The Patient Care Assistant II is responsible for enrolling new specialty pharmacy patients and managing their records, including demographics and insurance information. They also handle inbound and outbound calls to patients, prescribers, and insurance entities to facilitate billing and therapy compliance.
The Product Manager is responsible for defining and driving the vision, strategy, and lifecycle of assigned products from conception through launch. They collaborate with cross-functional teams to align business goals, customer requirements, and market trends to ensure successful product delivery.
The Technical Lead will oversee technical operations within the Analytics & Data department, including strategic oversight of BI tools and data systems. They will mentor team members, manage system upgrades, and ensure the implementation of best practices and coding standards.
Manage assigned third-party vendors and shared services, overseeing contracts, service levels, performance metrics, compliance, invoices, and vendor access to company systems and protected information. Lead vendor reviews and escalations, coordinate with internal stakeholders, and drive issue resolution, process improvements, and continuity planning.
The Sr. Manager, Claims Operations leads and optimizes end-to-end operational functions to ensure accurate, timely, and compliant pharmacy benefit services. This role oversees complex workflows, manages vendor performance, and drives continuous process improvement across the claims operations team.
Support workforce management setup, scheduling, forecasting, and analysis to help meet service-level commitments. Validate workforce data, manage schedules and call routing, develop reporting requirements, identify performance improvements, and create training and procedure documentation.
The Clinic Services Executive manages existing physician and prescriber clinics by developing long-term account strategies and identifying expansion opportunities. They are responsible for clinic retention, achieving strategic goals, and facilitating the resolution of escalated customer issues.
The Specialist, Provider Accounts manages client relationships and oversees the prescription referral process to ensure seamless continuity of care. They collaborate with the sales team to address clinic needs and maintain compliance with regulatory standards.
Manage work queues and documentation for retrospective case management, including specialty medication reviews, high-cost cases, and retroactive drug utilization cases. Coordinate physician notifications and peer-to-peer collaboration, follow up on outstanding documentation, and support clinical process development and compliance.
Oversee treasury operations, cash and liquidity management, banking relationships, credit facilities, treasury systems, and investment activities. Develop treasury controls and reporting, advise senior leaders, support audits, and ensure compliance with banking covenants and governance requirements.
The Software Architect serves as a liaison between development teams to ensure adherence to standards and provides recommended technical solutions across all systems. They are responsible for evaluating emerging technologies, mentoring team members, and collaborating with business teams to translate needs into technical requirements.
The Specialist, Drug Procurement is responsible for the daily purchasing, inventory management, and reconciliation of pharmacy supplies from wholesale partners. They also analyze market trends and vendor performance to optimize procurement practices and ensure inventory availability.
The Supervisor, Customer Care supports the growth and development of Customer Care Specialists by providing coaching, performance analysis, and consistent feedback. They are responsible for managing team performance metrics, resolving customer escalations, and ensuring high levels of customer satisfaction.
The Reimbursement Specialist I is responsible for monitoring claims activity, ensuring accurate billing information, and processing manufacturer copay assistance programs. They also resolve claim issues and maintain accurate documentation within patient profiles.
The Sr. Manager will lead the end-to-end development of proposals and manage strategic growth initiatives to enhance win rates. They will also oversee team operations, coach staff, and collaborate with cross-functional teams to optimize pricing and manufacturer relationships.
Coordinate operational support for manufacturer, payor, and strategic partner clients, serving as the primary contact for daily requests and helping resolve escalated issues. Support client implementation, reporting, business reviews, account strategy, program retention, and identification of growth opportunities.
The Specialist conducts telephonic medication consultations, health education, and care coordination to improve patient adherence and clinical outcomes. They manage Medication Therapy Management (MTM) and Stars Adherence initiatives while collaborating with internal and external stakeholders to ensure timely access to medications.
Administer and optimize pharmaceutical manufacturer discount and contracting programs by analyzing claims, maintaining contract parameters, reconciling financial guarantees, and recommending contract improvements. Support client and sales requests, pricing and forecasting, audits, regulatory reporting, and contract-related decision-making in coordination with internal teams.
The Supervisor, Pharmacy Quality manages the Specialty Pharmacy Quality Management Program by supervising quality analysts and monitoring performance. They are responsible for identifying quality metrics, conducting data analysis, and creating project plans to drive process improvements.
The supervisor manages day-to-day operations for a team of reimbursement or intake specialists, ensuring productivity and service standards are met. They are responsible for hiring, training, and evaluating staff while implementing process improvements to enhance pharmacy efficiency.
The Pharmacist will serve as a clinical subject matter expert, managing prior authorizations, high-cost case reviews, and clinical policy development. They will conduct peer-to-peer consultations with physicians and provide clinical guidance to internal teams and members regarding specialty medications.
The Director of Software Development provides leadership and direction for the software development team while evolving legacy applications into modern, supportable systems. They are responsible for fostering a high-performing team, collaborating with cross-functional stakeholders, and delivering quality software that meets business needs.
The Sr. Manager leads the trade relations team to establish and maintain effective relationships with pharmaceutical manufacturers while directing contract negotiations. They are responsible for developing manufacturer engagement strategies, overseeing the clinical drug pipeline, and ensuring access to specialty medications.
The Payer Contracting Executive leads end-to-end negotiations for payer contracts, including rates, terms, and network participation to expand access. They also develop payer access roadmaps and ensure ongoing compliance with regulatory requirements and contract obligations.
The Supply Chain Contracting Manager develops and executes contracting strategies to reduce costs for GPO member pharmacies through high-impact negotiations. This role manages a portfolio of supplier agreements and collaborates with cross-functional teams to ensure negotiated savings and service levels are delivered.
The Senior Manager serves as a strategic finance partner responsible for strengthening financial discipline, business case governance, and value realization across enterprise transformation investments. They will partner with cross-functional leaders to evaluate initiative economics, monitor financial performance, and provide executive-ready insights to support investment decisions.
The Clinical Liaison integrates patient care and clinical coordination by serving as a primary point of contact between medical staff, pharmacies, and insurance providers. They are responsible for monitoring programs and initiatives while ensuring effective communication regarding prescription, insurance, and financial needs.
The Sr. Project Manager leads multiple complex projects concurrently, managing scope, timelines, budgets, and resource interdependencies. They act as a subject matter expert to facilitate project governance, risk mitigation, and strategic alignment across the enterprise portfolio.
The Sr. Client Services Executive is responsible for managing complex client relationships, developing long-term account strategies, and identifying expansion opportunities. They also oversee client retention, performance reporting, and the resolution of escalated service or contract issues.
The Specialist III coordinates daily operations for the prior authorization team while providing coaching and subject matter expertise to team members. They also assist in resolving escalations, managing workflows, and ensuring compliance with company and healthcare standards.
The Supervisor, Training and Development creates, administers, and delivers training programs while assessing the ongoing learning needs of the organization. They collaborate with operations and quality teams to enhance training effectiveness and ensure compliance with pharmacy policies and regulations.
The pharmacist provides telephonic clinical consultations to specialty pharmacy patients, conducting assessments and medication reconciliations to ensure safe therapy. They also educate patients on disease management, medication administration, and side effect mitigation while documenting all clinical interventions.
The Specialist, Patient Programs coordinates and audits manufacturer programs while providing patient outreach and support for specialty pharmacy operations. They are responsible for ensuring compliance with program guidelines and maintaining accurate documentation through internal reporting software.
The RN will provide telephonic clinical assessments and education to patients regarding specialty therapies to improve adherence and outcomes. They will also document interventions, coordinate care, and collaborate with pharmacists and providers to ensure safe therapy use.
The RN, Clinical Operations provides telephonic patient education, clinical assessments, and support to ensure safe and effective specialty therapy use. They are responsible for documenting interventions, coordinating care, and collaborating with clinical teams to improve patient outcomes and adherence.
Lead daily operations for the Patient Programs team, including staffing, workflow prioritization, performance monitoring, coaching, and issue resolution. Ensure program activities meet quality, compliance, service, patient experience, and business goals while supporting training, audits, escalations, and program transitions.
The Director is responsible for enterprise general ledger accounting, financial reporting, and leading month and year-end close processes. They will also conduct in-depth financial analysis, manage audits, and provide strategic recommendations to enhance profitability.
The Manager, Pricing and Underwriting oversees core functions including pricing, underwriting, and risk analysis for new and renewal business. They provide leadership to the team, develop financial models, and communicate pricing strategies to both technical and non-technical stakeholders.
The Staff Attorney will assist the Chief Legal Officer with legal research, contract drafting, and negotiation. They are also responsible for managing corporate legal records and providing legal counsel to staff regarding business objectives and regulatory compliance.
The Sr. Account Manager leads projects and operational execution for strategic 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 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 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 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 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 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 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 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 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 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 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 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 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 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.
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.
