The Supervisor, Clinical Services oversees clinical consultation pharmacists to ensure high-quality patient care and adherence to clinical protocols. This role manages daily workflow, staff performance, and compliance with regulatory standards while providing clinical support and education to patients.
The Reimbursement Specialist I is responsible for monitoring claims activity, ensuring accurate patient billing, and processing manufacturer copay assistance programs. They also maintain patient profiles and resolve billing discrepancies while adhering to federal and state compliance standards.
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 drive continuous improvement by automating security processes and integrating DevSec practices into the software development lifecycle.
The Director leads the regulatory adherence, audit, and accreditation programs to ensure organizational compliance and operational excellence. They are responsible for overseeing internal and external audits, managing accreditation activities, and driving enterprise-wide compliance initiatives.
The Analyst, Rebate Operations manages the operational aspects of rebate programs, including submission, reconciliation, and reporting. They also provide support for sales, RFP processes, and internal/external audits while collaborating with finance and underwriting teams.
The Reimbursement Specialist II monitors, reviews, and investigates claim submissions to ensure accuracy and resolve discrepancies. They also assist in creating work instructions and training team members on vendor programs and billing procedures.
The role involves joining a talent community to share pharmacy experience and career interests with the recruitment team. Successful candidates will be considered for future clinical prior authorization pharmacist opportunities as they arise.
The Sr. Director is responsible for maximizing enterprise value through strategic investment governance, capital allocation, and corporate development. They will lead financial evaluation for mergers and acquisitions while providing executive-level reporting on investment performance and strategic outcomes.
The Analyst, Contract Operations is responsible for managing discount programs, including contract compliance, reconciliation, and reporting. They also provide analytical support for RFP processes, client renewals, and internal/external audits.
The Specialist II provides high-quality clinical engagement through telephonic medication consultations, health education, and care coordination. They also collaborate with the team to improve Medication Therapy Management products and mentor new associates.
The Project Manager is responsible for leading the implementation of new clients, including project planning, monitoring, and coordinating tasks across internal and external teams. They facilitate readiness assessments, manage client kick-off meetings, and ensure all project requirements are documented and met.
The Specialist will review, process, and troubleshoot incoming prior authorization requests for medications according to regulatory and client guidelines. They will also act as a provider help desk specialist to assist with submission criteria and formulary information.
The analyst is responsible for developing and maintaining IT policies, procedures, and standards in alignment with ITIL best practices. They will also monitor IT controls and coordinate incident response activities to ensure system performance and regulatory compliance.
The Director of Provider Relations is responsible for developing and executing the strategic vision for provider engagement, account management, and operational performance across the Lumicera Direct business. This role leads cross-functional teams to drive provider growth, referral expansion, and long-term strategic partnerships while serving as a key member of the commercial leadership team.
The Value Stream Orchestrator serves as the accountable leader for transformation initiatives, ensuring strategic alignment and delivery confidence across business, technology, and operations. They are responsible for managing financial performance, risk mitigation, and business readiness to ensure intended outcomes are achieved.
The Pharmacy Reimbursement Administrator monitors and updates pharmacy network procedures to ensure accurate claims adjudication and contract compliance. They are responsible for managing pharmacy remittances, electronic payments, and performing quality assurance on network rates.
The Analyst is responsible for auditing pharmacy network reimbursement accuracy and ensuring compliance with contractual obligations across Retail, Specialty, and Mail Order agreements. They will monitor claims data, resolve pricing inquiries, and collaborate with cross-functional teams to remediate system errors.
The Sr. Manager will lead the end-to-end development of proposals and manage strategic growth initiatives to enhance win rates and competitive positioning. They will also oversee team operations, coach staff, and collaborate with cross-functional teams to optimize pricing strategies and proposal performance.
The pharmacist will perform telephonic consultations to provide patient education, manage disease states, and conduct medication reconciliation. They are also responsible for interpreting prescriptions, verifying clinical appropriateness, and collaborating with healthcare providers to optimize patient therapy.
The Director is responsible for owning pharmacy network financial performance, including the validation of contracted reimbursement guarantees and effective rate outcomes. This role leads the Network Reconciliation and MAC Pricing teams to ensure pricing strategies are operationalized and aligned with enterprise financial goals.
The Director leads a team of rebate contractors to maintain and enhance relationships with pharmaceutical manufacturers while negotiating contracts for rebates and discounts. They are responsible for providing formulary decision support through financial modeling and ensuring the creation of the lowest net cost PBM for clients.
The Director of Transformation Operations owns the transformation office operating system, governance cadence, and enterprise portfolio performance. They are responsible for driving accountability, managing execution barriers, and providing executive-level reporting to ensure transformation initiatives align with business priorities.
The Consultant, Accreditation Compliance supports and maintains accreditation programs by overseeing audits, reporting, and continuous quality improvement initiatives. They serve as a subject matter expert, providing guidance to stakeholders and leading accreditation survey preparation and review activities.
The Value Stream Orchestrator serves as the accountable leader for assigned transformation value streams, ensuring strategic alignment and delivery confidence across business, technology, and operations. This role facilitates value-based prioritization, manages financial performance, and coordinates business readiness planning to ensure successful deployment of initiatives.
The CI Business Partner facilitates and leads multiple process improvement and Robotic Process Automation projects to drive operational excellence. They collaborate with senior leadership to prioritize strategic initiatives and mentor teams to foster a culture of continuous improvement.
The Reimbursement Specialist I is responsible for monitoring claims activity, ensuring accurate submission, and managing patient billing information within pharmacy software. They also resolve claim issues and communicate billing options to patients while maintaining compliance with federal and state regulations.
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 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 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 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 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 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 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 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 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 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 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 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.
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 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.
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.
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.
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.
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.
