Navitus Health Solutions

Operations

• Lead and mentor practice managers to promote teamwork and high-quality end to end operation service.
• Cultivate a patient-centric environment, focusing on smooth operations and efficient patient flow.
• Responsible for the department’s budget.
• Ensure benefit compliance with federal and state laws.
• Conduct routine reviews and audits of team members.
• Lead meetings to drive operational efficiencies for new or existing processes.
• Manage capacity and pipeline planning for team.
• End to End Understanding of all Operational facets of the organization
• Lead multiple Operational teams both indirect and direct
• Provide training and mentorship to direct and indirect reports
• Meets performance targets for speed, efficiency, and quality.
• Participate in, adhere to and support compliance and diversity, equity, and inclusion program objectives.

Senior Director, Operations

Business Intelligence Developer

• 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 quickly to changing reporting requirements and new BI tools in a rapidly evolving, high-growth organization
• Take charge of ongoing data validation to ensure data integrity and reliability
• Identify and provide insights into streamlining analytics processes and research improvement opportunities
• Serve as analytics point of contact for state audits, legislative inquiries, and escalated analysis matters
• Lead and facilitate meetings with internal and external stakeholders or state stakeholders
• Serve as a mentor and Subject Matter Expert (SME) to teammates and business areas
• Other duties as assigned

Senior Business Intelligence Developer

Executive Assistant

• Support SVP, Chief Legal Officer with schedules, communication, filing and document organization, meeting preparation and follow up.
• Conduct projects and participate in team activities to identify problems and improve work processes and systems.
• Assist SVP, Chief Legal Officer with document drafting, review, and preparation.
• Prepare presentations, presentation slides and documents, and presentation support materials.
• Maintain positive communications and rapport inside and outside the organization.
• Assist SVP, Chief Legal Officer in ensuring enterprise-wide adherence to policies, procedures, compliance regulations, and other processes.
• Organize and maintain a central corporate repository of documents and files.
• Prepare agenda and compile minutes as required for leadership meetings.
• Independently perform and manage matter intake and administration through resolution, legal research, reviewing and identifying issues in legal matters, resolving questions submitted from business units, interpreting and implementing applicable policies and procedures, and working closely and directly with various business units and counsel in bringing matters to resolution.
• Conduct legal search on relevant current and emerging laws, statutes and regulations, prepares memorandums of the findings, and create action plans where necessary to mitigate risks.
• Support and prepare legal documents, such as contracts and correspondence, for review, and approval.
• File legal documents and correspondence in digital and physical filing systems.
• Ensure effective indexing and filing of legal documents.
• Other duties as assigned

Senior Paralegal, Executive Assistant

Payroll

• Administering end-to-end payroll processing for salaried and hourly employees, ensuring strict accuracy in earnings, deductions, and net pay calculations.
• Review and validate timekeeping records, overtime, bonuses, and deductions.
• Maintain payroll records and ensure proper documentation of employee changes (new hires, terminations, promotions, etc.).
• Accurately calculate and process payroll adjustments, including but not limited to bonuses, commissions, retroactive pay, deductions, garnishments, leave of absence and benefit withholdings.
• Preparing and filing all relevant payroll tax returns, payments, and statutory reports as required by federal, state, and local authorities.
• Prepare payroll related journal entries to ensure all payroll elements are accurately recorded in the general ledger.
• Perform balance sheet reconciliations of payroll related GL accounts.
• Work with state agencies on registrations and various tax notices.
• Respond to associate payroll inquiries and other stakeholders in a timely and professional manner.
• Partner with Human Resources and Benefits teams to reconcile payroll with benefits enrollments and deductions.
• Collaborating proactively with Human Resources, Finance, and external auditors to resolve complex payroll issues and support audits or compliance reviews.
• Conducting regular internal reviews and staying current with changes to tax legislation, wage laws, and best practices within payroll administration
• Support year-end payroll activities, including W-2 and other tax filings.
• Other duties as assigned.

Payroll Accountant

Product Manager

• Champion and maintain a proactive internal audit process to verify claims are adjudicating as expected.
• Conduct root cause analysis to minimize future defects
• When adjudication issues are discovered, champion root cause analysis efforts of these issues in support of continually lowering our adjudication Defects per Million opportunities
• Work closely with Recoveries Product Manager to verify recoveries projects produce the expected results as well as to improve the overall accuracy of the adjudication process
• Oversee all adjudication-related fixes/enhancements. This includes oversight of system requirements development, and testing
• Ensure post-implementation monitoring processes are in place to validate adjudication-related fixes/enhancements are working as expected
• Serve as subject matter expert for claims adjudication-related questions and system enhancements
• Oversee timely completion of Acumen audit responses and leverage these results to improve claim adjudication accuracy
• Ensure metrics are monitored and reported
• Create and maintain claim adjudication training resources
• Other duties as assigned

Product Manager, Claim Adjudication – Medicaid/M Medicare

Manager

• Lead and continuously mature the organization’s Internal Quality & Audit Program, encompassing telephonic quality monitoring and operational process audits.
• Establish audit governance, methodologies, sampling strategies, scoring frameworks, and reporting standards across all audit activities.
• Ensure audit activities align with regulatory requirements, accreditation standards, and organizational risk priorities.
• Promote a culture of quality, accountability, and continuous improvement that prioritizes patient safety and harm prevention.
• Oversee the established call quality auditing program, including supervision of the Pharmacy Quality Supervisor and audit team.
• Ensure consistent scoring, calibration, and inter-rater reliability across call evaluations.
• Validate adherence to communication standards, patient education requirements, scripting, and compliance protocols.
• Monitor for and address communication breakdowns that could contribute to medication errors, delayed therapy or patient harm.
• Partner with call center leadership to translate audit findings into coaching strategies, training initiatives, and performance improvement plans.
• Monitor program effectiveness and implement enhancements to improve scoring accuracy, efficiency, and operational impact.
• Support implementation, management, and effective utilization of quality management systems.
• Conduct risk-based audits to evaluate process integrity, documentation accuracy, and adherence to policies and standards.
• Identify process vulnerabilities that could lead to medication errors, therapy delays, privacy breaches, or other patient safety risks.
• Develop and maintain audit tools, checklists, and protocols to ensure consistency and scalability.
• Design, implement, and maintain a comprehensive internal audit framework for specialty pharmacy workflows, including patient intake and benefits investigation; clinical review and documentation; prior authorization and payer requirements; dispensing, verification, fulfillment, and inventory processes; patient onboarding, counseling, and adherence programs; and accreditation compliance.
• Analyze audit findings to identify trends, systemic risks, performance gaps, and improvement opportunities.
• Develop dashboards and reports that translate audit data into actionable insights for leadership and operational teams.
• Lead root cause analysis and partner with stakeholders to implement corrective and preventive action plans (CAPAs).
• Monitor effectiveness of improvement initiatives and adjust audit focus based on outcomes.
• Provide audit insights to Risk Management and Compliance teams to support proactive risk identification and mitigation.
• Identify control gaps in new or evolving workflows and recommend safeguards.
• Escalate high-risk findings and track resolution to completion.
• Establish policies, procedures, and documentation standards for audit activities.
• Travel up to 25-50% to pharmacy sites, with occasional travel to conferences.
• Other duties as assigned.

Quality Manager

Systems Engineer

• Research into new technologies which may be applicable to the environment at Navitus
• Research into utilizing capabilities of existing technologies to a greater extent
• Collaborate with other IT teams to perform a Proof of Concept for solutions that show promise
• Work with business teams to understand current processes to identify areas which could see process improvement through technology solutions
• Analyze and design effective and clear technical solutions for infrastructure and enterprise application related projects
• Assist in the development and implementation of corporate information system policies and procedures
• Maintain knowledge in Infrastructure Operations, Data Center Operations, Virtualization (Server, Network, Storage, Desktop, and Application); attend conferences, meet with vendors, and keep current on technology trends
• Analyze and diagnose issues that may be caused by server-side applications, server operating system issues and networking problems
• Other duties as assigned

Systems Architect

Director

• Proactively building and maintaining strong and effective working relationships throughout Pharma, customers, Navitus, and other business partners/vendors
• Ensuring the appropriate Pharma sources and internal and external people/resources are in place to meet Navitus’ current and future needs
• Developing and successfully implementing strategies and action plans for establishing and enhancing a competitive Pharma contract structure for Navitus which meets current and future needs of Navitus and its customers. This includes ensuring that appropriate agreements, analytical processes, and audit programs are in place
• Working closely with Navitus' operational teams to ensure that Pharma contracts with respect to rebates and discounts are fully understood, and proactively leading the resolution of rebate issues.
• Support Navitus internal and client external P&T processes with financial modeling and presentations
• Leading Pharma negotiations and working with others to proactively seek and capitalize on opportunities to profitably expand the scope of high net rebates and discounts that are obtained for the ultimate creation of the lowest net cost PBM for Navitus’ clients
• Lead, train and develop the team of Navitus Contractors to allow for career development
• Other duties as assigned

Director, PBM Rebate Industry Relations, Contracting

Security Engineer

• Design and implement cloud security controls across Azure workloads (IaaS/PaaS), including network segmentation, Private Link/Private Endpoints, NSGs, Azure Firewall, and secure ingress/egress patterns.
• Design and validate security controls for applications and platforms that process Protected Health Information (PHI), including encryption, access controls, logging, and secure data flows.
• Support HIPAA and SOC 2 compliance by mapping technical controls to PHI risks, validating effectiveness, and producing audit ‑ ready evidence.
• Deploy, configure, and operationalize Microsoft Defender for Cloud (secure score, regulatory compliance, recommendations, JIT access) and integrate findings into remediation workflows.
• Serve as the primary Application Security (AppSec) engineer, partnering with Software Engineering to embed security controls across design, build, test, and runtime phases.
• Perform threat modeling and architecture reviews for new applications, major changes, and integrations (data flows, identity, APIs).
• Define and maintain application security requirements aligned to OWASP Top 10, API Security Top 10, and cloud-native threat models.
• Engineer detections and response workflows in Microsoft Sentinel (analytics rules, automation rules, playbooks), including KQL-based hunting and incident triage.
• Manage identity and access controls in Microsoft Entra ID, including RBAC, Conditional Access, MFA, Privileged Identity Management (PIM), and Managed Identities.
• Harden internet-facing applications using Azure Web Application Firewall (WAF) and Azure Front Door (AFD) policies, aligning protections to OWASP Top 10 and validating through testing and logging.
• Implement secure configuration baselines and policy-as-code using Azure Policy and Management Groups; define guardrails for encryption, logging, networking, and identity.
• Build and maintain security logging and telemetry (Azure Monitor, Log Analytics, Defender, AFD/WAF logs), ensuring required retention, diagnostics settings, and centralized visibility.
• Operate vulnerability management for cloud and application surfaces (e.g., Defender recommendations, scanning outputs), drive remediation prioritization, and validate fixes.
• Integrate application security tooling into CI/CD pipelines (SAST, SCA, secrets scanning, IaC scanning), ensuring actionable results without disrupting delivery.
• Triage and prioritize application vulnerabilities (code, dependencies, misconfigurations) based on risk, exploitability, and business impact.
• Partner with engineering teams to remediate findings and validate fixes.
• Secure secrets, keys, and certificates using Azure Key Vault, including access controls, rotation practices, and integration with applications and pipelines.
• Secure APIs and web services using authentication, authorization, rate limiting, and abuse protections.
• Validate WAF, AFD, and API gateway controls against application-specific threats, including bot abuse and injection attacks.
• Monitor runtime application telemetry for security signals and collaborate on incident response when application-layer issues are identified.
• Partner with engineering teams to embed secure SDLC practices: threat modeling, security requirements, secure configuration, and remediation guidance for OWASP Top 10 classes.
• Review and improve Infrastructure-as-Code (Terraform/Bicep/ARM) for security and compliance, including least-privilege IAM, secure networking defaults, and drift detection.
• Investigate security events and participate in incident response, including containment/eradication, evidence collection, and post-incident root cause analysis and lessons learned.
• Oversee dependency and third-party library risk (SCA), including vulnerability tracking and remediation guidance.
• Define secure patterns for secrets management, service-to-service authentication, and external integrations.
• Support endpoint, identity, and cloud workload investigations using Microsoft Defender XDR and related telemetry; tune alerting to reduce noise and improve fidelity.
• Maintain runbooks, playbooks, and security documentation; contribute to change management and control evidence for audits and risk assessments.
• Conduct security reviews of cloud architecture and changes (new services, networking, identity, data flows), providing actionable recommendations and risk-based exceptions when needed.
• Participate in, adhere to and support compliance and diversity, equity, and inclusion program objectives. Other duties as assigned.

Engineer, Application and Cloud Security

Learning and Development

• Facilitate enterprise-wide professional development programs for associates at all levels.
• Design, develop, and deliver interactive training sessions, workshops, and other learning opportunities in virtual, in-person, instructor-led, and asynchronous formats
• Guide productive and positive group discussions amongst learners and coach learners on emotional intelligence, relationship-building, and leadership skills.
• Coach learners at all levels on skills related to emotional intelligence, relationship-building, and more.
• Partner with business units, SMEs, department-based trainers and/or HR Business Partners to conduct needs assessments and identify skill and behavior gaps.
• Develop SCORM-compliant e-learning courseware and video-based training aligned to organizational priorities.
• Measure, evaluate, and track learning effectiveness using meaningful metrics and feedback; ensure outcomes are equitable across learner populations.
• Serve as site administrator for the corporate learning management system, supporting department-based trainers and advancing enterprise learning standards.
• Ensure learning delivery readiness for in-person training experiences in partnership with coordinators.
• Contribute to and sometimes lead Human Resource planning, associate engagement, and organizational development initiatives.
• Model development by completing continuing education on an annual basis.
• Travel as needed to support in-person learning delivery.
• Other duties as assigned.

Learning and Development Generalist

• Provide mentoring, coaching, and technical guidance to DevOps and engineering teams.
• Research, evaluate, and recommend innovative and automated approaches for system administration and integration with enterprise business applications.
• Stay current with emerging technologies, platforms, programming languages, and industry standards to support development and procurement initiatives.
• Establish and maintain strong working relationships with third ‑ party vendors and partners.
• Collaborate with business and technical stakeholders to support and manage development environments.
• Coordinate with application and infrastructure teams to plan and execute major and minor application releases.
• Participate in application release cycles and coordinate release activities across staging and production environments.
• Partner with development and operations teams to design, implement, and maintain practical automation solutions and custom modules.
• Develop and maintain code and scripts to automate service provisioning and configuration using cloud platforms and scripting languages.
• Design, configure, and maintain CI/CD pipelines to support automated testing and deployments, ensuring code quality, performance, and scalability.
• Troubleshoot and resolve issues across production and non ‑ production environments using structured debugging and problem ‑ solving techniques, collaborating closely with development and quality teams.
• Recommend and implement improvements to deployment patterns and practices based on lessons learned from prior releases and production incidents.
• Other duties as assigned.

Senior Engineer, Development Operations

Compliance

• Manage communications with regulators/legislators
• Research and provide insight into strategies to achieve various organizational goals through legislative and regulatory advocacy
• Conduct legal research on relevant laws, statutes and regulations and prepares memorandums of the findings
• Provide support and guidance related to the interpretation of applicable rules and regulations
• Ensure compliance with state and federal lobby registration requirements
• Ensure effective tracking of impactful legislation/regulation
• Develop talking points and advocacy materials for legislators and regulators
• Coordinate with communications, regulatory and other teams to prepare materials for legislators and regulators as requested
• Other duties as assigned

Regulatory Analyst

IT Support

• Support the mission and conduct themselves in a professional and responsible manner while abiding by all privacy and confidentiality requirements
• Follow all corporate and departmental policies and procedures
• Maintain scheduled hours and be flexible to meet the needs of the department.
• Be available to work 40 hours per week and, if asked, some occasional overtime
• Recognize, suggest, and assist with process improvements
• Display critical thinking and problem-solving competencies
• Assist with special projects
• Assist with administrative tasks as needed
• Perform duties assigned by supervisor and department mentors. Intern duties will vary in each department
• Other duties as assigned

Summer Intern – IT Support

Project Manager

• 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
• Facilitate any internal Steering Committee meetings as required for more complex projects
• 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
• Able to travel as needed to meet client requirements
• Other duties as assigned