21 in jobs found

Overview Navitus Health Solutions is seeking a Pharmacist, Population Health to join our team!   The Pharmacist, Population Health will be responsible to perform duties related to the development, implementation, outcomes reporting, and ongoing administration and support of Navitus Clinical Programs including Drug Utilization Review (i.e., RDUR, CDUR), Health Management (i.e., clinical edits, Asthma Management, COPD Management, Pharmacogenomics, Pharmacoadherence, Prescriber Insights, MTM), and other strategic clinical initiatives (i.e., Residency Program) across all lines of business. The Pharmacist, Population Health will also provide support to other clinical areas including Account Management, Lumicera, Drug Information and Pipeline, and the Pharmacy and Therapeutics (P&T) Committee.    Additionally, the Pharmacist, Population Health is responsible for reviewing, evaluating, and sharing the health outcomes and utilization data for program management and...

Overview Lumicera Health Services is seeking a Sr. Analyst, Health System Pharmacy Financial Performance  to join our team!     The Sr. Analyst, Health System Pharmacy Performance serves as a senior individual contributor responsible for financial analysis and insights supporting specialty pharmacy and health system pharmacy performance. The role works closely with Finance, Pharmacy Operations, Contracting, Analytics, Account Management, 340B, and health system partners to evaluate complex financial, reimbursement, claims, purchasing, inventory, payer, drug, and operational data.    The role advances pharmacy revenue integrity, organizational growth, and profitability by delivering actionable insights that improve reimbursement and margin performance, identify financial risks and opportunities, inform strategic decisions, and support health system pharmacy initiatives. The analyst independently determines analytical approaches, develops recommendations, and...

Overview Lumicera Health Services is seeking a Customer Experience Strategist  to join our team!   The Customer Experience Strategist will help envision, design, and create prototypes of positive customer interactions. Journey maps, ideation, and other facilitated events to enhance customer experience will be led by this role. Identifying and serving key stakeholders is critical to this role. The Customer Experience Strategist will identify and lead visionary and prototyping activity. The role will participate in strategic planning and lead implementation efforts for the CX/DX department.   Is this you? Find out more below! Responsibilities How do I make an impact on my team?   Research, identify, and assist in prioritizing and emgering experience trends. Collaborate with business leaders on pre-project creation of vision or value statements. Assist in creating future vision and gaining investment in short term successes. Assist in the creation of long-term...

Overview Due to growth, we are adding a Sr. Manager, Key Analytics to our team .   The Sr. Manager, Key Analytics leads the centralized Navitus Key Analytics team, serving as a strategic partner to internal stakeholders, prospective clients, and existing customers by delivering insights that support business growth, client retention, and market competitiveness. The team operates as a multidisciplinary analytics function, integrating underwriting, network pricing, rebate economics, financial analysis, competitive intelligence, and performance reporting to provide a comprehensive view of current and future client performance. The role is responsible for translating complex data into actionable business recommendations and ensuring alignment between client needs and organizational capabilities.   Is this you? Find out more below! Responsibilities How do I make an impact on my team?   Lead the Navitus Key Analytics team with accountability for client...

Overview The expected start timeframe for this position is January 2027 or later.   Our team is growing! We’re excited to be expanding our team with new Telehealth Pharmacist positions. If you’re ready for a new challenge and an opportunity to use your pharmacy skills in a different way, check out the openings and take your next step with us!     The  Pharmacist, Telehealth  will be a key contributor to the success of a newly launched Clinical Engagement Center (CEC) focused on improving member’s health and wellness via tele-pharmacy and wellness coaching. This pharmacist is responsible for the delivery of the Medication Therapy Management (MTM) services for commercial and Medicare members. In addition, the Telehealth Pharmacist will assist in the development and execution of additional clinical outreach program to exceed client expectations. Is this you? Find out more below!    Responsibilities How do I make an impact on my team?...

Overview Due to growth, we are adding  a Supervisor, Quality Assurance Automation to our team!   The Supervisor, Quality Assurance Automation will work with the Strategic Technology Systems Development team to support customer-focused objectives and the IT Vision. This position will implement a suite of testing tools and further develop our software quality assurance expertise as well as implement a suite of automation frameworks and lead a group of Software Quality Assurance professionals.   Is this you? Find out more below! Responsibilities How do I make an impact on my team? Lead, mentor, and inspire a team of quality assurance testers providing clear direction, setting performance expectations, and fostering a collaborative and innovative work environment. Lead the design, development, and maintenance of scalable test automation frameworks for web, mobile, and API testing. Ensure that software products meet high-quality standards...

Overview Lumicera is seeking a Pharmacist, Clinical Consultation to join our team!     This position is eligible for a 7.5% annual bonus.   The main duty of the Pharmacist, Clinical Consultation is to perform telephonic consultations with patients regarding the use of their specialty medication and management of their disease state. The Pharmacist, Clinical Consultation will perform medication reconciliation, screen for potential drug interactions, and provide side effect management recommendations. Additional tasks for this role include interpreting physicians' prescriptions, contacting prescribers for prescription clarification, and expediting the processing of orders. The individual in this position will be expected to meet department production metrics and service levels, support quality standards, resolve patient issues, and vary work priorities and activities to accommodate business needs. The Pharmacist, Clinical Consultation works...

Overview Due to growth, we are adding a Sr. Developer, Business Intelligence to our team .   The Sr. Developer, Business Intelligence is an expert level role that combines theory and practice to identify and communicate data-driven insights that allow managers, stakeholders, and other executives in the organization or within a state Medicaid Program to make informed decisions. A good candidate will be detail oriented, analytical, a skilled communicator, and a quick learner with experience in analytics, data modeling, or business intelligence.   Is this you? Find out more below! Responsibilities How do I make an impact on my team?   Use Qlikview, QlikSense, SQL Server Management Studio, Oracle SQL Developer and other product tools to create applications and data models for reporting needs Identify inter-departmental dependencies and downstream impacts of changes within reporting applications Extract, Transform and Load data from various data sources Adapt...

Overview Lumicera Health Services is seeking a Payer Contracting Executive  to join our team!   The Payer Contracting Executive serves as a dedicated negotiator focused on expanding payer access across commercial, Medicare Part D, and Medicaid opportunities. The primary responsibility of this position is to lead payer negotiations end to end, including rate and term negotiation, network participation, performance guarantee structures, and renewal strategy, to grow covered lives and protect margin for the specialty pharmacy. The Payer Contracting Executive will develop and execute a payer access roadmap, identify and pursue networks in which Lumicera and its partner pharmacies are not currently participating, and secure agreements that maximize access to patients and members.   The Payer Contracting Executive will support Lumicera and all strategic partners for whom Lumicera provides shared services to help meet strategic goals and mitigate financial losses. This...

Overview Due to growth, we are adding  a Architect, Enterprise AI to our team!   The Architect, Enterprise AI is responsible for designing, governing, and advancing the enterprise architecture strategy for Artificial Intelligence and Agentic AI capabilities across the organization. This role partners with Enterprise Architecture, Platform Engineering, Data Engineering, and Product teams to define scalable AI architecture patterns, reference architectures, and governance frameworks that enable responsible and secure use of AI technologies. The Architect serves as the enterprise subject matter expert on AI platforms, generative AI, and agentic workflows, ensuring alignment with enterprise architecture principles, security requirements, and regulatory standards while enabling innovation and business value.   Is this you? Find out more below! Responsibilities How do I make an impact on my team?   Define and maintain the enterprise AI...

Overview Due to growth, we are adding  an Architect, Oracle Functional Solutions to our team!     The Financial ERP Oracle Functional Solutions Architect is the functional architecture authority for Oracle Fusion Cloud ERP and Oracle Revenue Management and Billing (ORMB), with responsibility for solution strategy, functional design, platform governance, release and upgrade planning, integration oversight, and long-term application health. The Architect translates complex finance, billing, revenue management, reporting, control, and operational requirements into scalable and supportable Oracle solutions. This position works directly with Finance, business process owners, product owners, Enterprise Architecture, Data Services, application support teams, internal IT teams, Oracle, and third-party partners to improve business outcomes, maximize delivered Oracle capabilities, and reduce unnecessary customization.   Is this you? Find out more below!...

Overview Lumicera Health Services is seeking a Sr. Project Manager, EPMO to join our team!   The Sr. Project Manager, EPMO is responsible for collaborating across the organization to plan, develop and execute large, simultaneous complex projects in response to priorities set by portfolio governance oversight bodies including the Senior Leadership Team (SLT) and the Enterprise Portfolio Management Office (EPMO). The Sr. Project Manager, EPMO proactively identifies risks to the overall plan as it relates to scope, timeline, and budget and facilitates the project change request process providing comprehensive analysis as a result of thorough fact finding and solution evaluation. This position begins project work prior to initiation, working with leadership to develop business case and cost benefits analysis, facilitating approval through Navitus EPMO governance oversight. The Sr. Project Manager, EPMO leverages industry best practices, business acumen, and experience to ensure...

Overview Lumicera Health Services is seeking a Supply Chain Contracting Manager to join our team!   The Supply Chain Contracting Manager develops, negotiates, and manages contracting strategies that reduce the total cost of goods and services for Clarventa and its GPO member pharmacies. This role focuses on high-impact pharmacy supply chain categories, including logistics and last-mile delivery, cold-chain and packaging, pharmacy technology, and credentialing. By aggregating member volume, the Manager secures preferred pricing, favorable terms, and sustainable savings that individual pharmacies may not achieve independently.   This is a high-level individual contributor role with significant ownership and influence across contracting strategy, supplier negotiations, and category performance. The Manager owns a portfolio of supplier agreements and category strategies, initially focused on supply chain and cost-of-goods programs, and potential expansion into additional...

Overview Due to growth, we are adding  a Engineer, Enterprise AI to our team!   The Engineer, Enterprise AI is responsible for designing, building, and operationalizing enterprise AI capabilities that enable the scalable adoption of Artificial Intelligence and Agentic AI across the organization. Working closely with the Enterprise AI Architect, this role translates enterprise AI architecture, patterns, and governance standards into implementable solutions and reusable technical components while partnering with Enterprise Architecture, Platform Engineering, Data Engineering, and Product teams to develop AI services, integrations, and operational frameworks that support generative AI, machine learning, and agentic workflows. The Engineer ensure AI solutions are implemented in alignment with enterprise architecture standards, security requirements, and regulatory compliance while enabling teams across the organization to safely and effectively leverage AI technologies...

Overview Lumicera Health Services is seeking a Sr. Manager, Industry Relations  to join our team!       The Sr. Manager, Industry Relations leads the team responsible for establishing, maintaining, and enhancing effective relationships with pharmaceutical manufacturers that produce specialty pharmaceuticals, and directs the negotiation of distribution and procurement contracts to ensure the specialty pharmacy can obtain specialty pharmaceuticals and pricing that meet the demands of its payers and patients. The primary responsibility of this position is to develop and execute manufacturer and trade engagement strategies, oversee the clinical drug pipeline, and maximize access to products in which the specialty pharmacy has a strategic interest in dispensing, including limited distribution medications. The Sr. Manager will lead and develop the Trade Relations team and Proposal Analysts and support Lumicera and its strategic partners in achieving business objectives and...

Overview Lumicera is seeking a Pharmacist, Clinical Consultation to join our team!     This position is eligible for a 7.5% annual bonus.   The main duty of the Pharmacist, Clinical Consultation is to perform telephonic consultations with patients regarding the use of their specialty medication and management of their disease state. The Pharmacist, Clinical Consultation will perform medication reconciliation, screen for potential drug interactions, and provide side effect management recommendations. Additional tasks for this role include interpreting physicians' prescriptions, contacting prescribers for prescription clarification, and expediting the processing of orders. The individual in this position will be expected to meet department production metrics and service levels, support quality standards, resolve patient issues, and vary work priorities and activities to accommodate business needs. The Pharmacist, Clinical Consultation works...

Overview Due to growth, we are adding an Engineer, Cloud Security to our team!   The Engineer, Cloud Security will drive continuous improvement to our cloud and will be responsible for designing, deploying, and overseeing the management of group wide security solutions and executing against the company's Information Security and Compliance roadmap. Working closely with technology partners, you will help guide the selection, implementation, and integration of various security solutions. This position has significant organizational impact, requiring enterprise perspective, knowledge, and change management skills. The Engineer, Cloud Security will ensure that the risk posed by a variety of cyber threats is minimized. Support the Navitus IT mission through the use governance, risk and compliance activities that detect, prevent, or mitigate threats to confidentiality, integrity and/or availability of information resources on-behalf of Navitus stakeholders.   Is this...

Overview Due to growth, we are adding a Manager, Pricing and Underwriting to our team .   The Manager, Pricing and Underwriting supports and manages core functions across the full scope of pricing, underwriting, and risk analysis. This position reports to the Director, Pricing and Underwriting and will provide leadership to Supervisors and Analysts. The Manager is responsible for developing pricing recommendations, evaluating financial risk, maintaining underwriting models, and supporting pricing decisions for new business, renewal business, client retention, and RFP opportunities.   Is this you? Find out more below! Responsibilities How do I make an impact on my team?   Manage pricing and underwriting functions for new business, renewal business, client pricing requests, RFP responses, finalist presentations, and ad hoc financial analyses. Lead, coach, and train supervisors, and analysts, to support accurate, timely, and consistent pricing,...

Overview Navitus Health Solutions is seeking a Project Manager, Implementation HP Strategic Clients to join our team!   The Project Manager, Implementation HP Strategic Clients (IPM) will interface with health plans and strategic employer clients which may include a government program component to manage projects including transitioning clients to Navitus from their current PBM, implementing new services/programs, facilitating a change in vendor relations, i.e. TPA, disease management organization, etc. and more. This role is responsible for building early relationships with the clients so they learn to trust us and have confidence that their transition needs will be successfully met as seamlessly as possible. The IPM must have strong relationship skills to be able to work with not only the client team members, but also with the subject matter experts within Navitus, which will be key to a successful implementation. Excellent communication skills are necessary to ensure that...

Overview Lumicera Health Services is seeking a Sr. Manager, Strategic Growth & Proposal to join our team!   The Sr. Manager, Strategic Growth & Proposal Performance will manage the strategic growth and management of proposals for Lumicera. This includes managing proposal processes, optimizing performance across RFP responses, and partnering with Sales and cross-functional teams to enhance win rates and competitive positioning. The Sr. Manager will participate in the analysis and discernment of Request for Proposal (RFP) opportunities to help Lumicera optimize resource allocation in response to requests for proposal. This role will also support the ongoing development and enhancement of manufacturer relationships and pricing strategies, including identifying opportunities to expand access, improve discounting, and strengthen overall value delivery.   Is this you? Find out more below! Responsibilities How do I make an impact on my team?   Participate...