Navitus Health Solutions

Product Manager

• Manage both existing products and new product development to drive differentiation in the PBM industry.
• Oversee execution of strategic programs and ensure alignment with Client Services and Sales growth plans.
• Collaborate cross-functionally to enhance product performance, support strategic initiatives, and contribute to the development of innovative solutions.
• Analyze customer needs, market trends, and partnership opportunities using ROI and build vs. buy frameworks.
• Support annual planning and strategic planning for product development and drive accountability for performance goals.
• Assess competitive landscape and identify differentiation opportunities.
• Lead market research efforts to generate actionable insights.
• Evaluate product ideas and develop go-to-market strategies.
• Develop and maintain timelines for strategic product initiatives.
• Partner with Compliance and regulatory teams to ensure product readiness and approval.
• Develop a strong understanding of Archimedes products to expand offerings, refine positioning, and create effective messaging.
• Execute departmental initiatives aligned with corporate strategic priorities.
• Participate in, adhere to, and support compliance, people and culture, and learning programs.

Director

• Lead and grow a team of proposal development and management professionals
• Prepare strategic customer-focused proposal content, including written proposals and other sales-related documents
• Participate in the analysis and discernment of Request for Proposal (RFP) opportunities
• Ensure that the Proposal team prepares accurate, timely, clear, and concise responses
• Oversee both the written components of proposals and the financial outcomes

Director, Proposals

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.
• Other duties as assigned.

Analyst, Benefit Configuration

Pharmacist

• Lead negotiation of specialty pharmacy participation agreements across all provider segments, including national chains with specialty capabilities, independent specialty pharmacies, and health system–affiliated providers.
• Own reimbursement structures, contract terms, and financial outcomes for specialty pharmacy agreements, including high-cost drug categories.
• Establish negotiation strategies that balance market competitiveness, provider sustainability, and enterprise financial objectives within the specialty drug landscape.
• Serve as the decision-maker for contract structure, rate positioning, and escalated negotiation decisions.
• Approve contract exceptions and ensure alignment to broader specialty network and enterprise strategy.
• Provide strategic leadership over specialty pharmacy participation agreements, network addenda, and contract standards, ensuring consistency with enterprise pricing, access, and compliance objectives.
• Develop and maintain contracting playbooks, standards, and governance frameworks to support scalable and consistent negotiation practices.
• Guide contract structure decisions to support evolving pricing strategies, regulatory changes, and market dynamics.
• Recommend enhancements to contract language and structure to improve clarity, enforceability, and long-term sustainability.
• Lead specialty provider engagement strategy to support successful contract negotiations, alignment to contract intent, and long-term network stability.

Director, PBM Specialty Pharmacy Network Contracting

Human Resources

• Provide day-to-day support to the HR Generalist team, ensuring compliance with federal/state regulations and company policies
• Manage new hire documentation, intake coordination, sourcing support, and serve as the first point of contact for associate inquiries
• Maintain and monitor team trackers (e.g., LOA, ADA, onboarding, performance issues) to ensure accuracy and timely updates
• Oversee associate relations inboxes: assign tasks, respond to inquiries, and collaborate with HR Generalists as needed
• Maintain secure and organized HR associate records and files
• Assist with office logistics including management of keys, security fobs, and photo badges, as needed
• Coordinate associate recognition efforts, including ordering flowers and gifts, as needed
• Verify associate licenses and certifications through third-party agencies on a monthly and annual basis
• Schedule and coordinate meetings related to LOA, ADA reviews, and other HR needs
• Assist with updates and distribution of HR documents (e.g., handbooks, policies, procedures, confidentiality agreements) and ensure documents are posted to the correct sites
• Other duties as assigned

HR Coordinator

Operations

• Partner across EPMO functions and key stakeholders to ensure alignment between reporting, tooling, templates, and operational workflows, serving as the primary integrator of people, process, and content across the team.
• Engage stakeholders proactively to surface needs, gather input, and build consensus around content standards, process improvements, and governance decisions.
• Lead the design, build, and ongoing governance of the EPMO knowledge management ecosystem, including SharePoint site architecture, Teams workspace organization, and file standardization, establishing clear standards for where information lives, how it is structured, and how it is maintained.
• Own and curate the EPMO Resource Library as the authoritative steward of all templates, process guides, and reference materials, ensuring content reflects current industry best practices and organizational standards.
• Establish a regular content audit cadence to retire outdated materials, surface gaps, and continuously improve the quality and usability of the EPMO knowledge base.
• Build a repeatable lessons-learned and retrospective framework that captures institutional knowledge across the project portfolio, supporting long-term organizational maturity.
• Serve as a change enablement partner improving consistent application of the corporate change management framework within EPMO projects, enhancing supporting documentation, governance frameworks, and communication tools that prepare the organization for successful change implementation resulting from EPMO-led initiatives.
• Translate complex project and operational processes into clear, executive-ready visual narratives, including process maps and workflow diagrams that make EPMO operations accessible to business stakeholders at all levels.
• Develop executive storytelling assets that frame EPMO performance, portfolio health, and operational improvements in terms of business value and strategic impact.
• Build and maintain an EPMO communications rhythm, including contributions to leadership presentations, monthly town halls, team recognition programming, and portfolio highlight content.
• Other duties as assigned.

Lead, EPMO Operations – Enablement

Account Manager

• Develops and maintains a trusted advisor relationship with existing customers and stakeholders to enhance customer experience and retention
• Collaborates with multiple internal stakeholders and external vendor partners to ensure best in class customer service and benefit solutions delivered efficiently and effectively
• Facilitates client meetings to advise and advance resolution of open action items and/or provide routine status updates
• Facilitates the process for new benefit changes on behalf of client and provide direction on how those changes need to be implemented
• Responds to client inquiries, issues and concerns in a timely, concise and accurate manner
• Provides clients with system support and collaboration tools
• Supports client renewal activities in partnership with the Account Executive and Clinical Account Executive
• Supports clients by executing regular account maintenance such as reporting, member-specific requests, open enrollment support and other tasks as needed
• This role may require participation in conference calls, attendance at meetings or, travel outside of normal business hours
• Other duties as assigned

Financial Planning and Analysis

• Perform monthly volume metrics analyses by service line (both retrospective and prospective).
• Leadership management reporting creation and maintenance for decision making purposes.
• Perform analysis on P&L actual results compared to budget and forecast each month.
• Provide analysis to Finance and Leadership.
• Engage with Finance and Leadership on forecast opportunities and challenges from ideation to execution.
• Management of the revenue and expense budgeting and forecasting for all business units.
• Analyze revenue and expense variances and provide explanations to upper management.
• Lead annual budget process for assigned area.
• Enhance forecasting, budgeting and reporting tools.
• Develop and maintain cost allocation modeling by service line along with forecasting by service line.
• Drive the capital budgeting and management process by engaging and collaborating with the project management team.
• Assist in designing and monitoring (reporting on) key drivers for various stakeholders.
• Develop three to five-year strategic plan projections.
• Support RFP or proposal offerings, participate in pricing/strategy calls as requested, assist with fee related, allowance and credit regarding RFP requests.
• Business segment and service line profitability analysis.
• Drive strategic business initiative modeling such as potential partnership(s), acquisition(s) or other key projects as well as partnering with Leadership on execution.
• Assist with various financial analysis as generally required by the business, lease analysis, vendor analysis and other general financial modeling.
• Provide support to Treasury, Investments and Partnerships as required, including analysis that support banking and capital markets and investment analysis.
• Other duties as assigned.

Senior Financial Analyst

Growth Marketing

• Participate in the evaluation and prioritization of RFP opportunities; partner with Sales and cross functional leaders to shape pursuit strategies that enhance competitive positioning, win probability and alignment with Lumicera growth strategy and broader initiatives.
• Lead the end-to-end development of proposals (RFPs, RFIs, BAFOs, and retention efforts), ensuring high quality, client focused, compliant deliverables that clearly communicate Lumicera’s specialty pharmacy value proposition.
• Manage proposal timelines, workflows, and deliverables facilitating coordination across stakeholders and subject matter experts (clinical, operations, finance, pricing) to ensure timely and efficient submission.
• Monitor and analyze proposal performance metrics (win rates, cycle times, quality outcomes), identifying trends and opportunities to improve effectiveness, efficiency, consistency, and overall process outcomes.
• Drive continuous improvement of proposal processes, tools, templates, and content libraries while establishing and maintaining proposals standards, best practices and quality controls.
• Contribute to strengthening manufacturer relationships and optimizing pricing strategies, including identifying opportunities to enhance discounting and expand client value through informed data driven proposal positioning.
• Lead, coach, and develop a high performing proposal team by providing strategic direction, aligning talent and resources, mentoring through feedback and career planning while fostering a collaborative and continuous improvement culture.
• Oversee team operations including staffing structure, recruiting, onboarding, retention and knowledge sharing to build organization capability while supporting project management activities such as planning, tracking, reporting, and documentation efforts to ensure team capability and capacity.
• Ensure adherence to compliance requirements, internal policies, and organizational standards.
• Other duties as assigned.

Senior Manager, Strategic Growth, Proposal Performance

QA Engineer

• Oversee roles within the Quality Assurance team to support accurate and timely configuration and data transfers of client hierarchy, benefits, and networks.
• Provide superior customer service utilizing a high-touch, customer centric approach focused on collaboration and communication.
• Ensure team efforts delight the customer.
• Cultivate a positive team atmosphere.
• Outreach and collaborate with business partners for day-to-day work and contribute to action plan creation.
• Partner with Sr. Manager to support client relationships across multiple lines of business and various complexity levels.
• Oversight of work on Kanban boards, meeting turnaround times, and performance guarantees.
• Run department Kanban board(s) and huddles, including sizing of work requests.
• Responsible for capacity reporting and production control numbers.
• Populate client trackers regarding status of requests, barriers, and resolution for service excellence.
• Resource assignment of day-to-day work, audits, and root cause analysis/CAP.
• Address barriers of direct reports by guiding and influencing discussions while maintaining a forward-thinking approach.
• Maximize the skillset of the department through volumes of high workload to maintain claim adjudication accuracy for client and member satisfaction.
• Responsible for performance measures and workload monitoring of direct reports.
• Perform 1:1s to elicit feedback from department associates, provide mentorship, discuss career development, address performance, and provide workload and project guidance.
• Address escalations from direct reports, along with contributing to action plans.
• Perform workforce management duties for direct reports, including, but not limited to, overtime needs, time out of the office and time tracking.
• Provide technical/operations support for audits involving configuration and/or data file information.
• Other duties as assigned.

Quality Assurance Supervisor

Program Manager

• Coordinates and advances initiatives related to the 340B drug pricing program (340B program) in support of health system partners served by Lumicera Health Services.
• Supports the development and execution of program strategies, managing day-to-day coordination of initiatives.
• Prepares materials and insights for partner engagement, contributing to implementation of program improvements.
• Engages health system partner stakeholders at operational and management levels to support program implementation, alignment, and ongoing optimization efforts.
• Develops structured project plans, status tracking, and reporting tools that support visibility into program performance.
• Synthesizes program performance data and financial outputs into actionable insights that inform operational and program-related decision-making.

Program Manager, 340B Optimization

• Lead and oversee a team of Quality Assurance Analysts, ensuring effective execution of benefit configuration testing, validation, and audit activities.
• Ensure accurate and timely completion of complex quality assurance for new client implementations, benefit changes, and ongoing maintenance across all lines of business.
• Establish and enforce quality assurance standards, procedures, and audit methodologies, ensuring compliance with internal requirements.
• Provide oversight on root cause analysis, issue resolution, and corrective action planning, ensuring issues are identified, tracked, and resolved effectively by partnering with Issue Management Team.
• Collaborate cross-functionally to drive process improvement, automation, and scalable initiatives to enhance efficiency, reduce risk, and improve testing outcomes.
• Oversee development and maintenance of training materials, job aids, and standard operating procedures, ensuring consistency across the team.
• Support and lead client interactions, including presentations, audits, implementations, and RFP responses related to quality assurance practices.
• Ensure effective use of workflow management, issue tracking, and reporting tools to support visibility, accountability, and performance tracking.
• Lead and inspire high-performing teams by providing strategic direction, aligning talent and resources with organizational goals, and driving operational excellence across key initiatives.
• Other duties as assigned.

Senior Manager, Quality Assurance, Benefit Configuration

• Measure key performance indicators (e.g., uptake, clinical outcomes, mailing costs, mail return rate, ROI, etc.) for assigned clinical products and communicate areas of improvement
• Assess product capacity for managing new clients
• Participate in clinical product development and execute the product roadmap within scope, time and budget
• Develop a keen understanding of clinical products in the PBM industry to work collaboratively to expand product offerings, refine current product positioning, and develop key messages for both existing and potential clients
• Assist in analyzing the products performance, position, and utility for our clients and their members
• Participate in the development of marketing materials related to population health
• Conduct opportunity analyses for prospective clients in consultation with the Clinical Account Executives
• Develop and continually improve strategies, objectives, and policies for the assigned products, programs, and establish and monitor high performance standards and productivity measures, targets
• Assure appropriate testing has been conducted by staff for any system/app enhancement or break-fix
• Other duties as assigned

Product Manager, Population Health

• Translate company and departmental strategies into clear operational priorities, performance expectations, and execution plans.
• Design, implement, and continuously improve operational processes, workflows, and governance models to improve efficiency, quality, and client outcomes.
• Establish and monitor key performance indicators (KPIs), service‑level expectations, and operational benchmarks; analyze trends and drive data‑informed improvements.
• Serve as a senior escalation point for complex operational and cross‑functional issues impacting client service delivery.
• Partner cross‑functionally to align operational capabilities with client needs, product evolution, regulatory requirements, and business growth.
• Lead and sponsor company and department‑level initiatives focused on standardization, automation, risk mitigation, and operational maturity.
• Provide executive‑level operational reporting and insights to senior leadership, highlighting performance, risks, and opportunities.
• Promote operational discipline, data literacy, and change management practices across Customer Success teams.
• Represent Customer Success Operations in enterprise forums, governance bodies, and cross‑functional leadership discussions.
• Provide operational leadership and strategic oversight for Customer Success Operations, ensuring consistent, scalable service delivery across client segments and teams.

Director, Account Management Operations

Paralegal

• Manage licensing processes for Navitus and its subsidiaries
• Draft legal documents and templates
• Manage document templates and corporate legal records
• Perform records and legal research
• 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