quality, on-time completion of complex proposal projects.
The Coordinator, Accumulator manages and maintains client accumulator data and processes to ensure accurate benefit administration. They collaborate with internal teams and clients to perform audits, resolve data errors, and support system enhancements.
The Network Contracting Analyst manages financial aspects of pharmacy contracts, including analysis, reporting, and issue management to support network strategy. They collaborate cross-functionally to monitor contract value, perform financial modeling, and provide data-driven insights for negotiations.
The Reporting Specialist will perform data modeling and analysis to evaluate pharmacy network performance and adequacy. They will also create pharmacy directories and reports to support various internal departments and client needs.
The Lead, Process Governance & Optimization is responsible for establishing and governing business process standards across technology platforms to ensure alignment with operational and regulatory requirements. This role acts as a bridge between cross-functional teams to optimize workflows, maintain documentation, and drive continuous process improvement.
The Assistant General Counsel manages a team of legal professionals to provide day-to-day legal support and regulatory guidance for the organization. They are responsible for ensuring compliance with federal and state healthcare laws while overseeing corporate licensing and policy development.
The Clinical Account Executive manages and grows relationships with clinic accounts to ensure seamless prescription management and high client satisfaction. They serve as a clinical liaison between medical staff, pharmacies, and insurance providers while monitoring claim performance and optimizing referral processes.
The Manager of Workforce Management leads a team to ensure optimal staffing, scheduling, and service level performance within the contact center. They are responsible for system maintenance, data-driven reporting, and cross-functional collaboration to align operational goals.
The Account Manager serves as the primary point of contact for clients, managing operational execution and strategic plan design. They facilitate client meetings, resolve action items, and collaborate cross-functionally to ensure high-quality service and benefit solutions.
The Telehealth Pharmacy Technician will conduct telephonic and video outreach to members to perform medication therapy management and clinical interventions. They will also coordinate care with prescribers and pharmacy providers while maintaining compliance with HIPAA and CMS regulations.
The Analyst, Provider Quality monitors and validates provider and prescriber data to ensure accuracy, regulatory compliance, and operational integrity. They work cross-functionally to resolve data discrepancies, support audit readiness, and implement process improvements to enhance data governance.
The trainer is responsible for developing and facilitating onboarding and refresher training programs to ensure high engagement and performance within the Customer Care team. They will also identify training needs, troubleshoot system issues, and provide continuous feedback to recruits to reduce turnover.
The Patient Care Assistant manages inbound and outbound calls with patients, prescribers, and insurance companies to facilitate specialty pharmacy medication fulfillment. They also utilize operating systems to manage patient therapy and ensure refill compliance while maintaining ethical and legal standards.
The Network Contracting Manager is responsible for developing, implementing, and managing pharmacy contracts and relationships with national and regional providers. They will also evaluate contract value, ensure regulatory compliance, and negotiate reimbursement structures across various lines of business.
The Consultant manages strategic client relationships and oversees pharmacy benefit management services to ensure client satisfaction and retention. They act as a subject matter expert for client inquiries, analyze data to improve processes, and lead cross-functional team deliverables.
The Analyst III configures pharmacy networks in the claim adjudication system to ensure accurate and timely claims processing. They also lead process improvement initiatives and provide support for client implementations and audits.
The Senior Account Manager leads projects and operational execution for complex client accounts while serving as the primary point of contact. They are responsible for maintaining trusted advisor relationships, facilitating benefit changes, and driving internal resolution to client issues.
The Client Services Executive manages complex client relationships, develops long-term account strategies, and identifies opportunities for business expansion. They are responsible for client retention, customer satisfaction, and coordinating with internal teams to deliver high-quality service and performance reporting.
The pharmacist will perform telephonic consultations to manage patient disease states, reconcile medications, and screen for drug interactions. They are also responsible for interpreting prescriptions, coordinating with prescribers, and maintaining detailed clinical documentation in compliance with regulatory standards.
The Administrator II is responsible for the maintenance, upgrades, and support of vendor-purchased applications to ensure system health and high availability. This role collaborates with developers and business users to implement security measures, monitor performance, and resolve technical issues.
The Sr. Software Developer will design, develop, test, and maintain applications to support business requirements and IT objectives. They are also responsible for conducting code reviews, mentoring junior staff, and monitoring software performance.
The Senior Coordinator provides administrative and technical support for Medicare Part D functions, including document creation and compliance checks. They also assist Product Managers with client implementations, reporting, and identifying process improvements.
The supervisor will lead, mentor, and inspire a team of quality assurance professionals while primarily focusing on hands-on development of scalable test automation frameworks. They will also collaborate with engineering and DevOps teams to integrate automated testing into CI/CD pipelines and ensure software quality standards are met.
The manager will lead platform engineering efforts, including CI/CD pipeline management and developer enablement tooling. They will also oversee cloud FinOps practices, such as budget forecasting and cost governance, while mentoring a team of engineers.
The Architect, Enterprise AI designs and governs the enterprise architecture strategy for AI and agentic capabilities across the organization. This role partners with engineering and product teams to establish scalable AI patterns, governance frameworks, and secure integration standards.
The developer will design and implement integrations using Oracle Integration Cloud to support financial and billing processes. They will also configure ORMB modules, maintain middleware components, and ensure system performance and data integrity.
The Sr. Clinical Operations Analyst leads the execution of complex Member Prior Authorizations and serves as a subject matter expert for governance and risk management. They partner with senior stakeholders to drive process consistency, analyze operational data, and support continuous improvement initiatives.
The Advisor, Industry Standards is responsible for the compliant implementation and oversight of NCPDP standards across the organization. This role involves acting as a subject matter expert, facilitating internal awareness of standard changes, and collaborating with stakeholders to ensure system compliance.
The Telehealth Pharmacy Technician will conduct telephonic and video outreach to members to perform medication therapy management and clinical interventions. They are responsible for verifying member information, documenting medication regimens, and coordinating care with prescribers and pharmacy providers.
The Product Manager is responsible for ensuring compliance with state-specific Encounter Data submission requirements and leading new implementation projects. They will also oversee system enhancements, conduct root cause analysis, and monitor performance metrics to ensure data accuracy.
The VP of Trade Relations leads the enterprise rebate strategy, GPO management, and pharmaceutical manufacturer engagement to ensure lowest net cost outcomes. This role also provides executive oversight for formulary governance and represents the company in industry forums and negotiations.
The Sr. Specialist serves as the primary subject matter expert for pharmacy network RFP responses and content management. They also research and resolve pharmacy network service requests while coordinating with cross-functional teams to ensure accurate and timely support.
The Supervisor will coordinate patient care experiences between Lumicera and IDN health systems while managing a team of Clinical Liaisons. They are responsible for integrating workflows, managing clinical and administrative relationships, and ensuring compliance with all applicable laws.
The Analyst supports and evaluates pharmacy provider agreements and the Maximum Allowable Cost (MAC) program through financial modeling and reporting. They are responsible for managing pharmacy pricing inquiries and ensuring compliance with state MAC requirements.
The analyst is responsible for executing Government Programs processes in compliance with CMS regulations, including enrollment administration and financial reporting. They must manage process schedules, update documentation, and coordinate with internal and external stakeholders to resolve issues.
The Director is responsible for enterprise general ledger accounting, including financial, management, and government reporting. They lead the month and year-end close processes and coordinate the annual business plan and financial audits.
Manage the transition of health plans and strategic employer clients to Navitus, including implementing new services and programs. Build trust with clients and coordinate with internal subject matter experts to ensure seamless implementation and go-live support.
The Analyst manages operational aspects of discount programs, including contract compliance, reconciliation, and reporting for pharmaceutical manufacturers. They provide critical support for RFPs, client operations, and internal/external audits to optimize contract performance.
Lead the design and execution of training programs to support onboarding and operational excellence for the Account Management team. Manage a team of trainers while partnering cross-functionally to ensure consistency and high-quality client outcomes.
The role involves triaging prior authorizations by contacting providers and insurance companies to facilitate patient approvals. Responsibilities include managing workflow queues and documenting patient demographics, medication history, and payer information.
The Telehealth Pharmacy Technician performs clinical interventions and Medication Therapy Management (MTM) services via phone and video chat. They are responsible for conducting medication interviews, coordinating care with providers, and supporting Star adherence programs.
The Director of Clinical Strategy is responsible for owning the enterprise formulary strategy and clinical business development to improve patient outcomes and cost management. This role involves leading clinical governance forums and designing clinical criteria for medication use and prior authorizations.
Lead the strategic direction and execution of product design, development, and go-to-market initiatives to drive growth and market differentiation. Orchestrate cross-functional collaboration to manage the product portfolio from ideation through to launch and sunsetting.
The Sr. Account Manager maintains key channel relationships through direct client interaction and internal operational project management. Responsibilities include resolving member escalations, gathering project requirements, and supporting product development activities.
The Senior Analyst manages the financial aspects of retail, specialty, and mail order pharmacy contracting and reporting. They provide analytical support for contract renewals, financial modeling, and strategic fiscal recommendations to leadership.
This is a talent pipeline posting to collect resumes from IT professionals for future opportunities. Applicants share their experience and career interests to be considered for upcoming openings.
Develop and maintain IT policies, procedures, and standards aligned with ITIL best practices to ensure optimal system performance. Monitor IT governance controls and coordinate incident response and change management processes to mitigate risks.
Lead the development of data-backed product strategies and roadmaps to drive market differentiation and corporate growth. Orchestrate the end-to-end product lifecycle from ideation and validation to launch and sunsetting in collaboration with cross-functional stakeholders.
The Director is responsible for owning pharmacy network financial performance and ensuring contracted reimbursement guarantees are achieved through rigorous reconciliation and MAC pricing. This role leads the Network Reconciliation and MAC Pricing teams to translate pricing strategies into realized financial outcomes.
The Clinical Account Executive serves as the clinical subject matter expert for specialty medications across pharmacy and medical benefits. Responsibilities include developing formulary strategies, managing clinical policies, and delivering clinical messages to clients and providers.
Responsible for the design, programming, and implementation of custom processes and RPA bots using the Microsoft Power Platform. The role involves collaborating with business users to develop requirements and providing technical assistance for enterprise systems.
Lead the enterprise-wide strategy, design, and governance of compensation programs and incentive plans. Manage a team of professionals to ensure market competitiveness, internal equity, and regulatory compliance across the organization.
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.
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.
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.
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.
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.
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.
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.
The RN Case Manager focuses on improving member health and wellness through tele-pharmacy and clinical outreach programs. Responsibilities include developing clinical algorithms, providing coaching to members, and coordinating care with prescribers and pharmacy providers.
The Director is responsible for directing the vision, strategy, and delivery of pharmacy fulfillment operations, ensuring compliance, safety, and efficiency. This includes overseeing inventory management, prescription dispensing, and service delivery while optimizing staffing and training.
The role focuses on championing Enterprise Data Governance and executing a data strategy roadmap to foster a data-driven culture. Key duties include building an Enterprise Data Catalog, managing data lineage, and collaborating with Domain Owners to maintain data definitions and quality KPIs.
Manage a team of attorneys and paralegals to provide day-to-day legal support for Archimedes. Responsibilities include drafting and negotiating complex contracts and ensuring compliance with laws and regulations.
The Clinical Pharmacist serves as the subject matter expert for specialty medications across pharmacy and medical benefits. Responsibilities include managing prior authorizations, conducting peer-to-peer consultations with physicians, and developing clinical policies to optimize cost management.
The Solutions Architect will design scalable, secure, and sustainable solutions by partnering with development teams and business units. They are responsible for translating business needs into well-architected designs that promote architectural consistency and modernization.
