The Sr. Staff Attorney will draft, review, and negotiate contracts while managing the full contract life cycle. They will also provide legal counsel to staff, conduct legal research, and ensure organizational compliance with applicable policies and statutes.
The Sr. Financial Analyst manages financial reconciliations, forecasting, and reporting for Medicare Part D products. They are responsible for overseeing CMS payments, DIR support, MLR reporting, and ensuring compliance with regulatory standards.
The Vendor Relationship Manager oversees day-to-day contract management, ensuring third-party service providers meet performance guarantees and service level agreements. They act as the primary contact for internal stakeholders, managing vendor performance, invoicing, and issue resolution to ensure operational efficiency.
The Sr. Talent Acquisition Partner will partner with IT hiring managers to source, screen, and attract diverse talent while developing and implementing effective recruitment strategies. Additionally, the role involves managing special projects, maintaining HR policies, and acting as a liaison between vendors and the organization.
The Engineer, Cloud Security will design, deploy, and manage group-wide security solutions while executing the company's Information Security and Compliance roadmap. They will also develop DevSec practices to integrate security into the software development lifecycle and perform continuous monitoring and remediation of cloud infrastructure.
The Developer I is responsible for the design, programming, and implementation of custom processes within enterprise and vendor-purchased applications. They will collaborate with IT analysts and business users to document requirements and provide ongoing technical support for application systems.
The Business Intelligence Developer will generate and maintain data and analytic solutions to transform raw data into actionable knowledge. They will collaborate with stakeholders to develop BI applications, validate data integrity, and streamline analytics processes.
The Pharmacy Relations Specialist manages the pharmacy contracting process, including network negotiations and redline reviews. They also ensure network compliance, resolve claim issues, and maintain pharmacy network functions.
The Access Specialist serves as a liaison between patients, providers, and insurance companies to facilitate access to specialty medications and financial assistance programs. They are responsible for investigating benefits, documenting patient information, and ensuring compliance with federal and state regulations.
The Coordinator will provide front-line support for the recruiting function, including interview scheduling, background check initiation, and maintaining accurate employee records. They will also assist with HR policies, job description database management, and various organization-wide HR programs.
The Business Intelligence Developer will generate and maintain data and analytic solutions to transform raw data into actionable knowledge. They will collaborate with stakeholders to develop reporting applications, validate data integrity, and streamline analytics processes.
The Proposal Manager leads a team in developing strategic, client-focused proposal content and sales-related documents to drive market share. They provide consultative support to the sales team and ensure high-quality, on-time project delivery through cross-functional collaboration.
The Sr. Scrum Master leads an Agile team by facilitating meetings, removing impediments, and fostering high performance. They also coach team members and mentor junior Scrum Masters on Agile best practices and relentless improvement.
The RN will provide telephonic clinical assessments and education to patients while coordinating care and documenting interventions. They will also collaborate with pharmacists and providers to ensure safe therapy use and adherence to clinical protocols.
The Reimbursement Specialist II monitors, reviews, and investigates claim submissions to ensure accuracy and resolve discrepancies. They also assist in training team members and responding to inquiries regarding reimbursement and billing.
The architect will own the functional solution roadmap for Oracle Fusion Cloud ERP and ORMB, translating complex business requirements into scalable, supportable designs. They will lead discovery, fit-gap assessments, and integration oversight while partnering with cross-functional teams to maximize platform capabilities.
The Supervisor, Customer Care manages and develops a team of specialists to ensure high-quality customer service and performance metric achievement. They are responsible for coaching staff, resolving escalated customer complaints, and monitoring operational performance through data analysis.
The Director will lead and evolve the organization's healthcare regulatory adherence, audit, and accreditation programs. This role involves overseeing internal and external audits, managing regulatory implementation, and ensuring enterprise-wide compliance with healthcare standards.
The Referral Coordinator manages the flow of inbound specialty prescriptions and coordinates the prior authorization process. They act as a liaison between patients, medical staff, and insurance providers to ensure continuity of care.
The Sr. Director leads strategy, service performance, and account management teams for existing PBM clients to ensure client retention and satisfaction. They are responsible for developing annual strategic business plans, mentoring staff, and driving operational effectiveness through process modernization and data-driven decision-making.
The Senior Manager provides clinical specialty pharmacy expertise and manages client-facing guidance for network strategy and contracting activities. They lead a team to ensure specialty pharmacy services are delivered effectively while overseeing issue management, reporting, and cross-functional vendor coordination.
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 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 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 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 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 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 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 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 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 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 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.
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.
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.
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.
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.
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.
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.
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.
