Navitus Health Solutions

Network Engineer

• Support the network contracting management division by preparing contracting and strategy analytics, including new contracts and contract renewals
• Assist with preparation and attend meetings with strategic pharmacy partners
• Plan, design, and deploy appropriate reports, tools, and/or applications
• Provide support with pharmacy data and topic preparation for industry conferences, including scheduling
• Prepare analyses covering provider agreements, 340B opportunities, mail order, discount card, specialty, and any related needs
• Collaborate with Contract Managers, Finance, Pharmacy Informatics, Legal and other internal business divisions to make recommendations to financial models and assist with the development of financial contract solutions
• Prepare forward-looking network analytics, ensuring alignment of planned actions and targets in the forecast
• Support network management leaders in the development and analytical review of quarterly forecasting, annual planning, and multi-year contracting development and multi-year financial modeling
• Advise internal stakeholders on strategic fiscal matters related to pharmacy financial management throughout the organization.
• Participate in regular meetings with leadership to review financial results and act as an internal consultant on interpreting financial results, analyzing variances and improving contracting performance.
• Support pharmacy contract negotiations by monitoring and delivering impact analysis of suggested pricing revisions
• Other duties as assigned

Senior Analyst, Network Contracting

Account Manager

• Develop positive client relationships.
• Develop effective solutions to customer problems.
• Support call center in resolving member escalations and communication back to the client.
• Work with clients to identify, gather information about scope and timelines for client projects.
• Own operational support for client needs including member letters.
• Participate in requirement gathering and QA for product development activities related to client needs.
• Participate in, adhere to, and support compliance, people and culture, and learning programs.
• Perform other duties as assigned.

Senior Account Manager

Analyst

• Completes scheduled and urgent benefit additions, terminations, and changes timely and accurately to prevent member access to care issues, missed performance guarantees and potential liquidated damages.
• Acquires and maintains a basic level of knowledge and interpretation of multiple adjudication system screens and functions on a field-by-field level to design both standard and custom configurations to meet client expectations.
• Complies with standards set forth regarding benefit design and configuration including HIPAA, NCPDP and Navitus internal business standards.
• Performs quality assurance peer reviews and uses sound business judgment and expertise to contribute toward the creation of root cause analysis of issues.
• Uses departmental workflow management, issue resolution and reporting tools for troubleshooting and responding to general customer questions and issue resolution requests.
• Supports internal customers by participating in client meetings, audits and new program implementations with other areas of the company, answering benefit setup questions and providing guidance to other areas and roles on the benefit configuration process.
• Adapts to industry changes and evolving technology, maintaining a basic level of understanding of both legacy and emerging products and systems.
• Independently assesses business needs and participates in process improvement, cost reduction and automation efforts.
• Contributes to the creation and ongoing maintenance of departmental training materials, work instructions and policies.
• Conducts system enhancement and regression testing of a low to moderate level of complexity for benefit configuration processes to ensure compliance with state, federal and client regulations/standards.
• Contributes to training and maintains a mentoring relationship with new and existing benefit configuration team members.
• Participate in, adhere to and support compliance and diversity, equity, and inclusion program objectives.

Benefit Configuration Analyst

Product Development

• Lead the development and implementation of data-backed product strategies and roadmaps that bolster the company product offering across market segments and align to corporate objectives while creating market differentiation.
• Build consensus, deploy, and manage best practices for product development, ensuring solutions are recognized as innovative, user-centric, and informed by quantified market insights.
• Leverage change management principles applicable to product rollouts, including communication planning, stakeholder alignment, and impact assessments.
• Oversee the product portfolio and develop product roadmaps to ensure alignment with strategic priorities, resource allocation, and return on investment (ROI).
• Serve as a critical point of orchestration, working in partnership with cross functional stakeholders to inform ideation and validation to launch, refinement, and sunset.
• Ensure timely and high-quality go-to-market execution by facilitating delivery of standard tools and practices for successful adoption and execution.
• Conduct formal and/or informal market research and competitive analysis to identify trends and inform product strategy decisions.
• Stay abreast of and understand industry, marketplace, and legal developments and their impact on the business.
• Will translate current and emerging market needs into product expansion, enhancement, and/or new product concepts/business cases.
• Advocate for the voice of the customer throughout the product lifecycle.
• Lead and/or influence stakeholder feedback sessions and support synthesized insights toward market-informed product initiatives.
• Develop product roadmaps based on the product vision and market research.
• Nurture cross-functional understanding and buy-in to product governance frameworks to ensure process compliance, decision and output quality, and repeatability.
• Partner with individual managers assigned to products, projects, and solutions to ensure resourcing support needed to succeed.
• Demonstrate influence across the product lifecycle and establish credibility throughout the organization and with the Executive Team as an effective developer of strategic planning and execution of strategic solutioning.
• Define, track, analyze and report key performance indicators (KPIs) to measure the success and impact of product strategies.
• Maintain ongoing pulse of functions and communications throughout the organization as a “hub” to successful delivery of key tactics to support the strategy.
• Act as the primary point of contact to resolve project/product resource constraint and major program issues.
• Plan and execute product launches and go to market strategies, including pricing models, bundling, messaging, and positioning strategies.
• Ensure the product is effectively launched in the market and meets the target audience’s needs.
• Develop clear recommendations supported by structured problem solving, financial rationale, and trade off analysis (such as build vs. buy) delivered through executive level presentations.
• Other duties as assigned.

Principal, Specialty Product Development – Strategy

Operations

• Data flow between Lumicera Contracts team and other internal stakeholders like finance, analytics, sales, and account management.
• Data flow between Lumicera, GPO and Pharma and/or other vendors including submission of claims data.
• Work with IT to prioritize and deliver on solutions enabling all data flow needs.
• Account Reconciliation file receipt, analysis, and furnishing the necessary data so finance can invoice clients.
• Complete audits.
• Implementation of New Clients which involves evaluation of formulary from a roll up standpoint.
• Prospective Reporting including forecasting/projecting rates based on existing data, making assumptions and documenting such assumptions/caveats in calculating forecasted rates using existing data.
• Creating a potential bid grid based on known data components, again making and documenting assumptions.
• Constantly comparing actuals vs. forecasted to finetune assumptions.
• Forecasting guarantees based on rates, utilization and other factors like inflation.
• Retrospective Reporting to ensure all client reports are generated timely and accurately.
• Analyzing the data to ensure clients are receiving maximum contract value.
• If there are gaps, identify the reasons for those gaps and work with key stakeholders to correct those.
• Contract Optimization to analyze client formulary against best formulary placement with pharma and GPO to then supply the data/information that would be needed by our contractors to have meaningful conversations with pharma and GPO and our clients in order to maximize client contracts while still maintaining our lowest net cost philosophy.
• Ensure that RFPs are responded to in a timely and accurate manner.
• Ensure that guarantees are developed using appropriate methodology, wherein risk is accounted.
• Ensure absolute alignment with Implementations and Sales so the conditions associated with a guarantee are met.
• Understand client and regulatory requirements around the service.
• Operationalize the service working closely with other operational areas like formulary and Claim adjudication to ensure accuracy of the setup.
• Work closely with vendors or strategic partners to make sure the relationship is a mutually successful partnership including aligning strategic priorities with the partner and tracking performance of vendors against guarantees, tracking the dispute resolution process, and creating dashboards that capture current state in a comprehensive manner.
• Other duties as assigned.

Director – Rebate Contract Operations

QA Engineer

• Evaluating the performance of customer service representatives by monitoring inbound and outbound calls
• Ensure adherence to company policies, quality standards, and best practices
• Provide detailed, constructive feedback to agents on their performance
• Compile and maintain reports on key performance indicators (KPIs) such as customer satisfaction scores
• Analyze trends in customer interactions to identify recurring issues
• Participate in calibration sessions to ensure consistency in evaluation standards
• Identify opportunities for process improvements to enhance service quality
• Ensure compliance with company standards and legal regulations

Quality Assurance Team Lead, Member Services

Social Media Manager

• Create, edit, and publish compelling content for the websites and social media channels of the Navitus Health Solutions enterprise.
• Manage and maintain website content, ensuring accuracy, timeliness and alignment with brand voice and enterprise messaging.
• Create and publish content from a cross-channel calendar focused on website and social media updates.
• Apply search-engine optimization (SEO), ask-engine optimization (AEO) and social media optimization (SMO) best practices to improve visibility, engagement, and traffic.
• Partner with Corporate Communications, Marketing, Creative Services and other work groups to ensure that content aligns with broader campaigns, business priorities and brand standards.
• Serve as a content steward, ensuring consistency, quality and effectiveness across all touchpoints.
• Manage daily activity across social media accounts for the Navitus Health Solutions enterprise, including monitoring, posting and engagement.
• Engage with audiences by responding to comments, messages, and mentions in a timely and professional manner, consistent with company standards and policies.
• Identify opportunities to amplify positive engagement, including from internal and external audiences, as well as address reputational risks appropriately.
• Foster strong online communities by promoting meaningful interactions and maintaining a consistent brand presence.
• Collaborate with internal stakeholders to align responses and engagement strategies with organizational priorities.
• Monitor social media channels, digital platforms and online communities to understand how audiences interact with our content.
• Track and report on brand presence across trade publications, general-interest media and other online sources.
• Utilize tools such as Hootsuite and Google Search to identify trends, sentiment and visibility across owned and earned channels.

Content and Social Media Specialist

General

• Ensures all external and internal customers receive the level of customer service required by Archimedes and serves as a representative of Archimedes to all external customers.
• A Key element of this role is front-line call taking, ensuring that a deep understanding is gained of the customer experience. That understanding is used to constantly improve that experience.
• Assists in the training and coaching of call center staff in understanding & completing their primary functions with the highest level of efficiency and accuracy.
• 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 by collecting, analyzing, and summarizing data.

Member Services Team Lead

Procurement

• Serve as the enterprise lead for strategic procurement, defining sourcing strategies, standards, and operating models inclusive of project roadmaps and initiatives.
• Own and govern the end-to-end strategic procurement for all vendors except facilities, including intake, prioritization, capacity alignment, budget stewardship, and performance reporting.
• Translate enterprise and executive strategies into actionable procurement plans that accelerate modernization, improve margins, and enable scalable growth.
• Act as a trusted advisor to executive leadership on vendor market dynamics, sourcing risks, and long-term investment implications.
• Ensure disciplined decision-making, investment accountability, and cross-functional alignment in procurement decision-making.
• Ensure procurement activities are integrated with enterprise portfolio management, planning, and financial controls.
• Lead the development of enterprise-grade RFPs, including requirements definition, evaluation criteria, and cross-functional stakeholder alignment, to ensure disciplined, competitive, and value-driven vendor selection including coordination of applicable demos and proofs of concept.
• Lead complex, high-impact vendor acquisitions and negotiations on behalf of the enterprise, including RFP/RFI strategy, ROI analysis, and vendor selection.
• Represent the organization in senior-level vendor discussions and negotiations, ensuring outcomes protect enterprise interests and deliver measurable value.
• In partnership with business owners, establish and enforce SLAs and performance guarantees within vendor contracts to ensure measurable service delivery standards, including defining KPIs, reporting non-compliance, and driving corrective actions when commitments are not met.
• Ensure procurement decisions balance short-term needs with long-term enterprise value and risk considerations.
• Other duties as assigned.

Director, Enterprise Strategic Procurement

• Support day-to-day administration of employee benefits programs in compliance with plan documents and applicable regulations, including FMLA, ADA, COBRA, unemployment, and workers’ compensation requirements.
• Administer associate benefit enrollment activities, including new hires, qualifying life events, executive enrollments, and open enrollment; ensure timely processing and accurate collection of required documentation.
• Manage monthly benefits billing processes, including invoice reconciliation and approval for payment.
• Monitor and maintain program trackers for various benefit-related initiatives (e.g., education reimbursement, volunteer programs, PTO cash-out, medical premium discounts).
• Oversee the benefits inbox by triaging incoming inquiries, assigning ownership, and responding to associate and leader questions in alignment with plan provisions and company policies.
• Create, maintain, and deliver standard and ad hoc reports, including HR metrics and benefit enrollment reporting.
• Review and approve associate changes submitted through Manager Self Service (MSS), including updates to address, location, reporting relationships, job codes, job grades, and other non-pay-related fields.
• Administer HRIS benefit eligibility file feeds, including setup, monitoring, and troubleshooting of system integrations and manual vendor files.
• Support benefit communication planning and execution, including drafting associate communications and maintaining an annual benefits communication calendar.
• Contribute to process improvement initiatives by identifying opportunities to enhance efficiency, accuracy, and the associate experience; partner with HR team members to implement improvements.
• Support and uphold compliance, as well as diversity, equity, and inclusion (DEI) initiatives, ensuring alignment with organizational values and program objectives.
• Other duties as assigned.

Benefits Coordinator, HRIS

• Contribute to establishment of process and metrics to ensure project delivery meets enterprise-wide standards and expectations.
• Define and utilize methods and reporting mechanisms that track and monitor requirements, milestones, deliverables, decisions, etc.
• Regularly review and assess status reports, project plans, change requests, requirements documentation and other project artifacts to ensure smooth project progression.
• Conduct project postmortems; provide methods for measuring and monitoring of defined benefits and project outcomes.
• Provide expertise and leadership in support of enterprise portfolio governance and oversight processes.
• Support all stakeholders in developing and understanding project artifacts, available resources,and related EPMO portfolio processes.
• Identify and resolve issues and conflicts within and between project, business, and/or technology teams.
• Adhere to a structured project management methodology.

Manager, EPMO Operations

Pharmacist

• Place outbound phone calls to members to offer Medication Therapy Management (MTM) services and other commercial programs outside of traditional MTM
• Provide outreach to members, prescribers, and pharmacy providers to enhance care coordination and support the Star ratings program
• Field inbound phone calls from members to initiate MTM or other CEC services
• Conduct telephonic comprehensive medication interviews and document medications as part of the MTM Program
• Facilitate communication to clients, providers, and internal staff regarding CEC programs and program outcomes
• Maintain knowledge of regulations regarding CEC programs
• Develop a full understanding of Navitus Clients’ member experience and how the CEC contributes to improved health and wellness
• Compliance with all applicable HIPAA and CMS regulations
• Other duties as assigned.

Telehealth Pharmacy Technician

Product Manager

• Assist in the analysis of, product opportunity, performance, product capacity and capabilities for managing new clients
• Contribute to requirements, test plan, and execution for system enhancements
• Develop a keen understanding of Navitus products in the marketplace in order to work collaboratively to expand product offerings, refine current product positioning and develop key messages for both existing and potential clients
• Monitor the products performance, position and utility for our clients and their members
• Apply project management techniques to effectively manage project scope, resources, and timeline for assigned initiatives
• Analyze, document and report any issues with claims associated with assigned products
• Establish and utilize standard templates to document how claims adjudicate and share finding with all impacted functional areas
• Solid understanding of product setup to ensure accurate processing of claims
• Assure appropriate testing has been conducted for any system/app enhancement or break-fix
• Other duties as assigned

Associate Product Manager, Innovative Pharmaceutical Programs

Project Manager

• Identify, document, and achieve expected outcomes by collaborating with business areas, subject matter experts (SMEs), Reinforcing Leadership Sponsors, and Authorizing Executive Sponsors.
• Identify and execute technical needs of the project; serve as an Agile Epic Owner.
• Establish business case for evaluation by the Senior Leadership team by examining project alignment with organizational strategies and plans; and business leads to complete cost-benefit, technology, and integration analyses.
• Schedule and facilitate necessary project meetings to ensure progress and alignment with all stakeholders.
• Document key details including action items and assignments, share with participants, and ensure action items are completed timely.
• Adhere to the project framework including creation and preservation of artifacts in order to accomplish agreed-upon deliverables and ensure effective and transparent communication with stakeholders.
• Lead issue management and report issues and proposed solutions to those impacted. Work through to resolution.
• Ensure solutions are adequately tested and necessary documentation has been completed and socialized.
• Identify stakeholders and provide necessary support and communication for successful change management.
• Manage multiple projects simultaneously. Situational on-call and/or travel may be required. Other duties as assigned.

Project Manager, EPMO

Account Executive

• Own and manage a portfolio of complex, high-value clients, serving as the primary strategic point of contact and ensuring alignment with organizational goals.
• Lead the execution, and ongoing management of long-term account strategies, including Strategic Business Plans, Quarterly Business Review (QBR) Summaries, and performance reporting.
• Partner with internal subject matter experts to identify opportunities for cost savings, service enhancements, clinical improvements, and program expansion.
• Support and lead contract renewals, negotiations, and new business implementations, ensuring client commitments and performance guarantees are met.
• Proactively identify, communicate, and execute up-sell and expansion opportunities across both personal and team-managed books of business.
• Provide day-to-day leadership, coaching, and strategic guidance to ensure consistent client management practices and high service standards.
• Translate strategy from the Sr. Director into clear priorities, expectations, and execution plans for the team.
• Conduct performance management activities, including goal setting, performance reviews, feedback, development planning, and corrective action when necessary.
• Oversee hiring, onboarding, training, and workforce planning for the team to ensure appropriate coverage and capability.
• Foster a culture of accountability, collaboration, continuous improvement, and client-centric thinking.
• Monitor and report on team and client performance metrics, ensuring achievement of service levels, performance guarantees, and financial targets.
• Provide guidance and leadership when performance guarantees are at risk or not met, including development of corrective action plans and client communication strategies.
• Assist with budget planning and management, including staffing, travel, and operational expenses.
• Participate in Sales finalist meetings, client presentations, and new business pursuits as needed.
• Travel to client sites and internal meetings as required.