Navitus Health Solutions

Paralegal

• Manage licensing processes for Navitus and its subsidiaries
• Draft legal documents and templates, managing document templates and corporate legal records
• Perform records and legal research and prepare correspondence under general supervision
• Identify, review, and interpret legislation and regulatory environment changes impacting Navitus
• Provide support and analysis related to the interpretation and adoption of policies, processes, and procedures related to applicable regulations

Attorney

• Imparts the philosophy, values, mission and vision of Navitus and SSM Health and facilitates the integration of values in Continuous Quality Improvement (“CQI”) activities.
• Draft, review, and negotiate contracts on behalf of the organization.
• Oversee the complete life cycle of Navitus’ contracts from initial request to final signature.
• Field internal and external requests on the status of contracts, and manage follow up with staff as needed.
• Prepares additional legal documents, such as memorandums and correspondence.
• Inform the development of new Navitus initiatives from a legal perspective and provide guidance on legal issues that help shape the organization’s direction and impact as a whole.
• Provides legal counsel to Navitus’ staff members on the implications of their business objectives and ensure that all of Navitus’ staff are informed of applicable policies and practices.
• Researches and analyzes statutes, judicial decisions, legal articles, contracts, and legal codes.
• Files legal documents and correspondence in digital and physical filing systems.
• Develops processes for the effective indexing and filing of legal documents and managing contracts.
• Other duties as assigned

Senior Staff Attorney

Project Manager

• Lead and coordinate regulatory projects from initiation through completion, operationalizing requirements to meet state or federal standards and ensuring alignment with organizational goals.
• Schedule and facilitate project meetings to ensure progress and alignment with all stakeholders and taskforce while building strong relationships through proactive communication.
• Document key details, including meeting transcripts, action items, and assignments; share documentation with participants and ensure timely completion of action items.
• Maintain and update internal processes, leveraging tracking systems to monitor progress.
• Oversee cross-functional implementation of regulatory initiatives across multiple departments, managing timelines, resources, and deliverables.
• Lead issue management by reporting issues and proposed solutions to impacted parties and driving them through to resolution.
• Partner with Regulatory Auditor to develop processes for conducting compliance reviews and spot audits to monitor adherence to regulatory standards and identify areas for improvement.
• Develop and manage project plans using project management tools, driving process redesign or improvements, and automation initiatives, may include assisting departments with creation of work instructions and forms.
• Prepare and present detailed analyses and reports, synthesizing findings and recommending corrective actions and process enhancements.
• Travel as required (less than 25%).
• Other duties as assigned.

Project Manager, Regulatory Implementation

Director

• Lead end ‑ to ‑ end negotiations with wholesalers, distributors, and suppliers to secure competitive pricing, favorable terms, and reliable access for GPO member pharmacies.
• Manage and maintain all wholesaler contracts to ensure negotiated pricing is accurately extended to eligible member pharmacies.
• Proactively evaluate opportunities to expand savings, improve contract structures, and enhance partner value.
• Develop and execute strategies to optimize primary and secondary wholesaler arrangements for GPO partners.
• Lead RFP processes for wholesaler and supplier negotiations, including comparative financial analyses and performance assessments.
• Drive continuous improvement in wholesale channel performance, pricing competitiveness, and operational effectiveness.
• Build and maintain strong, collaborative relationships with wholesalers, distributors, and suppliers.
• Serve as the primary point of contact for strategic alignment, escalation, performance discussions, and partnership development.
• Actively monitor supplier performance and promote accountability to contract terms and service expectations.
• Negotiate agreements with GPO member pharmacies covering drug access requirements, data ‑ sharing expectations, utilization reporting, and administrative fees.
• Ensure consistent communication to pharmacy partners regarding contract terms, pricing changes, and compliance requirements.
• Ensure all wholesaler, supplier, and pharmacy agreements align with legal, regulatory, and industry standards, including anti ‑ kickback, transparency, and reporting requirements.
• Partner with Legal to develop, refine, and maintain contract templates, SLAs, and audit protocols.
• Collaborate with internal analytics, finance, and operations teams to leverage data for pricing analysis, forecasting, and contract performance monitoring.
• Use financial modeling to support negotiation strategies and inform organizational decision ‑ Analyze the financial implications of wholesaler contracts and pricing models to maximize member savings and organizational profitability.
• Deliver reports that support GPO economic value assessments and budget planning.
• Work closely with finance, legal, operations, supply chain, analytics, and member engagement teams to ensure alignment and execution of contracting strategies.
• Maintain accuracy and integrity in reporting workflows, pricing files, and GPO partner documentation.
• Lead and inspire high-performing teams by providing strategic direction, aligning talent and resources with organizational goals to drive operational excellence, foster cross-functional collaboration, and promote a culture of continuous improvement across key business initiatives.

Director, Pharmacy Wholesaler Relations – Contracting

DevOps Engineer

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Product Manager

• Leads tactical product development efforts and provides oversight of daily operations required to support the Medicaid and Exchange product
• Leads the annual retro-eligibility ranking process for Exchange clients, working closely with Technical Operations to ensure timeliness and completeness
• Develops general subject matter expertise related to State Medicaid requirements for member materials, IT, third party liability, 340B, rebates, and reporting
• Provides Medicaid/Exchange SME support to Implementation Team for new client implementations and coordinates the process for implementing new plan benefit design changes that occur after initial implementation.
• Works closely with the ADMEO for the annual Exchange QHP application/certification process
• Coordinates the development, implementation, and maintenance of Medicaid/Exchange software processes and interfaces for all managed Medicaid clients and Exchange clients.
• Leads the Exchange JSON file delivery requirement
• Ensures the Exchange function meets all regulatory requirements.
• Works closely with functional teams to ensure that appropriate processes are being adhered to in order to comply with Exchange program requirements
• Supports readiness assessments, data validation efforts and client and/or regulatory audits
• Tracks, monitors, analyzes, and reports product performance goals including data and processing quality, mandated reports, and compliance.
• Leads Federal Exchange “Transparency in Coverage” annual reporting requirements/processes
• Develops, modifies, and improves business processes and policies needed to support the Medicaid/Exchange program

Associate Product Manager, Medicaid and Exchange

Call Center Representative

• Ensures all customers receive an excellent level of customer service.
• Handling front-line inbound and outbound member calls, with the ability to quickly gain a deep understanding of Archimedes' services and customer needs.
• Follows established procedures, processes, and standards for production, productivity, quality, and customer-service.
• Meets performance targets for speed, efficiency, and quality.
• Analytical - Can analyze a situation and understand quickly what the implications are to other groups within Archimedes.
• Uses intuition to make decisions that are best for the business.
• Problem Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem solving situations; Uses reason even when dealing with emotional topics.
• Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments, demonstrates a high sense of urgency when Written Communication - Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Presents numerical data effectively; Able to read and interpret written information.
• Teamwork - Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone's efforts to succeed.
• Organizational Support - Follows policies and procedures; Completes administrative tasks correctly and on time; supports organization's goals and values; Supports affirmative action and respects diversity.
• Judgment - Displays willingness to make decisions; Exhibits sound and accurate judgment; Supports and explains reasoning for decisions; Includes appropriate people in decision-making process; Makes timely decisions.
• Motivation – Sets/achieves challenging goals; Demonstrates persistence, overcomes obstacles; Measures self against standard of excellence; Takes calculated risks to accomplish goals.
• Planning/Organizing - Prioritizes and plans work activities; Uses time efficiently; Plans for additional resources; Sets goals and objectives; Professionalism - Approaches others in a tactful manner; Reacts well under pressure; treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.
• Quality - Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance; Monitors own work to ensure quality, is able to lead an environment of high quality high efficiency performers.
• Adaptability - Adapts to changes in the work environment; Manages competing demands; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events.
• Dependability - Follows instructions, responds to management direction; Takes responsibility for own actions; Keeps commitments; Commits to long hours of work when necessary to reach goals; Completes tasks on time or notifies appropriate person with an alternate plan.
• Initiative - Volunteers readily; Undertakes self-development activities; Seeks increased responsibilities; Takes independent actions and calculated risks; Looks for and takes advantage of opportunities; Asks for and offers help when needed.
• Innovation - Displays original thinking and creativity; Meets challenges with resourcefulness; Generates suggestions for improving work; Develops innovative approaches and ideas; Presents ideas and information in a manner that gets others' attention.

Member Services Representative – Pharmacy Benefit Contact Center

Communications

• Develop and maintain the comprehensive communications strategy that supports the enterprise transformation roadmap.
• Create and manage communication plans that drive awareness, adoption, and engagement across employees, leaders, and clients.
• Partner with transformation leaders to identify messaging priorities, audience needs, milestones, and success metrics.
• Translate complex operational, technology, and process changes into clear, compelling narratives tailored to diverse audiences.
• Draft, edit, and produce high‑quality communications, including executive updates, FAQs, change announcements, talking points, newsletters, intranet content, presentations, and client‑facing materials.
• Ensure consistent messaging across all channels and stakeholders.
• Work closely with cross‑functional teams—Transformation Office, HR, Product, Operations, Client Services, IT—to ensure communication needs are identified and addressed proactively.
• Serve as a trusted advisor to project sponsors and leaders on communication best practices, timing, risks, and impact.
• Support executive communications by crafting speeches, presentation content, and leadership messaging.
• Partner with change management teams to align communication efforts with training, readiness, and organizational adoption strategies.
• Anticipate communication risks, sentiment, and potential points of confusion; propose mitigation plans.
• Develop KPIs for communication effectiveness; track engagement and sentiment across campaigns.
• Maintain communication calendars, dashboards, and governance processes to ensure transparency and alignment.
• Other duties as assigned.

Lead – Transformation Communications

• Assists the Call Center Supervisor in managing the performance of the call center
• Ensures all external and internal customers receive the level of customer service required
• Assists in the training and coaching of call center staff
• Establishes and executes clear procedures, processes, and standards for production, productivity, quality, and customer-service
• Reports on trends on the call centers efficiency, customer service, and customer retention

Call Center Team Lead, Member Services

Learning and Development

• Conduct ongoing and regular needs assessments to identify individual, group, team, divisional, departmental, and organizational learning, and development opportunities.
• Design and develop solutions to address identified gaps.
• Practice instructional design methods to create quality training products in appropriate modality to include ILT, vILT, online, and other solutions.
• Serve as master site administrator for the Learning Management System (LMS) and ensure it is leveraged to fully support associates, temporary workers, and contractors.
• Lead a team of training and development professionals, serving as a coach and mentor to ensure team capacity and commitment to delivering top quality programming.
• Work with stakeholders across the organization to create and expand mentoring and leadership development programs as part of an overall strategic career development and succession plan.
• Manage vendor relationships and contracts for external learning partners.
• Participate in departmental planning to meet business needs.
• Understand the training management role and link training with the business needs of the company.
• Able to travel 10-25% of time between campuses.
• Other duties as assigned.

Manager, Learning and Development

Operations

• Provides technical expertise to facilitate training, create and maintain documentation, and provide ongoing support of Medicare D operational processes
• Trains Technical Operations Analysts on all Medicare D procedures related to the processes assigned
• Works in partnership with the Technical Operations Business Analysts to manage changes to existing processes that are required for Technical Operations.
• Interfaces with and provides input and oversight to internal operational areas and with external customers to improve the quality of customers' implementations and ongoing experience with Navitus Health Solutions
• Requests/runs reports and analyzes data to identify or further define issues and provide ongoing quality assurance
• Develops test plans and coordinates user/system testing
• Knowledgeable user in 3D for reporting needs that support the Technical Operations processes

Senior Analyst, Technical Operations

• Prepare for and participate in the Readiness Assessment and potential sales initiatives.
• Be the primary face to the Client, involving significant travel.
• Prepare for and facilitate a new client Kick-off Meeting for the purposes of requirements gathering and discovery.
• Assist the client with facilitating any impact analysis to best determine the appropriate requirements to ensure a smooth and successful implementation.
• Ensure all requirements are documented in the standard project templates and tools and then obtain approval from the Client before initiating builds.
• Create and maintain a detailed project plan and open items log for project monitoring purposes.
• Continuously monitor progress in terms of the status of the project and report back to internal management and subject matter team members and the Client using weekly status reporting formats.
• Assist with escalated client issues, member issues, project issues, etc. as identified or requested by the client through direct support or through the support of the Navitus subject matter experts assigned to the project.
• Provide go-live support either through remote access, internal on-site access or client site access. This requires working on January 1st of each year and other non-business days as needed.
• Facilitate Post Implementation Review meetings with the Client.
• Support other client related projects that require project management services.
• Support internal department projects.
• Provide mentoring and support to other team members.
• Able to travel as needed to meet client requirements.
• Participate in, adhere to, and support compliance, people and culture, and learning programs.
• Perform other duties as assigned.

Implementation Project Manager – Strategic Clients

Business Intelligence Developer

• Use and/or collaborate with Lumicera Analytics & Data team on Qlikview, QlikSense, SQL Server Management Studio, Oracle SQL Developer, and other tools to prepare data visualizations and ad hoc reports
• Translate Lumicera contracted client deliverables into reporting application requirements for BI tool monitoring dashboards or metrics monitoring models
• Identify inter-departmental dependencies and downstream impacts of changes within reporting applications
• Communicate effectively and work closely with a variety of users to gather requirements, present solutions, validate effectiveness, and conduct user testing
• Adapt quickly to changing reporting requirements and new BI tools in a rapidly evolving, high-growth organization
• Facilitate in ongoing data validation to ensure data integrity and reliability
• Verify analysis, reports or other deliverables are complete and accurate
• Assist users on how to extract the information from the BI tools
• Identify and provide insights into streamlining analytics processes and research improvement opportunities
• Other duties as assigned

Analyst

• Support Navitus' client acquisition and retention efforts by drafting responses to Requests for Proposals (RFPs) and other sales-related documents for a variety of client audiences.
• Sales support activities can include project coordination (e.g., planning, scheduling, organizing, and coordination), follow-up correspondence, and reporting
• Utilize expert-level editorial, grammatical, and writing skills to ensure all written deliverables follow and demonstrate tactical, strategic, financial, and sales-capture decisions
• Proficiently understand and continuously develop knowledge of business units target markets and trends in those markets and how the products and services are/or may be utilized in the target markets
• Utilize strong project management skills to initiate, collect and deliver on analytical tasks in collaboration with cross-functional SMEs
• Demonstrate an attention to detail and strong time management skills by developing and adhering to stringent timelines
• Support proposal content management and department processes to keep materials current and competitive
• Contribute to the department goal of improved efficiency and effectiveness, including identifying and providing insights into streamlining departmental processes
• Other duties as assigned

Proposal Analyst

Account Executive

• Partner closely with Sr. Pharmacy Sales Representatives to co-develop and execute territory sales strategies, prioritizing high-potential clinics and prescribers.
• Serve as the clinical sales subject matter expert: deliver peer-to-peer scientific presentations, handle complex clinical objections, and secure prescriber commitment to initiate or expand Lumicera specialty pharmacy services.
• Lead or co-lead strategic drug dinners, and educational events where clinical depth is required to influence prescribing behavior.
• Provide niche, disease-state and product-specific clinical pharmacy expertise (e.g., rheumatology, oncology, dermatology, gastroenterology, etc.) that standard sales representatives cannot provide.
• Accompany sales representatives on high-stakes sales calls and act as the decisive clinical voice.
• Identify and cultivate relationships with key opinion leaders, high-volume prescribers, and pharmaceutical manufacturers.
• Collaborate with Sales and Account Management leadership to align clinical messaging with market strategy and revenue goals.
• When not engaged in field sales activities, support Clinical Account Executives and central pharmacist operations by providing clinical oversight on complex prior authorizations, therapeutic interchanges, dose optimizations, and workflow bottlenecks.
• Train clinic staff and prescribers on the Lumicera Prescriber Portal and optimal referral processes.
• Document all field activity, prescriber insights, and competitive intelligence in the corporate CRM to inform broader strategy.
• Monitor financial performance of won accounts and collaborate on retention or triage decisions when clinical or reimbursement barriers arise.
• Travel within assigned territory up to 60–70% (including evenings for drug dinners and conferences).