US Claro

Paralegal

• Imparts the philosophy, values, mission, and vision of Navitus and SSM Health and facilitates the integration of values in Continuous Quality Improvement (“CQI”) activities
• Expert in the specific areas of law and regulation applicable to a given legal discipline, the Senior Paralegal is able to 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.
• Conducts 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.
• Prepares legal documents, such as contracts and correspondence, for review, approval, and use by the attorneys.
• Files legal documents and correspondence in digital and physical filing systems.
• Ensures effective indexing and filing of legal documents.
• Researches and analyzes statutes, judicial decisions, legal articles, contracts, and legal codes.
• Supports attorneys by communicating and obtaining information, following-up on delegated assignments and knowing when to act and when to refer matters to the attorney.
• Performs other clerical duties such as scheduling appointments, providing information to internal and external stakeholders, taking notes, writing, and typing routine correspondence, and reading and triaging incoming mail.
• Identifying, reviewing, and tracking legislative and regulatory environment changes impacting Navitus and its affiliates.
• Provide support and guidance related to the interpretation of applicable rules and regulations.
• Conduct and participate in the training, coaching, and mentoring of the paralegal team members on the use of Navitus systems, tools, and techniques.
• Other duties as assigned.

Senior Paralegal

Software Engineer

• Provide responsive technical assistance and document configuration to support processes.
• Work independently to understand and document business needs.
• Work with additional functional teams to ensure optimal operations of application development.
• Support change control and testing processes for modifications to application systems.
• Research and recommend innovative, and where possible automated approaches to business needs.
• Identify approaches that leverage our resources and provide economies of scale.
• Develop and maintain documentation of custom processes.
• Provide backup administration support to other ASA teammates.
• Provide after-hours support.
• Development within Microsoft SaaS platforms including Teams, SharePoint, and CoPilot.
• Development within the Microsoft Power Platform with hands-on experience in RPA development, with expertise in complex bot development and automating revenue-related workflows preferred.
• Development within Atlassian SaaS platforms.
• Development within Oracle Fusion, ORMB, OIC ERP platforms.
• Development within Dynamics (D365) CRM Platform.
• Development Administration within Data movement tools like SmartConnect.
• Other duties as assigned.

Senior Developer, Application Systems

Content Manager

• Seek, build, and edit strategically positioned content that easily integrates into proposals and other sales related documents for various markets (e.g. health plans, government, national accounts, mid-market employers).
• Oversee the accuracy, organization and formatting of library content to keep the proposal knowledgebase current, competitive and usable by the proposal team.
• Collaborate with SMEs to convert complex and varying explanations into concise and compelling value propositions and proof points ensuring compliance with Navitus’ brand/style guide and sales strategy.
• Identify gaps in the knowledgebase and ensure timely updates of all content positioning and related exhibits through regular content audit reviews.
• Work collaboratively with those contributing to and/or drawing from the knowledgebase, such as proposal team members, executives, management teams, business units, partners, and SMEs.
• Serve as a proposal content knowledgebase expert by communicating important updates related to processes, messaging and content management, including SME list management, training and alignment.
• Serve as a proposal automation software expert to all users in the company. This includes adding new users to the system, providing new user training materials and providing subsequent navigation assistance as needed.
• Maintain a high level of proficiency with the knowledgebase system and apply new functionality to improve how content is organized, updated and accessed.
• Contribute to the department goal of improved efficiency and effectiveness by implementing processes to streamline proactive creation.
• Consult system reporting and analytics to gain insights into content preparation and usage to inform training opportunities and improvement efforts.
• Demonstrate flexibility and ability to work independently and in a team/collaborative environment. Share knowledge to build expertise in others.
• Perform continuous improvement projects as assigned.

Proposal Content Manager

Risk

• Assist with and facilitate enterprise-wide Data Governance program activities and collaborates on strategic initiatives for data governance, data quality and metadata activities
• Supports Data Governance Council and Data Governance Committee, ensures execution of follow-up tasks assigned from the meetings, provides education and support for data governance across the organization
• Accountable for the analysis, development, and build of an Enterprise Data Catalog while also building related data lineage to directly support privacy, security, legal, and audit initiatives
• Designs and recommends data quality improvement opportunities
• Works with the business to develop and publish KPI’s as it relates to data quality and integrity for accessibility across all business areas
• Point of contact for and liaison between business Data Domain Owners, Data Stewards, and IT
• Work with Domain Owners to establish, maintain, and distribute definitions of data elements used by Analytics in conjunction with Domain Owners throughout the organization
• Leads analysis and remediation efforts for complex multi-domain data issues as identified by the business and Data Governance Committee
• Mentors junior team members
• Other duties as assigned

Senior Analyst, Data Governance

Pharmacist

• Develop and deliver clinical messages to physicians, members, clients, and consultants
• Manage prior authorization, high-cost cases, claims editing and clinical policy development
• Clinical program development including both medical and pharmacy benefit management
• Define, document, and deliver results for plan sponsors.
• Evaluate and summarize clinical literature as well as financial implications related to medication management options
• Ability to present deep clinical and cost effectiveness information as a peer-to-peer consult.

Clinical Pharmacist – Utilization Management

Call Center Representative

• Assist the Call Center Supervisor in managing the performance of the call center
• Ensure all external and internal customers receive the level of customer service required by Archimedes
• Perform front-line call taking to gain understanding of customer experience
• Assist in the training and coaching of call center staff
• Establish and execute clear procedures, processes, and standards for production and customer-service
• Report on trends of efficiency, customer service, and customer retention by collecting and analyzing data

Call Center Team Lead, Member Services

Implementation Specialist

• Supports the SVP, Chief Growth Officer in executing growth strategies with a primary focus on client implementation quality, delivery performance, and execution integrity.
• Oversees and is accountable for quality assurance across client implementations, including adherence to documented requirements, contractual obligations, and internal delivery standards.
• Drives accountability for implementation accuracy, completeness, and timeliness, including oversight of post ‑ implementation reviews and corrective action plans.
• Leads continuous improvement efforts to strengthen delivery quality, operational controls, and client experience, informed by implementation outcomes and client feedback.
• Provides executive oversight of the Implementation, Technical Oversight, and Business Development Systems teams to ensure quality controls are embedded throughout the implementation lifecycle.
• Establishes and monitors quality metrics, service standards, and performance indicators and guarantees related to client onboarding, product activation, and ongoing delivery.
• Identifies, escalates, and mitigates delivery risks, including implementation defects, documentation gaps, or breakdowns in cross ‑ functional handoffs.
• Provide operational and quality oversight for assigned functional areas, ensuring processes, controls, and outputs meet defined standards, regulatory requirements, and internal policies.
• Own end ‑ to ‑ end issue management, including intake, triage, root cause analysis, remediation planning, and closure of operational, compliance, or provider ‑ related issues.
• Establish and oversee quality assurance and control frameworks, including routine monitoring, exception tracking, testing, and documentation of corrective actions.
• Monitor trends in errors, defects, rework, complaints, and escalations; implement preventive controls and process improvements to reduce recurrence.
• Partners with the Accreditation and Clinical Quality teams to ensure client implementation and delivery practices align with applicable accreditation standards, service excellence requirements, and clinical quality expectations, including readiness for audits, reviews, and ongoing compliance obligations.
• Advances company quality objectives by embedding accreditation ‑ informed quality standards into client delivery models, implementation governance, and continuous improvement initiatives, ensuring consistency between client outcomes, regulatory expectations, and Navitus ’ s broader quality strategy.
• Partners with Sales, Product, Customer Success, Proposals, and Navitus leadership teams to ensure that market feedback is reflected in the delivery of services, marketing presentations, and responses to RFPs.
• Ensure adherence to policies, procedures, and contractual requirements, and support audit readiness through strong documentation, evidence management, and issue remediation.
• Collaborates with VP, Enterprise Product Strategy to ensure products and services are designed and implemented in a manner that supports consistent, high ‑ quality delivery.
• Partners with Navitus leadership to refine implementation models, operating cadences, and governance forums focused on delivery quality and client outcomes.
• Enhances Navitus’s reputation for excellence by ensuring reliable, high ‑ quality service delivery to clients and partners.
• Drives accountability for value realization through oversight of the Implementation team and post-implementation program reviews.
• Leads, develops and inspires high ‑ performing teams by providing strategic direction, aligning talent and resources with organizational goals, and emphasizing accountability, quality ownership, and continuous improvement across key initiatives.
• Mentor and develop team members through coaching, feedback, and career planning, building a strong pipeline of future leaders and supporting professional growth.
• Participates in, adheres to, and supports compliance, people and culture, and learning programs.
• Performs other duties as assigned.

VP, PBM Client Implementation – Delivery Quality

Customer Support

• Participate in a robust Customer Care Quality Management Program to include recommendations on audit frequency, scoring mechanisms, and technology used to ensure consistency in objectivity
• Maintain expert level knowledge through required call/contact handling time to demonstrate competency in delivering, and therefore evaluating, superior service
• Monitor internal and external customer contacts to ensure the correct and complete information is given and is readily available to Specialists in easy-to-use tools
• Verify contact documentation is complete, correct, and clear, as well as categorized appropriately and correct process followed to ensure first call resolution
• Ensure resources and technology are utilized efficiently by Specialists; identify improvements as needed, including assistance with business requirements and testing of enhancements
• Meet and review evaluation outcomes with Specialists timely, providing collaborative and supportive opportunities to discuss successes and challenges
• Ensure CCSs are utilizing time and queue management appropriately
• Create and present assessments of the current state and recommendations to improve, people and processes, to Leadership using data to validate
• Ability to travel to other campuses and training events
• Other duties as assigned

Customer Care Quality Analyst

Operations

• Scale the operational processes to ensure a superior patient experience and high quality clinical management
• Develop, train and staff the team of case managers and pharmacists
• Liaison between the team and account management to ensure the customer is informed on progress, successes and potential challenges
• Support the development of activity, quality and performance reporting
• Be the business owner of the case management and prior authorization technology platform and collaborate with IT on enhancements and solutions sets

Director, Clinical & Medical Operations

Vice President

• Own and lead Navitus’ Group Purchasing Organization (GPO) strategy and administration, including governance, performance management, compliance oversight, and alignment with Navitus’ rebate and contracting objectives.
• Establish and execute an enterprise rebate strategy that balances market competitiveness, clinical integrity, transparency, and lowest net cost outcomes for clients.
• Lead senior-level pharmaceutical manufacturer negotiations and strategic engagements, ensuring contracts, rebate structures, and guarantees align with Navitus ’ long-term strategy, financial objectives, and client commitments.
• Partner with executive peers across Clinical Services, Provider Services, Sales, Pricing, Finance, Compliance, and Analytics to ensure integrated strategy execution.
• Provide executive counsel on pharmaceutical industry trends, rebate strategy implications, and market risks/opportunities.
• Provide executive oversight for rebate and contracting analytics, including market assessment, financial modeling, pricing support, and guarantee development.
• Partner with Sales, Pricing, and Finance to translate rebate and contracting strategy into competitive, compliant, and defensible pricing approaches for current and prospective clients.
• Oversee rebate financial structures, performance programs, and reimbursement mechanisms associated with manufacturer and GPO agreements.
• Ensure robust contract interpretation, issue resolution, and escalation governance for rebate-related matters across the enterprise.
• Establish analytics standards and insights that clearly articulate the value of Navitus’ contracting, rebate, and formulary strategies to clients and consultants.
• Monitor pharmaceutical market dynamics, competitive trends, pipeline developments, and regulatory activity to proactively inform strategy and positioning.
• Serve as executive owner of the Formulary Advisory Committee responsible for ownership of formulary financial performance.
• Through partnership with Clinical Services leadership, ensure formulary recommendations are grounded in clinical evidence, market intelligence, client impact, and rebate considerations while maintaining independence and transparency.
• Set standards for formulary governance, documentation, and decision rationale; ensure alignment with compliance expectations and Navitus’ clinical philosophy.
• Partner with Clinical Services leadership to ensure clear separation between formulary governance and operational execution, while maintaining strong strategic alignment.
• Maintain an active presence in industry forums, conferences, and working groups to enhance Navitus’ visibility, credibility, and influence.
• Act as a senior external representative for Navitus with pharmaceutical manufacturers, industry organizations, coalitions, consultants, and key stakeholders.
• Build and lead high-performing teams focused on strategy, analytics, governance, and manufacturer engagement.
• Establish, mentor and develop team members through coaching, feedback, and career planning, ensuring a pipeline of future leaders and a culture of accountability and growth.
• Bring forward emerging industry insights, regulatory developments, and innovation opportunities to executive leadership.
• Ensure all activities adhere to Navitus’ compliance program, ethical standards, and regulatory obligations.
• Participate in, adhere to, and support compliance, people and culture, and learning programs.
• Perform other duties as assigned.

VP, Trade Relations

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.
• Willingness to travel up to 10% of the time to support business needs.
• Other duties as assigned.