NH

Navitus Health Solutions, LLC

20 open positions available

1 location
1 employment type
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Full-time

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NH

Implementation Operations Analyst

Navitus Health Solutions, LLCAnywhereFull-time
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Compensation$58K - 70K a year

Support development and maintenance of implementation processes, analyze data for trends, and collaborate on process improvements. | Bachelor's degree or equivalent experience, 2+ years in continuous improvement or data analytics, healthcare industry knowledge preferred. | Company Navitus About Us Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new ideas and share a passion for excellent service to our customers and each other._____________________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities. Pay Range USD $58,460.00 - USD $70,434.00 /Yr. STAR Bonus % (At Risk Maximum) 5.00 - Salaried Non-Management except pharmacists Work Schedule Description (e.g. M-F 8am to 5pm) M-F 8am to 5pm Remote Work Notification ATTENTION: Navitus is unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming. Overview Navitus Health Solutions is seeking an Implementation Operations Analyst to join our team! The Analyst, Implementation Operations supports the development and maintenance of implementation processes, tools, and systems. This role analyzes data to identify trends and collaborates with internal teams to ensure operational compliance and support business development efforts. The Analyst contributes to process improvements and assists in resolving implementation-related issues under the guidance of senior team members. Is this you? Find out more below! Responsibilities How do I make an impact on my team? Support the creation and delivery of the department roadmap by contributing data and coordinating with stakeholders Maintain and update implementation processes for assigned lines of business Create and maintain implementation tools and training materials as directed Recommend areas for automation and support implementation of efficiency improvements Generate and maintain reports for leadership review Deliver training sessions and update materials as needed Report team metrics including but not limited to the following - Performance Guarantee, weekly client status report, Pre and Post Go Live Client Status report, Post Go Live issue resolution Management Maintain understanding of systems to support business objectives Support resolution of business and technical issues, documenting potential root causes and preventative actions Seek opportunities to initiate and manage projects to improve existing processes, delivering enhanced quality and efficiency companywide Work with end users to understand needs, make recommendations, and incorporate processes (workflows, tasks, and dashboards) Monitor compliance metrics and report discrepancies Participate in internal process audits, assist in root-causing issues, and support capacity to demand initiatives Other duties as assigned Qualifications What our team expects from you? Bachelor's degree in business, healthcare administration, or related area; or equivalent work experience required 2+ years of experience with continuous improvement, data analytics, documentation/training, implementation, or account management required Knowledge of Navitus or healthcare industry required Participate in, adhere to, and support compliance program objectives The ability to consistently interact cooperatively and respectfully with other employees What can you expect from Navitus? Top of the industry benefits for Health, Dental, and Vision insurance 20 days paid time off 4 weeks paid parental leave 9 paid holidays 401K company match of up to 5% - No vesting requirement Adoption Assistance Program Flexible Spending Account Educational Assistance Plan and Professional Membership assistance Referral Bonus Program – up to $750! #LI-Remote Location : Address Remote Location : Country US

Data Analysis
Process Improvement
Workflow Mapping
Operational Efficiency
Training & Documentation
Direct Apply
Posted 4 days ago
NH

Sr. Systems Engineer- Sr. Systems Engineer, Disaster Recovery

Navitus Health Solutions, LLCAnywhereFull-time
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Compensation$98K - 123K a year

The Sr. Systems Engineer will support and maintain the organization's Disaster Recovery, Business Continuity, and Security Remediation efforts. Responsibilities include mentoring team members, developing maintenance routines, and ensuring optimal operations of application environments. | A bachelor's degree in Information Technology or equivalent experience is required, along with 7 years of experience in hardware or software installation and support. Candidates should have experience with Citrix technologies and various IT systems. | Company Navitus About Us Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new ideas and share a passion for excellent service to our customers and each other._____________________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities. Pay Range USD $98,384.00 - USD $122,980.00 /Yr. STAR Bonus % (At Risk Maximum) 5.00 - Salaried Non-Management except pharmacists Work Schedule Description (e.g. M-F 8am to 5pm) M-F 8am-5pm, CT Remote Work Notification ATTENTION: Navitus is unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming. Overview Due to growth, we are adding a Sr. Systems Engineer to join our Enterprise Infrastructure team! The ideal candidate for this role will be primary in the support and maintenance of the organization Disaster Recovery, Business continuity, and Security Remediation efforts as applies to the enterprise infrastructure. The Sr. Systems Engineer ensures efforts are in alignment with the IT Enterprise Services Department to support customer-focused objectives and the IT Vision, a collaborative partner delivering innovative ideas, solutions, and services to simplify people's lives. Is this you? Find out more below! Responsibilities How do I make an impact on my team? Provides mentoring to the team for technical challenges. Develop and implement maintenance routines and system audits to ensure system integrity. Provide responsive technical assistance and document configuration and support processes. Work with Infrastructure, Application Services, Data Services, DBAs and business units to ensure optimal operations and uptime of application environments to set and meet service level agreements. Develop/Support change control and testing processes. Analyze systems for overall performance and give recommendations on improvements. Provide after-hours support. Participate in and support capacity planning and the development of long-term strategic goals for systems and software in conjunction with end-users, third party vendors, and department managers. Establish, document, and maintain processes and procedures linked to the onboarding, management and off boarding Enterprise Applications installed on servers for Citrix and Non-Citrix consumption, along with desktop master images. Work together with other members of the infrastructure team, Service Desk, and business partners to ensure that the process is seamless and operationalized (automated) as much as possible. Manage and maintain our Citrix Virtual Apps and Desktops, Netscaler, and Enterprise Application Management in a heavily virtualized environment. Work with Enterprise Architects (primarily Infrastructure) to maintain long-term directional vision and alignment. Other duties as assigned. Qualifications What our team expects from you? Bachelor’s degree in the field of Information Technology or equivalent work experience required. Disaster Recovery, Business continuity, and Security experience required. 7 years of experience in hardware or software installation and support required. Certifications in Citrix technologies preferred. Experience required in the following areas: Microsoft/Azure Active Directory, Citrix Virtual Apps and Desktops, Netscaler, and Windows Server/OS administration. Working knowledge of MAC OS. Conceptual knowledge of information technologies and methodologies preferred. Expert knowledge in 3 of the following areas: VMWare, Infrastructure Monitoring, Enterprise Compute, Enterprise Storage, AWS, Azure, OCI, O365, and Citrix Virtual Apps and Desktop Service. Participate in, adhere to, and support compliance program objectives The ability to consistently interact cooperatively and respectfully with other employees What can you expect from Navitus? Top of the industry benefits for Health, Dental, and Vision insurance 20 days paid time off 4 weeks paid parental leave 9 paid holidays 401K company match of up to 5% - No vesting requirement Adoption Assistance Program Flexible Spending Account Educational Assistance Plan and Professional Membership assistance Referral Bonus Program – up to $750! #LI-Remote Location : Address Remote Location : Country US

Disaster Recovery
Business Continuity
Security
Citrix Virtual Apps
Netscaler
Windows Server
Microsoft Azure Active Directory
VMWare
Infrastructure Monitoring
Enterprise Compute
Enterprise Storage
AWS
O365
Citrix Technologies
MAC OS
Change Control
Capacity Planning
Direct Apply
Posted 5 days ago
NH

Analyst, Quality Control

Navitus Health Solutions, LLCAnywhereFull-time
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Compensation$20.44 - 24.33 hour

The Quality Control Analyst is responsible for supporting and coordinating quality control analysis and related processes. This includes planning quality control tasks, reporting outcomes, and maintaining organized documentation. | An associate degree or equivalent work experience is required, along with two years of PBM or health plan experience preferred. Knowledge of quality principles and intermediate to expert knowledge in MS Office is strongly desired. | Company Navitus About Us Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new ideas and share a passion for excellent service to our customers and each other._____________________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities. Pay Range USD $20.44 - USD $24.33 /Hr. STAR Bonus % (At Risk Maximum) 0.00 - Ineligible Work Schedule Description (e.g. M-F 8am to 5pm) M-F 8am to 5pm Remote Work Notification ATTENTION: Navitus is unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming. Overview Navitus Health Solutions is seeking a Quality Control Analyst to join our team! The Quality Control Analyst (QCA) is responsible for supporting and coordinating quality control analysis and related processes for activities performed by Navitus Health Solutions. The QCA I is responsible for engaging in preventive and detective quality controls that can be measured quantitatively and qualitatively to validate Navitus processes. The QCA I will work with oversight and moderate independence to ensure quality control validations are completed in a timely manner. This individual requires an intermediate understanding of quality controls and how to apply such controls to department processes. The QCA I shall have the ability to learn critical department processes with operational relevance and gain reasonable understanding for effective monitoring. The QCA I shall assess assigned processes lifecycles, improvements, or enhancements and seek supervisory guidance where appropriate. This position may include after-hour and/or weekend hours with other eligible team members depending on workload. Is this you? Find out more below! Responsibilities How do I make an impact on my team? Plans and prepares of all required quality control/check tasks Reports and informs on quality control/check outcomes Reports gaps or deficiencies in performance of quality control/check Alerts leaders to systemic issues affecting outcome of quality control/check Maintains organized documentation to demonstrate performance of quality control/check standards Evaluates if quality control/check processes are meeting standards and expectations Follows policies and procedures including departmental and quality policies set by the organization Other duties as assigned Qualifications What our team expects from you? Associate degree or equivalent work experience Two years PBM or health plan experience preferred Experience in quality/performance control or auditing preferred Knowledge of quality principles, standards and processes strongly desired Intermediate to expert knowledge in MS Office including Word, Excel, Visio and PowerPoint preferred Participate in, adhere to, and support compliance program objectives The ability to consistently interact cooperatively and respectfully with other employees What can you expect from Navitus? Top of the industry benefits for Health, Dental, and Vision insurance 20 days paid time off 4 weeks paid parental leave 9 paid holidays 401K company match of up to 5% - No vesting requirement Adoption Assistance Program Flexible Spending Account Educational Assistance Plan and Professional Membership assistance Referral Bonus Program – up to $750! #LI-Remote Location : Address Remote Location : Country US

Quality Control
Auditing
Documentation
Performance Evaluation
MS Office
Word
Excel
Visio
PowerPoint
Compliance
Health Plan Experience
PBM Experience
Quality Principles
Process Improvement
Team Collaboration
Communication
Direct Apply
Posted 5 days ago
NH

DevOps Engineer

Navitus Health Solutions, LLCAnywhereFull-time
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Compensation$105K - 132K a year

Support and optimize application deployment, automation, and infrastructure using DevOps practices. | Requires 3-5 years of experience, AWS, Terraform, Kubernetes, Azure DevOps, Grafana, scripting, and automation skills. | Company Lumicera About Us Lumicera - Lumicera Health Services Powered by Navitus - Innovative Specialty Pharmacy Solutions- Lumicera Health Services is defining the “new norm” in specialty pharmacy to optimize patient well-being through our core principles of transparency and stewardship. Here at Lumicera, our team members work in an environment that celebrates creativity and fosters diversity. .______________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities. Pay Range USD $105,271.00 - USD $131,588.00 /Yr. STAR Bonus % (At Risk Maximum) 5.00 - Salaried Non-Management except pharmacists Work Schedule Description (e.g. M-F 8am to 5pm) M-F 8am to 5pm Remote Work Notification ATTENTION: Lumicera is unable to offer remote work to residents of Alaska, Connecticut, Delaware, Hawaii, Kansas, Kentucky, Maine, Massachusetts, Mississippi, Montana, Nebraska, New Hampshire, New Mexico, North Dakota,Rhode Island, South Carolina, South Dakota, Vermont, West Virginia, and Wyoming. Overview Lumicera Health Services is seeking an Engineer, Development Operations to join our team! The ideal candidate will have 3-5 years of industry experience. This candidate would possess hands-on experience with AWS architecture, Terraform and Kubernetes. The ideal candidate would have strong knowledge of Azure DevOps and Grafana Labs. The Engineer, Development Operations is responsible for complete administration, support, troubleshooting and implementation of Azure DevOps whether hosted on premises or at a remote location. The Engineer, Development Operations supports CI/CD/RM/DevOps at team(s) level to deliver business value, automate & optimize time to market with improved quality. Engineer, Development Operations is responsible for implementing DevOps principles at an enterprise level and for enabling continuous integration and continuous delivery with an effective release process while collaborating with various application teams. Engineer, Development Operations will also understand and capture application pipeline requirements and apply appropriate solutions to increase the overall efficiency and automate software delivery to enhance overall quality, speed, and scalability across the organization. Besides the engineering/technical tasks to streamline and optimize the application lifecycle, this role will also work on adding visibility to technical debt and increasing software delivery speed, quality, and efficiency across the enterprise. Is this you? Find out more below! Responsibilities How do I make an impact on my team? Research and recommend innovative, automated approaches for system administration tasks and integration with other enterprise level business applications Research emerging technologies, products, products, languages, and standards in support of procurement and development efforts Work with application team(s) and coordinate application & infrastructure major and minor releases Participate in application release cycles, and coordinate release activities across staging and production environments Partner with development and operations teams to develop practical automation solutions and custom modules Write code and scripts to automate provisioning of services and to configure services using cloud technologies and scripting languages Configure build pipelines to support automated testing and deployments using tools including configuration and build management tools to test code quality and optimize them for performance and scalability Troubleshoot issues in production and other environments, applying debugging and problem-solving techniques (e.g., log analysis, non-invasive tests), working closely with development and quality teams Building and maintaining tools, solutions and microservices associated with deployment and our operations platform, ensuring that all meet our customer service standards and reduce errors Other duties as assigned Qualifications What our team expects from you? College degree or equivalent experience required in the field of Information Technology and/or a minimum of 5+ years of professional experience Proven experience with system monitoring using application performance management tools such as Grafana Labs Proven experience with enterprise logging approach and tools such and Splunk Proven experience with version control systems and agile tools primarily Azure DevOps/TFS, Git, and TFVC Proven experience with automation tools primarily Ansible or Puppet, Artifact management tools, Containerization tools and platforms primarily OpenShift, Docker, Kubernetes and Helm Shell scripting skills (Linux/Windows) Knowledge of CI/CD tools sets Knowledge of REST API architecture including service/integration layer and application gateways Familiarity with microservice architecture and agile delivery/development methods Understanding of OAUTH, identity management, and role-based security applied at an enterprise level is a plus Any development experience with JavaScript, Angular, .NET Core, Kafka, and/or SQL is a plus Participate in, adhere to, and support compliance program objectives The ability to consistently interact cooperatively and respectfully with other employees What can you expect from Lumicera? Top of the industry benefits for Health, Dental, and Vision insurance 20 days paid time off 4 weeks paid parental leave 9 paid holidays 401K company match of up to 5% - No vesting requirement Adoption Assistance Program Flexible Spending Account Educational Assistance Plan and Professional Membership assistance Referral Bonus Program – up to $750! #LI-Remote Location : Address Remote Location : Country US

TypeScript
React
Node.js
Full-stack development
API development
Cloud platforms (AWS)
Direct Apply
Posted 5 days ago
NH

Sr. Systems Engineer- (AWS & Azure Cloud)

Navitus Health Solutions, LLCAnywhereFull-time
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Compensation$98K - 123K a year

The Sr. Systems Engineer will support and maintain the Oracle OCI framework and the overall AWS and Azure Cloud platforms. Responsibilities include mentoring team members, ensuring system integrity, and collaborating with various departments to optimize application operations. | Candidates must have a bachelor's degree in Information Technology or equivalent experience, along with 7 years of experience in hardware or software installation and support. Experience with AWS, Azure, and Citrix technologies is required, along with knowledge of various IT methodologies. | Company Navitus About Us Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new ideas and share a passion for excellent service to our customers and each other._____________________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities. Pay Range USD $98,384.00 - USD $122,980.00 /Yr. STAR Bonus % (At Risk Maximum) 5.00 - Salaried Non-Management except pharmacists Work Schedule Description (e.g. M-F 8am to 5pm) M-F 8am-5pm CT Remote Work Notification ATTENTION: Navitus is unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming. Overview Due to growth, we are adding a Sr. Systems Engineer to join our team! The ideal candidate for this role will be primary in the support and maintenance of the organization Oracle OCI framework as well as the overall AWS and Azure Cloud platform, applications and secrets management. The Sr. Systems Engineer ensures efforts are in alignment with the IT Enterprise Services Department to support customer-focused objectives and the IT Vision, a collaborative partner delivering innovative ideas, solutions, and services to simplify people's lives. Is this you? Find out more below! Responsibilities How do I make an impact on my team? Provides mentoring to the team for technical challenges. Develop and implement maintenance routines and system audits to ensure system integrity. Provide responsive technical assistance and document configuration and support processes. Work with Infrastructure, Application Services, Data Services, DBAs and business units to ensure optimal operations and uptime of application environments to set and meet service level agreements. Develop/Support change control and testing processes. Analyze systems for overall performance and give recommendations on improvements. Provide after-hours support. Participate in and support capacity planning and the development of long-term strategic goals for systems and software in conjunction with end-users, third party vendors, and department managers. Establish, document, and maintain processes and procedures linked to the onboarding, management and off boarding Enterprise Applications installed on servers for Citrix and Non-Citrix consumption, along with desktop master images. Work together with other members of the infrastructure team, Service Desk, and business partners to ensure that the process is seamless and operationalized (automated) as much as possible. Manage and maintain our Citrix Virtual Apps and Desktops, Netscaler, and Enterprise Application Management in a heavily virtualized environment. Work with Enterprise Architects (primarily Infrastructure) to maintain long-term directional vision and alignment. Other duties as assigned. Qualifications What our team expects from you? Bachelor’s degree in the field of Information Technology or equivalent work experience required. Experience with AWS and Azure Cloud platforms, Cloud applications and secrets management required. Certifications in Citrix technologies preferred. 7 years of experience in hardware or software installation and support required. Experience required in the following areas: Microsoft/Azure Active Directory, Citrix Virtual Apps and Desktops, Netscaler, and Windows Server/OS administration. Working knowledge of MAC OS. Conceptual knowledge of information technologies and methodologies preferred. Expert knowledge in 3 of the following areas: VMWare, Infrastructure Monitoring, Enterprise Compute, Enterprise Storage, AWS, Azure, OCI, O365, and Citrix Virtual Apps and Desktop Service. Participate in, adhere to, and support compliance program objectives The ability to consistently interact cooperatively and respectfully with other employees What can you expect from Navitus? Top of the industry benefits for Health, Dental, and Vision insurance 20 days paid time off 4 weeks paid parental leave 9 paid holidays 401K company match of up to 5% - No vesting requirement Adoption Assistance Program Flexible Spending Account Educational Assistance Plan and Professional Membership assistance Referral Bonus Program – up to $750! #LI-Remote Location : Address Remote Location : Country US

AWS
Azure
Oracle OCI
Citrix Virtual Apps
Desktops
Netscaler
Windows Server
Active Directory
VMWare
Infrastructure Monitoring
Enterprise Compute
Enterprise Storage
O365
Cloud Applications
Secrets Management
MAC OS
Direct Apply
Posted 5 days ago
Navitus Health Solutions, LLC

VP, Enterprise Product Strategy and Development

Navitus Health Solutions, LLCAnywhereFull-time
View Job
Compensation$180K - 250K a year

Lead enterprise-wide product strategy and development for pharmacy services, managing cross-functional teams to drive innovation and market growth. | 7-10 years in product development/strategy with 3 years preferred in healthcare or PBM, strong leadership, and experience managing large projects. | Company Navitus About Us Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new ideas and share a passion for excellent service to our customers and each other._____________________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities. Pay Range USD $0.00 - USD $0.00 /Yr. STAR Bonus % (At Risk Maximum) 35.00 - CLO, CCO, Managing VP, Other VP Work Schedule Description (e.g. M-F 8am to 5pm) Core business hours and as business needs require Remote Work Notification ATTENTION: Navitus is unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming. Overview The VP, Enterprise Product Strategy and Development is a strategic leadership role responsible for shaping the enterprise-wide product roadmap, innovation agenda, and clinical solutions portfolio across pharmacy services. This executive will lead a multidisciplinary team in designing and launching differentiated offerings that improve clinical outcomes, optimize the cost of care, and enhance the member and provider experience.The VP, Enterprise Product Strategy and Development, reporting to the Chief Growth Officer, is a member of the Operating Committee and is accountable for driving product strategies across the enterprise, including Navitus, its affiliates, and the vendor-managed products offered by Navitus that support business growth goals and visibility of our product portfolio. The position supports business development, sales, and demand creation, in addition to market research and competitive analysis, to define the vision and long-term roadmap for PBM and Specialty Pharmacy products and services, aligning with enterprise goals and evolving market dynamics. This role operates at the intersection of combined strategies related to Specialty Pharmacy, technology, and regulatory policy — with a focus on leveraging effective cross-functional partnerships, driving value through product alignment in formulary innovation, specialty drug management, digital engagement tools, and payer-provider-pharma collaboration to drive competitive advantage and enable successful marketing, implementing, and sustaining ongoing viable product offerings. As a people leader, the position is responsible for enabling a high-performing team, including talent development and management. Responsibilities • Define and execute the overall strategy for the Navitus enterprise product portfolio, including setting the vision, goals, and long-term roadmap for all products inclusive of Navitus affiliates in alignment with enterprise goals and evolving market dynamics.• Collaborate with various stakeholders, including executives, product managers, technology, compliance, marketing, and sales teams, to develop a clear and compelling product vision aligning with the company’s strategic objectives.• Ensure unified product governance, including vendor evaluation, project documentation, management and ownership, project design, user flows, functionality capture, revenue projection, and oversight.• Collaborate with cross-functional teams to gather input, align product goals, develop efficacy measurements, and ensure the effective execution of the product strategy.• Develop product roadmaps based on product vision and market research, including competitive intelligence, contractual requirements, and market dynamics. The roadmap will outline the strategic direction of the product, including feature prioritization, release timelines, and critical milestones.• Continuously monitor the competitive landscape to identify potential threats and opportunities. Analyze competitors’ products, pricing, and positioning to make informed and unified decisions about product differentiation and how to deliver unique value to our customers.• Conduct Market research to identify customer needs, trends, and opportunities. Analyze data, customer feedback, and industry reports to gain insights into the market dynamics and customer experience that align with the product and create value.• Plan and execute product launches and go-to-market strategies, including pricing models, messaging, reselling, and positioning strategies. Facilitate implementation with applicable teams to ensure the product is effectively launched in the market and meets customer needs and enterprise objectives.• Analyze data and business insights on product performance across the enterprise product portfolio, including key metrics such as user engagement, conversion rates, and customer satisfaction across Navitus and all affiliates. Analyze data and feedback to identify areas for improvement and make data-driven recommendations to optimize product strategies.• Monitor product performance using various success metrics and KPIs. Gather feedback from customers and stakeholders to identify areas for continuous improvement and iterate on the product strategy as needed.• Leading and directing clinical and non-clinical product strategists for SME articulation of product to support Sales and Implementation.• Analyze market trends and customer behavior to adapt the product strategy to changing market conditions.• Drive talent development and management to enable a high-performing team.• Participate in, adhere to and support compliance and diversity, equity, and inclusion program objectives.• Other duties as assigned. Qualifications Education: Bachelor's degree in Business, Marketing or related field required. Experience:o 7-10 years of progressive experience in product development and/or strategy required, ideally in Director or Product, Market Research, Product Development or similar job titles. o 3 years in the health plan, PBM, specialty pharmacy, or health care industry preferred. o Proven experience in product strategy, development, and product portfolio management in the healthcare technology industry.o Experience in buy vs. build analysis is a plus.o Proven experience with general healthcare, clinical, and wellness products is preferred.o Ability to demonstrate a strong track record of leading teams to deliver tangible results while working in a professional services environment. o Experience directing and managing large projects is required. Location : Address Remote Location : Country US

Product Strategy
Product Development
Team Leadership
Market Research
Healthcare Industry Knowledge
Project Management
Cross-functional Collaboration
Competitive Analysis
Verified Source
Posted 11 days ago
NH

Analyst, Compliance

Navitus Health Solutions, LLCAnywhereFull-time
View Job
Compensation$51K - 61K a year

The Compliance Analyst is responsible for organizing aspects of the Corporate Compliance and HIPAA Privacy Programs, performing policy and risk assessment reviews, and coordinating breach assessments. The role involves working closely with various departments to ensure compliance and support audits. | A college degree is preferred, and candidates should have at least 2 years of experience in compliance awareness within pharmacy benefits management or related fields. Knowledge of state and federal privacy laws is a plus. | Company Navitus About Us Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new ideas and share a passion for excellent service to our customers and each other._____________________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities. Pay Range USD $51,123.00 - USD $60,860.00 /Yr. Work Schedule Description (e.g. M-F 8am to 5pm) M-F 8am-5pm Remote Work Notification ATTENTION: Navitus is unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming. Overview The Compliance Analyst is responsible for organizing aspects of the Navitus and Lumicera Corporate Compliance and HIPAA Privacy Programs and be responsible for performing regularly scheduled policy, risk assessment and documentation reviews to ensure adherence with HIPAA Privacy and other regulatory compliance areas. The Analyst will coordinate breach and disclosure assessment, tracking and client reporting and remain current on HIPAA Privacy and regulatory compliance environment changes directly or indirectly impacting Navitus or Lumicera. The Analyst will assist the Associate Director, Compliance and SIU with duties related to privacy, compliance committee, metrics calculation and reporting of results. The Analyst will work closely with the Legal and Regulatory Affairs, SIU, IT and all key functional departments to ensure the quality and integrity of work product and eliminate/reduce re-work. The Analyst will assist with FWA activities, as needed and have responsibility for supporting compliance-related audits and identifying issues adversely impacting the respective process. The Analyst will follow through on deliverables and assignments timely with limited prompting. Reporting shall be done by preparing written report and providing recommendations for corrective action and process improvement. This role requires good knowledge of both the technical and operational sides of the business. Is this you? Find out more below! Responsibilities How do I make an impact on my team? Serve as the primary contact for actual or suspected privacy breaches and disclosures reported to Navitus Leads the investigation, resolution, and documentation of privacy issues, privacy breaches and disclosures consistent with government reporting and client contractual requirements Supports response to member and client inquiries related to HIPAA privacy rights and responsibilities Assist the Associate Director, Compliance and SIU with duties related to privacy, compliance committee, policy and procedure evaluation and monitoring, other compliance activities, audits and reporting of results Ensure tracking and monitoring of compliance documentation, policies, versions, and reviews including availability on Compass, timely completion, and consistent classification Assists SIU as deemed necessary with activities such as the OIG/EPLS exclusion program, policy and procedure maintenance, investigation support, and FWA education, etc Supports and facilitates compliance education and awareness efforts, documentation, and educational content development Responds to and facilitates corporate compliance guidance research and clarification as requested and appropriate Facilitates and/or participates in process re-design, service improvement, cost reduction and automation Other duties as assigned Qualifications What our team expects from you? College degree preferred Must be willing and able to work towards professional designations related to privacy and/or compliance 2 years with working compliance awareness and knowledge in a pharmacy benefits management, patient, or member services role Knowledge of state and federal privacy laws and protocols a plus Participate in, adhere to, and support compliance program objectives The ability to consistently interact cooperatively and respectfully with other employees #LI-Remote Location : Address Remote Location : Country US

Compliance
HIPAA Privacy
Risk Assessment
Documentation Reviews
Policy Evaluation
Investigation
Reporting
Education
Process Improvement
Client Inquiries
Audit Support
FWA Activities
Team Collaboration
Regulatory Compliance
Privacy Breaches
Service Improvement
Direct Apply
Posted 2 months ago
NH

Marketing Manager

Navitus Health Solutions, LLCAnywhereFull-time
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Compensation$66K - 79K a year

Plan and execute multi-channel marketing campaigns, develop strategic marketing plans, create targeted messaging, collaborate on marketing assets, support lead generation, and optimize campaign performance. | 4+ years marketing experience preferably in healthcare or B2B, project management skills, familiarity with CRM and marketing automation tools, strong writing and storytelling, and ability to collaborate across departments. | Company Navitus About Us Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new ideas and share a passion for excellent service to our customers and each other._____________________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities. Pay Range USD $65,686.00 - USD $79,140.00 /Yr. Work Schedule Description (e.g. M-F 8am to 5pm) M-F 8am-5pm, CT Remote Work Notification ATTENTION: Navitus is unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming. Overview Navitus Health Solutions is seeking a Marketing Manager to join our team! The Marketing Manager plays a pivotal role in executing brand-aligned marketing programs that support business growth and client engagement. This role brings the brand to life through thoughtful campaign execution, content development, and performance tracking. The Marketing Manager collaborates across departments to ensure consistency, relevance, and impact in every customer and stakeholder touchpoint. Is this you? Find out more below! Responsibilities How do I make an impact on my team? Plan and execute multi-channel marketing campaigns (email, digital, content, events, etc.) to support growth initiatives. Ensure all campaigns align with corporate brand standards and voice. Development of strategic marketing plans, incorporating market research, segmentation, and campaign tactics aligned with business goals. Create targeted messaging and positioning for key segments including health plans, employers, and consultants. Support the articulation and promotion of segment-specific value propositions. Collaborate with content and creative teams to develop marketing assets such as whitepapers, case studies, webinars, and sales collateral that reflect both segment needs and brand identity. Ensure marketing materials align with corporate branding and messaging guidelines. Support brand consistency across PBM initiatives. Work with sales and customer success to support lead generation efforts, leveraging marketing automation tools and CRM systems to drive qualified pipeline growth. Review marketing performance dashboards to identify trends and collaborate with analytics teams to optimize campaign tactics. Provide insights and recommendations to inform future strategies. Participate in, adhere to and support compliance and diversity, equity, and inclusion program objectives. Other duties as assigned Qualifications What our team expects from you? Bachelor’s degree in Marketing, Communications, Business, or related field or equivalent work experience required. 4+ years of experience in marketing execution, brand support, and campaign coordination, preferably in healthcare or B2B environments, required. Proven ability to manage projects from concept to completion, including content development, vendor coordination, and performance tracking. Familiarity with CRM platforms, marketing automation tools, and analytics dashboards. Proven experience with writing, editing, and storytelling to support brand messaging and product positioning. Experience working across departments such as sales, products, and compliance. Participate in, adhere to, and support compliance program objectives The ability to consistently interact cooperatively and respectfully with other employees What can you expect from Navitus? Top of the industry benefits for Health, Dental, and Vision insurance 20 days paid time off 4 weeks paid parental leave 9 paid holidays 401K company match of up to 5% - No vesting requirement Adoption Assistance Program Flexible Spending Account Educational Assistance Plan and Professional Membership assistance Referral Bonus Program – up to $750! #LI-Remote Location : Address Remote Location : Country US

Marketing campaign execution
CRM management
Lead generation
Content development
Marketing automation
Data analytics
Cross-functional collaboration
Project management
Direct Apply
Posted 2 months ago
NH

Clinical Account Executive (RPh)

Navitus Health Solutions, LLCAnywhereFull-time
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Compensation$113K - 141K a year

Manage clinical relationships with clients to improve care quality and control costs by recommending and evaluating clinical programs. | Requires a bachelor's degree in pharmacy, current pharmacist licensure, knowledge of PBM industry and clinical programs, and proficiency with MS Office. | Company Navitus About Us Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new ideas and share a passion for excellent service to our customers and each other._____________________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities. Pay Range USD $112,640.00 - USD $140,800.00 /Yr. Work Schedule Description (e.g. M-F 8am to 5pm) M-F 8am-5pm Remote Work Notification ATTENTION: Navitus is unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming. Overview This key position acts as manager and coordinator of the clinical relationship with existing clients. The objective of the clinical relationship with the client is to improve the quality of care while controlling or decreasing overall health care costs. This is accomplished by recommending, implementing and evaluating clinical programs and services. The Clinical Account Executive focuses on a proactive, consultative and comprehensive approach. The position is a key member of the Client Services Team and is responsible for the account relationship and ultimate retention of the account and growth of the business. Proficiency required in interpreting drug literature and clinical trial evaluation, including proficiency with electronic databases (e.g., Micromedex, Medline, Internet evaluation). Ability to reason and translate clinical information into a manner appropriate for clinical and non-clinical audience’s critical to job success. A knowledge of formulary managed care systems, principles and practices (eg. DUR and prior authorization) is an advantage. Is this you? Find out more below! Responsibilities How do I make an impact on my team? Attends and leads client meetings and actively participates as necessary Develop and implement a clinical plan that meets the goals and objectives of the client and is in alignment with corporate business strategy Analyze client’s financial and utilization data to identify opportunities for improving health care and/or controlling drug and overall health care costs Recommend and oversee implementation of select clinical programs Actively participate in developing the clinical strategy for client Consultant on Plan/Benefit design recommendations Participate in development and delivery of annual reviews to client Consultant for formulary management and administration Provide ongoing evaluation of clinical programs and services Other duties as assigned Qualifications What our team expects from you? MBA or equivalent, and Marketing experience are a plus. A minimum of a bachelor’s degree in pharmacy is required. Current licensure as a Registered Pharmacist in the State of home office or the ability to gain reciprocity within 4 months Knowledge of the PBM industry, PBM clinical programs, pharmacy claims and managed care principals and practices is highly desired Proficiency in MS Word, Excel and PowerPoint including use of tables, charts and figures is desirable Participate in, adhere to, and support compliance program objectives The ability to consistently interact cooperatively and respectfully with other employees We are unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming. Location : Address 1025 West Navitus Dr. Location : City Appleton Location : State/Province WI Location : Postal Code 54913 Location : Country US

Pharmacy degree
Registered Pharmacist licensure
PBM clinical programs knowledge
Pharmacy claims and managed care principles
Clinical trial evaluation
MS Word, Excel, PowerPoint proficiency
Direct Apply
Posted 2 months ago
NH

Director, Software Development

Navitus Health Solutions, LLCAnywhereFull-time
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Compensation$138K - 172K a year

The Director of Software Development is responsible for leading the software development team and evolving legacy applications into modern, supportable applications. This role requires collaboration with various stakeholders to ensure high-quality software delivery that meets customer needs. | Candidates should have over 10 years of IT management experience, particularly in leading software development teams and applying agile methodologies. Proficiency in modern technologies and tools, including cloud development and AI, is essential. | Company Navitus About Us Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new ideas and share a passion for excellent service to our customers and each other._____________________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities. Pay Range USD $137,988.00 - USD $172,485.00 /Yr. Work Schedule Description (e.g. M-F 8am to 5pm) M-F 8AM-5 PM CT and additional hours as business requires Remote Work Notification ATTENTION: Navitus is unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming. Overview Navitus Health Solutions is seeking a Director, Software Development to join our IT Development department! We are seeking a well-established and dynamic industry leader as a Director of Software Development to champion and lead software development and deliver quality results for our organization. The Director, Software Development is responsible for providing overall leadership and direction for the software development team, which is evolving legacy applications into modern, supportable applications. This thought leader must also be proficient in Agile practices as they will be collaborating to achieve outstanding customer experience, resulting in positive, on-time and within budget organizational outcomes. Is this you? Find out more below! Responsibilities How do I make an impact on my team? Responsibilities are summarized below but are not limited to the following areas.• Deep focus on execution, follow-through, accountability, and results• Foster a passion for people leadership rooted in helping your team do their best work, hiring, and performance mentoring.• Collaborate with Product Owners and leaders from Agile Delivery, Enterprise Architecture, Infrastructure and the Navitus Enterprise Project Management Office. • Build strong relationships with the application business owners to deliver software that meets our internal and external customers’ needs. • Manage and develop a team of managers responsible for software development.• Develop and maintain an accountable department that delivers high-quality code.• Stay current with modern software development technology, including Artificial Intelligence, to establish and evolve the software development strategy.• Establish and deliver KPI’s and metrics for managing and reporting performance. • Communicate the progress and status of all development teams to a diverse set of technical and non-technical stakeholders. Qualifications Education: Bachelor’s degree in business or information systems, or other relevant technical field of study, preferred. Experience: 1. 10+ years of IT Management experience, including direct leadership of software development teams. 2. Experience with cloud first development and microservice architectures and or strategies3. Experience using Artificial Intelligence tools to make development organizations more efficient and accurate in their delivery. 4. Experience with .NET, SQL, Angular, Oracle, React, etc. 5. Experience with tools such as Jira, Azure DevOps, etc.6. Experience managing and applying agile methodologies. 7. Experience with projects requiring the development of advanced automation testing frameworks and various performance testing methodologies. 8. Experience managing measurable success in delivering quality software that meets the business needs using agile methodologies. 9. Experience with modern technologies, architectures and agile development methods What can you expect from Navitus? Top of the industry benefits for Health, Dental, and Vision insurance 20 days paid time off 4 weeks paid parental leave 9 paid holidays 401K company match of up to 5% - No vesting requirement Adoption Assistance Program Flexible Spending Account Educational Assistance Plan and Professional Membership assistance Referral Bonus Program – up to $750! #LI-Remote Location : Address Remote Location : Country US

Software Development
Agile Methodologies
Cloud Development
Microservice Architectures
Artificial Intelligence
.NET
SQL
Angular
Oracle
React
Jira
Azure DevOps
Automation Testing
Performance Testing
Team Leadership
Project Management
Direct Apply
Posted 3 months ago
Navitus Health Solutions, LLC

Government Relations Director

Navitus Health Solutions, LLCAnywhereFull-time
View Job
Compensation$148K - 185K a year

Develop and maintain relationships with legislators and regulators, monitor and respond to state legislation and regulation, coordinate with internal business units and clients, draft policy communications, and support executive presentations. | Bachelor’s degree required, 5+ years government relations experience, pharmacy/insurance/health policy knowledge, proficiency with MS Office and SharePoint, and strong compliance and interpersonal skills. | Company Navitus About Us Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new ideas and share a passion for excellent service to our customers and each other._____________________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities. Pay Range USD $147,648.00 - USD $184,560.00 /Yr. Work Schedule Description (e.g. M-F 8am to 5pm) M-F 8am-5pm, CT Remote Work Notification ATTENTION: Navitus is unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming. Overview Navitus Health Solutions is seeking a Government Relations Director The Government Relations Director reports to the VP, Government Relations to support a Navitus entity in a defined geographic territory with relation to support compliance and business objectives. The role will partner with internal business entities to understand the intersection of the business functions and goals with the current and future legislative and regulatory environment. The role will be part of a team comprised of analysts and legal counsel. Is this you? Find out more below! Responsibilities How do I make an impact on my team? • Develop relationships with legislators and regulators in their respective geographic territory. • Educate government officials as to the Navitus brand of products, building goodwill and trust. • Review and monitor state legislation and proposed state regulation. • Coordinate with the internal business units and clients concerning pending legislation/regulation in order to provide substantive feedback, testimony, etc. • Synthesize business objectives with pending legislation/regulation to suggest amendments, alternatives, and other policy commentary. • Draft comment letters, testimony and talking points for internal and external partners. • Work with external clients to develop strategies to address legislation and/or proposed regulation, including forming coalitions, grassroots messaging, etc. • Support executive team for presentations, board meetings and testimony. • Troubleshoot legislative and regulatory issues and coordinate with internal and external teams to mitigate risk. • Liaise with appropriate regulators to achieve compliance for Navitus. • Serve in board or advisory positions in various trade organizations as necessary. • Participate in, adhere to and support compliance and diversity, equity, and inclusion program objectives. • Other duties as assigned Qualifications What our team expects from you? • Bachelor’s degree from an accredited university required. A Juris doctorate and/or graduate professional degree related to Pharmacy, Medicine, Nursing, etc. preferred. • 5 years’ experience in Government Relations required. • Experience in Pharmacy, Insurance, or Health Policy required. • Knowledge of Excel, MS Word, Outlook, and SharePoint required. • Participate in, adhere to, and support compliance program objectives • The ability to consistently interact cooperatively and respectfully with other employees What can you expect from Navitus? • Top of the industry benefits for Health, Dental, and Vision insurance • 20 days paid time off • 4 weeks paid parental leave • 9 paid holidays • 401K company match of up to 5% - No vesting requirement • Adoption Assistance Program • Flexible Spending Account • Educational Assistance Plan and Professional Membership assistance • Referral Bonus Program – up to $750! #LI-Remote Location : Address Remote Location : Country US

Government Relations
Legislative Monitoring
Regulatory Compliance
Stakeholder Engagement
Policy Analysis
Coalition Building
Microsoft Excel
SharePoint
Verified Source
Posted 3 months ago
NH

Developer II, Application Systems

Navitus Health Solutions, LLCAnywhereFull-time
View Job
Compensation$73K - 89K a year

The Developer II, Application Systems is responsible for development support, design, programming, and implementation of custom processes within various enterprise systems. This role involves creating technical specifications from business requirements and integrating with third-party applications and APIs. | Candidates should have an associate degree or equivalent experience in computer science, along with knowledge of programming languages and system analysis principles. Experience with K2/Nintex, Dynamics CRM, and SharePoint is preferred, along with skills in C#, ASP.NET, and SQL. | Company Navitus About Us Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new ideas and share a passion for excellent service to our customers and each other._____________________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities. Pay Range USD $72,813.00 - USD $89,341.00 /Yr. Work Schedule Description (e.g. M-F 8am to 5pm) M-F 8am - 5pm Remote Work Notification ATTENTION: Navitus is unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming. Overview Navitus Health Solutions is seeking a Application Systems Developer II to join our team! The Developer II, Application Systems ensures efforts are in alignment with IT Enterprise Services to support customer-focused objectives and the IT Vision, a collaborative partner delivering innovative ideas, solutions and services to simplify people’s lives. This role is responsible for development support, design, programming, and implementation of custom processes within the framework of various enterprise systems such as Dynamics CRM, SharePoint, K2 as well as other vendor purchased applications used at Navitus. The role of the Developer II, Application Systems will be responsible for creating technical specifications from business requirements, developing reusable web and database code components, and integrating with third party applications, code, and APIs. This role will also drive citizen development with the application framework. This individual will work directly with business users to develop requirements ensuring the business needs are met. Is this you? Find out more below! Responsibilities How do I make an impact on my team? Provide responsive technical assistance and document configuration to support processes 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 Other duties as assigned Qualifications What our team expects from you? Associate college degree or University degree in the field of computer science or 5 years equivalent work experience Knowledge of programming languages and environments using structured techniques System analysis and design principles Hands on enterprise application troubleshooting experience Proven analytical and problem-solving abilities K2/Nintex business process development experience required, Dynamics CRM and/or SharePoint development and support experience preferred Working knowledge of developing reusable web and database code components using C#, ASP.NET, XML and/or SQL, and integrating with third party applications, code, and APIs preferred Working technical knowledge of Windows Operating systems preferred Working knowledge of Microsoft/Oracle database concepts preferred Working knowledge of process automation preferred Working knowledge of Agile Project Methodology preferred Experience documenting and maintaining configuration and process information preferred Knowledge of applicable data privacy practices and laws; including SSAE16, HIPPA, and URAC preferred Participate in, adhere to, and support compliance program objectives The ability to consistently interact cooperatively and respectfully with other employees What can you expect from Navitus? Top of the industry benefits for Health, Dental, and Vision insurance 20 days paid time off 4 weeks paid parental leave 9 paid holidays 401K company match of up to 5% - No vesting requirement Adoption Assistance Program Flexible Spending Account Educational Assistance Plan and Professional Membership assistance Referral Bonus Program – up to $750! #LI-Remote Location : Address Remote Location : Country US

Programming Languages
System Analysis
Enterprise Application Troubleshooting
Analytical Skills
Problem-Solving
K2/Nintex Development
Dynamics CRM
SharePoint Development
C#
ASP.NET
XML
SQL
Process Automation
Agile Project Methodology
Data Privacy Practices
Documentation
Direct Apply
Posted 3 months ago
NH

Product Manager, eHealth

Navitus Health Solutions, LLCAnywhereFull-time
View Job
Compensation$66K - 79K a year

Manage and optimize eHealth product lifecycle, lead product development projects, ensure regulatory compliance, and support IT and vendor coordination. | Bachelor’s degree preferred, 2+ years product management or related experience, preferably in health or pharmaceutical fields, with strong compliance and teamwork skills. | Company Navitus About Us Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new ideas and share a passion for excellent service to our customers and each other._____________________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities. Pay Range USD $65,686.20 - USD $79,140.00 /Yr. Work Schedule Description (e.g. M-F 8am to 5pm) Monday - Friday 8:00 am to 5:00 pm Remote Work Notification ATTENTION: Navitus is unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming. Overview Navitus Health Solutions is seeking a Product Manager, eHealth to join our department The Product Manager, eHealth will be responsible for managing both existing products and new product development for assigned products within Navitus’ eHealth suite, which include e-prescribing (eRx), electronic prior authorization (ePA) and real time prescription benefits (RTPB). The Product Manager (PM) will report to and provide support to the Manager, Digital Health. The PM will assist with and identify solutions for system enhancements, stability, and quality by working with IT resources. The PM will work to create and monitor metrics that ensure product accuracy and quality, vendor strategy, and product management. Responsibilities related to this role will include participation in certification testing with vendors alongside IT resources, oversight of system enhancements, creating business requirements, troubleshooting, developing and reviewing requirements, oversight of some system support tasks and facilitating enhancement requests. Is this you? Find out more below! Responsibilities How do I make an impact on my team? Manage the assigned eHealth products through adjusting and optimizing the marketing mix as products move through the product life cycle. Apply project management techniques to effectively manage project scope, resources, budget, and timeline for product development initiatives. Communicate to key cross-functional areas about product executions or product development projects in a timely and effective manner. Lead development of related products in a way designed to foster teamwork and maintain an outstanding customer service culture, including internal customers. Assist in the analysis of product capacity and capabilities for managing new clients. Develop and continually improve strategies, objectives, and policies for the assigned products / programs, and establish and monitor high performance standards and productivity measures / targets. Responsible for the timely completion of eHealth product reports for transaction data and billing for Finance and Client teams. Understand URAC, NCQA, NCPDP, and Government Program regulations as they affect product offerings. Implement and maintain processes to comply with requirements. Serve as a point of contact for critical IT support and issue resolution after normal business hours. Participate in, adhere to and support compliance and diversity, equity, and inclusion program objectives. Other duties as assigned. Qualifications What our team expects from you? Bachelor’s degree is preferred. 2 years’ product management/development or related experience is required. Experience in health, biomedical or pharmaceutical fields is preferred. Participate in, adhere to, and support compliance program objectives The ability to consistently interact cooperatively and respectfully with other employees What can you expect from Navitus? Top of the industry benefits for Health, Dental, and Vision insurance 20 days paid time off 4 weeks paid parental leave 9 paid holidays 401K company match of up to 5% - No vesting requirement Adoption Assistance Program Flexible Spending Account Educational Assistance Plan and Professional Membership assistance Referral Bonus Program – up to $750! #LI-Remote Location : Address Remote Location : Country US

Product Management
Project Management
eHealth Products
Regulatory Compliance (URAC, NCQA, NCPDP)
Vendor Management
Metrics and Reporting
Issue Resolution
Cross-functional Communication
Direct Apply
Posted 3 months ago
NH

Manager, Specialty Account Executive (RPh)

Navitus Health Solutions, LLCAnywhereFull-time
View Job
Compensation$121K - 151K a year

Manage specialty pharmacy accounts, lead Client Services Coordinator, execute market strategies, handle escalations, and collaborate with internal and external stakeholders to maximize revenue. | Requires PharmD or pharmacy degree with active pharmacist license, 5+ years clinical and client-facing account management experience, knowledge of medical claims billing, leadership skills, and proficiency in Microsoft Office and CRM tools. | Company Lumicera About Us Lumicera - Lumicera Health Services Powered by Navitus - Innovative Specialty Pharmacy Solutions- Lumicera Health Services is defining the “new norm” in specialty pharmacy to optimize patient well-being through our core principles of transparency and stewardship. Here at Lumicera, our team members work in an environment that celebrates creativity and fosters diversity. .______________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities. Pay Range USD $120,524.61 - USD $150,655.00 /Yr. Work Schedule Description (e.g. M-F 8am to 5pm) M-F 8am-5pm, CT Remote Work Notification ATTENTION: Lumicera is unable to offer remote work to residents of Alabama, Alaska, Connecticut, Delaware, Hawaii, Iowa, Kansas, Kentucky, Maine, Massachusetts, Mississippi, Montana, Nebraska, New Hampshire, New Mexico, North Dakota,Rhode Island, South Carolina, South Dakota, Vermont, West Virginia, and Wyoming. Overview Due to growth, we are adding a Manager, Specialty Account Executive (RPh) our team! This position will execute market strategies for generating, maintaining and improving clinic relationships to result in increased script volume. The Specialty Account Executive is responsible for the Client Services Coordinator and will manage and oversee completion and assignments of their respective daily tasks while supporting large scale specialty initiatives to maximize revenue. Key contacts will include prospective clinics, manufacture partners, and internal client relationships. The Specialty Account Executive must be an individual contributor as well as lead and participate in multi-functional team efforts; must understand and effectively communicate all portions of the business to all internal and external stakeholders. Is this you? Find out more below! Responsibilities How do I make an impact on my team? • Work with the Director to develop and execute market strategies for the designated market segment.• Collaborates with internal partners to execute on the Lumicera Health Services business plan, including achieving desired adoption rate from strategic accounts.• Collaborate with account’s staff to enhance exception rates and proactively address any potential obstacles or barriers.• Assist with implementation and onboarding of new strategic accounts.• Be primary point of contact for all business level discussions with assigned strategic accounts.• Handle all escalated calls and inquiries for strategically important accounts.• Provide business reviews to strategically important accounts during mutually agreed upon intervals.• Direct and manage the Client Service Coordinator daily tasks and workflow.• Other duties as assigned Qualifications What our team expects from you? • Pharm D or bachelor’s degree in pharmacy with active registered pharmacist license. Specialty Pharmacy experience is strongly preferred. • 5 or more years of clinical experience, client facing account management and sales experience is preferred. • Working knowledge of medical claims billing process is preferred. • Experience and expertise in new product development and a track record of tangible success, including leadership and team collaboration/relationship-building/management is essential. • Must be able to exercise appropriate judgment as necessary. • Position requires a high level of initiative, creativity and decision making. • Additionally, must be able to effectively prepare and manage meetings and presentations both personally and technically. • Technology expertise must include Excel, Word and PowerPoint at a minimum. Experience with CRM package (Siebel, Act, Oracle, Salesforce.com) is desirable. • Managed healthcare benefit background with exposure to Specialty Pharmacy is highly desirable. Direct Specialty Pharmacy experience is a plus. • Demonstrated experience in health care sales, account strategies, meeting facilitation, and presentation development are essential. • Participate in, adhere to, and support compliance program objectives • The ability to consistently interact cooperatively and respectfully with other employees What can you expect from Lumicera? Top of the industry benefits for Health, Dental, and Vision insurance 20 days paid time off 4 weeks paid parental leave 9 paid holidays 401K company match of up to 5% - No vesting requirement Adoption Assistance Program Flexible Spending Account Educational Assistance Plan and Professional Membership assistance Referral Bonus Program – up to $750! #LI-Remote Location : Address Remote Location : Country US

PharmD or Bachelor’s degree in Pharmacy with active registered pharmacist license
Specialty Pharmacy experience
Clinical experience
Client-facing account management and sales
Medical claims billing process
New product development
Leadership and team collaboration
Excel, Word, PowerPoint
CRM software (Siebel, Act, Oracle, Salesforce.com)
Managed healthcare benefit background
Health care sales and account strategies
Direct Apply
Posted 3 months ago
NH

UI/UX Designer

Navitus Health Solutions, LLCAnywhereFull-time
View Job
Compensation$88K - 108K a year

The UI/UX Designer will help envision, design, and create prototypes of positive customer interactions. Key functions include producing wireframes, visual designs, and ensuring delightful navigational interactions with digital products. | The ideal candidate should have a bachelor's degree in a technology or design-related field and 3-5 years of professional experience in user experience research and design. A design portfolio and experience with design tools and web technologies are essential. | Company Lumicera About Us Lumicera - Lumicera Health Services Powered by Navitus - Innovative Specialty Pharmacy Solutions- Lumicera Health Services is defining the “new norm” in specialty pharmacy to optimize patient well-being through our core principles of transparency and stewardship. Here at Lumicera, our team members work in an environment that celebrates creativity and fosters diversity. .______________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities. Pay Range USD $87,954.00 - USD $107,920.00 /Yr. Work Schedule Description (e.g. M-F 8am to 5pm) M-F 8am-5pm, CT Remote Work Notification ATTENTION: Lumicera is unable to offer remote work to residents of Alabama, Alaska, Connecticut, Delaware, Hawaii, Iowa, Kansas, Kentucky, Maine, Massachusetts, Mississippi, Montana, Nebraska, New Hampshire, New Mexico, North Dakota,Rhode Island, South Carolina, South Dakota, Vermont, West Virginia, and Wyoming. Overview Lumicera Health Solutions is seeking a UI/UX designer to join our team! The UI/UX Designer ensures efforts are in alignment with our customer focused efforts within the CX/DX department. The UI/UX Designer will help envision, design, and create prototypes of positive customer interactions. Wireframes, prototypes, and visually pleasing designs will be key functions of this role. The UI/UX Designer will utilize design thinking approaches in combination with graphic design principles to influence and create visually stunning, pleasant experiences for the customers we serve both internally and externally. Is this you? Find out more below! Responsibilities How do I make an impact on my team? Apply voice of the customer (VoC) research to interface and graphic designs Produce wireframes, visual and graphic designs, flow diagrams, storyboards, site maps, and prototypes Research customer interactions and apply techniques to improve the customer experience through interface and graphic design Ensure navigational interactions with digital products remains a delightful customer experience Work directly with product-oriented delivery teams to build interactive wireframes and provide interface designs to their backlog of development work Collaborate directly with the compliance team to integrate accessibility and ensure designs are built in accordance with 508 compliance standards Collaborate with the internal marketing team to maintain proper branding on designs Conduct experience tests to determine meaningful implementation of new features Assist with the design of dashboards and/or team pages Other duties as assigned Qualifications What our team expects from you? The ideal candidate will possess a bachelor’s degree in a technology or design related area of study and typically has 3-5 years prior professional experience with user experience research and design. Equivalent experience may be considered in lieu of a formal degree A design portfolio of demonstrated experience with interface design Experience with design and wireframing tools (Adobe Creative Suite, Figma, etc) Working knowledge of web design technologies (HTML, CSS, etc) Experience researching trends and experiences Experience working with accessibility design and 508 compliance is a plus Hold or be willing to obtain at least one certification recognized by a customer/user experience leader (CXPA, Forrester, Medallia, Neilsen Norman Group, HFI, IAOIP) Knowledge of healthcare industry practices, HIPAA, and applicable data privacy practices preferred Participate in, adhere to, and support compliance program objectives The ability to consistently interact cooperatively and respectfully with other employees What can you expect from Lumicera? Top of the industry benefits for Health, Dental, and Vision insurance 20 days paid time off 4 weeks paid parental leave 9 paid holidays 401K company match of up to 5% - No vesting requirement Adoption Assistance Program Flexible Spending Account Educational Assistance Plan and Professional Membership assistance Referral Bonus Program – up to $750! #LI-Remote Location : Address Remote Location : Country US

UI/UX Design
Wireframing
Prototyping
Graphic Design
Customer Experience Research
Accessibility Design
508 Compliance
Adobe Creative Suite
Figma
HTML
CSS
Design Thinking
Collaboration
Dashboard Design
Storyboarding
Site Mapping
Direct Apply
Posted 3 months ago
NH

Sr. Analyst, Data Governance

Navitus Health Solutions, LLCAnywhereFull-time
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Compensation$83K - 101K a year

The Sr. Analyst, Data Governance will assist with enterprise-wide Data Governance program activities and collaborate on strategic initiatives for data governance and data quality. This role is accountable for the analysis, development, and build of an Enterprise Data Catalog and will work closely with Domain Owners and Data Stewards. | Candidates should have a BA/BS in a relevant field and preferred 5+ years of experience in data management, governance, or analysis. Experience with BI tools, data querying tools, and data catalog tools is also preferred. | Company Navitus About Us Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new ideas and share a passion for excellent service to our customers and each other._____________________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities. Pay Range USD $82,586.00 - USD $101,333.00 /Yr. Work Schedule Description (e.g. M-F 8am to 5pm) M-F 8am-4:30pm, CT Remote Work Notification ATTENTION: Navitus is unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming. Overview Navitus Health Solutions is seeking a Data Governance Sr. Analyst to join our team! The Sr. Analyst, Data Governance role has a direct impact on maturing the organization forward; toward a data-driven culture. The Sr. Analyst, Data Governance champions Enterprise Data Governance within the organization and is essential for helping define and execute a Data Strategy roadmap. This individual will support the development and execution of the data governance framework by partnering with Domain Owners and Data Stewards to organize data assets and train the organization to adopt data governance best practices. The Sr. Analyst, Data Governance works in close partnership with technology and senior leadership to actively support initiatives to implement Enterprise Data Governance framework and instill data-centric culture. Is this you? Find out more below! Responsibilities How do I make an impact on my team? 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 Qualifications What our team expects from you? BA/BS with focus on business, economics, computer science, information management systems, mathematics, statistics or equivalent combined education and experience preferred Preferred 5+ years of experience in one or a combination of the following: data management, data governance, data quality or data analysis Experience with a BI tools such as Tableau, Qlikview/QlikSense, SAS, Power B.I. or other Business Intelligence software and/or data visualization programs is preferred Data querying tools such as SQL, Python or R is preferred Prior experience with data catalog tools such as Alation or Collibra is preferred An advanced ability to interact with various database and file storage systems (Oracle, NoSQL, etc) Experience working in AWS/GCP cloud environments is a plus Advanced level experience with spreadsheet tools such as Microsoft Excel or Google Sheets and Data visualization software such as Tableau, Qlik, or Power BI Participate in, adhere to, and support compliance program objectives The ability to consistently interact cooperatively and respectfully with other employees What can you expect from Navitus? Top of the industry benefits for Health, Dental, and Vision insurance 20 days paid time off 4 weeks paid parental leave 9 paid holidays 401K company match of up to 5% - No vesting requirement Adoption Assistance Program Flexible Spending Account Educational Assistance Plan and Professional Membership assistance Referral Bonus Program – up to $750! #LI-Remote Location : Address Remote Location : Country US

Data Governance
Data Quality
Data Analysis
Business Intelligence
Data Visualization
SQL
Python
R
Data Catalog Tools
Cloud Environments
Spreadsheet Tools
Data Integrity
Data Management
Mentoring
Collaboration
Communication
Direct Apply
Posted 3 months ago
NH

Project Manager, EPMO

Navitus Health Solutions, LLCAnywhereFull-time
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Compensation$83K - 101K a year

Lead and manage enterprise projects across IT and business units ensuring scope, time, and budget goals are met while communicating progress and managing risks. | Bachelor’s degree or 5 years healthcare experience, project management or Agile certification (or ability to obtain), 3+ years enterprise project experience including IT/data, healthcare/pharmacy industry and HIPAA knowledge. | Company Lumicera About Us Lumicera - Lumicera Health Services Powered by Navitus - Innovative Specialty Pharmacy Solutions- Lumicera Health Services is defining the “new norm” in specialty pharmacy to optimize patient well-being through our core principles of transparency and stewardship. Here at Lumicera, our team members work in an environment that celebrates creativity and fosters diversity. .______________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities. Pay Range USD $82,586.00 - USD $101,333.00 /Yr. Work Schedule Description (e.g. M-F 8am to 5pm) M-F 8am to 5pm, CT Remote Work Notification ATTENTION: Lumicera is unable to offer remote work to residents of Alabama, Alaska, Connecticut, Delaware, Hawaii, Iowa, Kansas, Kentucky, Maine, Massachusetts, Mississippi, Montana, Nebraska, New Hampshire, New Mexico, North Dakota,Rhode Island, South Carolina, South Dakota, Vermont, West Virginia, and Wyoming. Overview Lumicera Health Services is seeking a EPMO Project Manager to join our team! The Project Manager, EPMO reports to the Manager, EPMO Operations and will perform such functions as budget forecasting, resource plans, communication plans, project plans, business cases, and other project artifacts necessary to achieve success. The Project Manager, EPMO then uses these tools to lead project team members across IT and business units to achieve all project goals within the given constraints of scope, time, and budget. When risks to these constraints arise, the Project Manager, EPMO collaborates proactively with the business sponsor to request a project change which may include identification of risk management, solution alternatives, budget estimations, vendor contract modifications and/or other critical analysis to successfully realign the project components to achieve necessary outcomes. The Project Manager, EPMO’s role is to report progress in comparison to plan to all necessary stakeholders regularly, analyze variances, provide visibility into potential and actual risks proactively, and identify action plans to manage variances as necessary. The Project Manager, EPMO will constantly use Project Management tools to communicate to project teams throughout the project lifecycle; plan and schedule initiatives for roll-out consistent with strategic vision and goals; and evaluate project effectiveness on a retrospective, concurrent, and prospective basis. Is this you? Find out more below! Responsibilities How do I make an impact on my team? Identify, document, and achieve expected outcomes by collaborating with business areas, subject matter experts (SMEs), Reinforcing Leadership Sponsors, and Authorizing Executive Sponsors Ensure technical needs of the project are identified and executed upon; 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 Situational on-call and/or travel may be required Other duties as assigned Qualifications What our team expects from you? Bachelor’s degree or five (5) years healthcare-related experience required Certification in project methodology or Agile certification (i.e. Six Sigma, PMP, PgMP, PfMP, CAPM, PMI-PBA, PMI-ACP, PMI-RMP) or ability to become certified within one year of hire A minimum of three (3) years’ experience in enterprise projects from initiation to implementation that include IT and data elements if project management certified or five (5) if not project management certified Waterfall and Agile methodologies Core software applications, including Teams, Microsoft Word, Excel, Visio, PowerPoint Project tracking tools (MS Project, ADO, PPM Pro, Smartsheets) Minimum 3 years healthcare or pharmacy benefits industry practices and HIPAA knowledge Participate in, adhere to, and support compliance program objectives The ability to consistently interact cooperatively and respectfully with other employees What can you expect from Navitus? Top of the industry benefits for Health, Dental, and Vision insurance 20 days paid time off 4 weeks paid parental leave 9 paid holidays 401K company match of up to 5% - No vesting requirement Adoption Assistance Program Flexible Spending Account Educational Assistance Plan and Professional Membership assistance Referral Bonus Program – up to $750! #LI-Remote Location : Address 310 Integrity Drive Location : City Madison Location : State/Province WI Location : Postal Code 53717 Location : Country US

Project Management
Agile and Waterfall methodologies
Microsoft Teams, Word, Excel, Visio, PowerPoint
Project tracking tools (MS Project, ADO, PPM Pro, Smartsheets)
Healthcare/pharmacy industry knowledge
HIPAA compliance
Direct Apply
Posted 3 months ago
NH

Service Delivery Specialist

Navitus Health Solutions, LLCAnywhereFull-time
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Compensation$43K - 51K a year

The Service Delivery Specialist is responsible for monitoring and managing shipping inquiries and delays, ensuring timely delivery of specialty pharmacy orders. They will also coordinate with healthcare providers and communicate shipping plans to the pharmacy team. | Candidates must have a high school diploma or GED, with a preference for some college education and pharmacy support experience. Bilingual English/Spanish is preferred, along with a commitment to ethical compliance and teamwork. | Company Lumicera About Us Lumicera - Lumicera Health Services Powered by Navitus - Innovative Specialty Pharmacy Solutions- Lumicera Health Services is defining the “new norm” in specialty pharmacy to optimize patient well-being through our core principles of transparency and stewardship. Here at Lumicera, our team members work in an environment that celebrates creativity and fosters diversity. .______________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities. Pay Range USD $42,505.00 - USD $50,601.00 /Yr. Work Schedule Description (e.g. M-F 8am to 5pm) M-F: 7am to 7pm CT Remote Work Notification ATTENTION: Lumicera is unable to offer remote work to residents of Alabama, Alaska, Connecticut, Delaware, Hawaii, Iowa, Kansas, Kentucky, Maine, Massachusetts, Mississippi, Montana, Nebraska, New Hampshire, New Mexico, North Dakota,Rhode Island, South Carolina, South Dakota, Vermont, West Virginia, and Wyoming. Overview Due to growth, we are adding a Service Delivery Specialist to our Specialty Pharmacy Operations-Madison department. Under direction from the Supervisor, Specialty Pharmacy Operations and the Pharmacist in Charge and/or Supervisor of Service Delivery, the Service Delivery Specialist is primarily responsible for the ongoing monitoring and carrier communication to help assure shipments deliver as intended. The Service Delivery Specialist’s objective is to use carrier or third-party resources at their disposal to quickly and efficiently resolve issues that may occur during shipment transit. The Service Delivery Specialist will be the primary point of contact for other members of the pharmacy team who have shipping issue questions and will be available to handle and accept shipping inquires that other staff may receive. The Service Delivery Specialist should triage patient concerns about stability to a pharmacist, should they occur. This position may also be responsible to for arranging and coordinating daily local courier shipments and following and communicating these plans to each courier drop off site. The Service Delivery Specialist will communicate any special daily shipping plans to pharmacy fulfillment specialist and/or any other shipping employees and assure those plans are carried out. The Service Delivery Specialist may be a point of contact in carrier and courier relations and assist with ongoing evaluation of their services, as well as participating in account management activities. Is this you? Find out more below! Responsibilities How do I make an impact on my team? Responsible for answering the inbound calls about shipping inquiries Responsible for contacting doctor’s office, clinics, or infusion centers to coordinate medication shipments Responsible proactive monitoring and managing shipping delays, address issues, and/or anything other issues that arise that will prevent delivery from occurring as intended Responsible for communicating any daily special plans or instructions to shipping staff to assure the correct shipment of the specialty pharmacy orders Responsible for understanding carrier network performance and routine procedures Responsible for communicating or devise strategies to communicate and update patients about shipping delays Responsible for addressing patient concerns regarding shipping delays, within scope of knowledge The Employee will act in accordance with all applicable federal and state laws and with the highest ethical standards that we consistently strive to achieve. Thus, legal and ethical compliance is an essential duty of each employee Assists in mentoring and training new and existing Lumicera employees to maintain the Lumicera service model Other duties as assigned Qualifications What our team expects from you? High school diploma or GED required Able to work an 8-hour shifts Monday- Friday 7am to 7pm with one rotating weekend 2-hour shift. Some college preferred CPhT preferred Minimum two years pharmacy support experience or healthcare environment experience preferred At least 2 years’ experience and demonstration of proficiency in position at Lumicera or equivalent preferred Bilingual English/Spanish preferred. Participate in, adhere to, and support compliance program objectives The ability to consistently interact cooperatively and respectfully with other employees What can you expect from Lumicera? Top of the industry benefits for Health, Dental, and Vision insurance 20 days paid time off 4 weeks paid parental leave 9 paid holidays 401K company match of up to 5% - No vesting requirement Adoption Assistance Program Flexible Spending Account Educational Assistance Plan and Professional Membership assistance Referral Bonus Program – up to $750! #LI-Remote Location : Address Remote Location : Country US

Shipping Inquiries
Carrier Communication
Problem Solving
Patient Interaction
Team Collaboration
Monitoring Shipments
Training
Ethical Compliance
Bilingual Communication
Coordination
Customer Service
Attention to Detail
Time Management
Adaptability
Proactive Management
Documentation
Direct Apply
Posted 3 months ago
Navitus Health Solutions, LLC

Project Coordinator, Client Operations

Navitus Health Solutions, LLCAnywhereFull-time
View Job
Compensation$55K - 66K a year

Coordinate and support internal and external projects, manage timelines and deliverables, facilitate meetings and communications, lead benefit and plan changes, and provide go-live support. | At least 3 years PBM or healthcare experience, strong Microsoft Office skills, excellent communication, ability to work independently, and willingness to travel as needed. | Company Navitus About Us Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new ideas and share a passion for excellent service to our customers and each other._____________________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities. Pay Range USD $55,151.39 - USD $66,447.46 /Yr. Work Schedule Description (e.g. M-F 8am to 5pm) M-F 8am to 5pm, CT Remote Work Notification ATTENTION: Navitus is unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming. Overview Navitus Health Solutions is seeking a Client Operations Project Coordinator to join our team! The Operations Coordinator is responsible for updates that effect both internal and external parties, including managing timelines, monitoring The Operations Coordinator is a highly motivated professional with at least 3 years successful PBM or health care experience and solid knowledge of Microsoft Excel, Word, PowerPoint, and SharePoint. Experience with CRM, Smartsheet, NCRx, 3D and various reporting tools are a plus. Ability to analyze and interpret data is required. Ability to plan, organize and focus on details is critical. The Operations Coordinator must have strong relationship skills to be able to interact with key operating departments related to benefit changes, business development and operational activity. Excellent communication skills are necessary to ensure all team members are kept well informed of the process. Is this you? Find out more below! Responsibilities How do I make an impact on my team? • Support all internal and external department projects, deliverables, and program assistance • Facilitate project-based meetings, outreach, and various communications for the team • Ensure all requirements are documented in standard project templates and tools while maintaining key deliverables • Act as an intermediary and provide support between departments to ensure consistency and efficiency of project assignments • Lead all benefit and plan changes in collaboration with internal and external partners to ensure accurate and timely completion • Facilitate all third-party transitions, client terminations, broker of record updates, admin fee updates and other miscellaneous internal projects as assigned • Create and maintain project plans and meeting minutes for project monitoring purposes • Continuously monitor progress in terms of the status of the project and report back to internal management and subject matter experts using weekly status reporting formats • Provide go-live support either through remote access or internal on-site access. This may require working on January 1st of each year and other non-business days as needed • Other duties as assigned Qualifications What our team expects from you? • Bachelor's degree in business, marketing, or related area; or equivalent work experience • Knowledge of PBM or health care industry preferred • Prefer at least 3 years of client service, implementation and program management experience • Ability to work independently and prioritize work to meet client and internal needs • Strong team orientation, commitment to sales and client service and desire to succeed • Willingness to travel as needed to meet client requirements • Excellent verbal and written communication skills required • PC skills such as Microsoft Office, Email, etc. Knowledge of Navitus/EpiphanyRx and PBM or health care industry required • Participate in, adhere to, and support compliance program objectives • The ability to consistently interact cooperatively and respectfully with other employees What can you expect from Navitus? • Top of the industry benefits for Health, Dental, and Vision insurance • 20 days paid time off • 4 weeks paid parental leave • 9 paid holidays • 401K company match of up to 5% - No vesting requirement • Adoption Assistance Program • Flexible Spending Account • Educational Assistance Plan and Professional Membership assistance • Referral Bonus Program – up to $750! #LI-Remote Location : Address Remote Location : Country US

Microsoft Excel
Microsoft Word
Microsoft PowerPoint
Microsoft SharePoint
CRM
Smartsheet
NCRx
3D reporting tools
Data analysis
Project coordination
Communication
Verified Source
Posted 3 months ago
NH

Business Analyst, Government Programs

Navitus Health Solutions, LLCAnywhereFull-time
View Job
Compensation$66K - 79K a year

The Business Analyst provides analysis support for the development, implementation, and maintenance of products within the Technical Operations Department. They ensure compliance with government programs and develop project plans to guarantee quality and timeliness of deliverables. | Candidates should have a Bachelor’s degree in a business-related field and at least 3 years of analyst experience. They must demonstrate the ability to interact cooperatively with other employees and support compliance program objectives. | Company Navitus About Us Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new ideas and share a passion for excellent service to our customers and each other._____________________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities. Pay Range USD $65,686.00 - USD $79,140.00 /Yr. Work Schedule Description (e.g. M-F 8am to 5pm) M-F 8am to 5pm, CT Remote Work Notification ATTENTION: Navitus is unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming. Overview Love to do research and are you looking for a non-traditional Business Analyst role? Our Business Analyst provides business analysis support for development, implementation, and maintenance of all products within the Technical Operations Department. The Business Analyst interacts with key operating departments related to Technical Operations business development and operational compliance. The Business Analyst also understands the roles and responsibilities of the business area and how it fits within the entire corporation. This individual develops an understanding of Government Programs regulations and related CMS and/or state-specific guidance, and is responsible for proactive review of all CMS and/or state regulations and guidance. The Business Analyst helps develop and execute test scenarios/plans, coordinates the user/system testing, and may be responsible for quality assurance. The Business Analyst is proficient in data reporting and data manipulation for analysis, as well as using standard tools for reporting at Navitus. These tools include, but are not limited to, Microsoft Excel and QlikView. Is this you? Find out more below! Responsibilities How do I make an impact on my team? Identifies and manages changes to existing Technical Operations processes; this includes scope definition, business requirements, user acceptance testing, and implementation Establishes processes that are scalable and efficient, and ensures smooth transition to operational maintenance by the Technical Operations Analysts Develops project plans to ensure the quality and timeliness of project deliverables Ensures technical processes supporting government programs have the appropriate controls, oversight, and reporting, and are compliant with regulatory requirements from end to end Identifies key metrics to monitor the compliance and accuracy of the process, establishing oversight methods that are operationally efficient and effective Provides SME assistance when process metrics indicate a possible risk to compliance or accuracy, and leads any corrective action required following root cause analysis Reviews regulatory guidance, and identifies changes needed to existing Technical Operations processes and/or new processes which need to be established to remain compliant Performs data analysis using SQL or business intelligence software Develops a solid working knowledge of Navitus’ claims processing system Other duties as assigned Qualifications What our team expects from you? Bachelor’s degree in business-related field, or equivalent combination of education and experience 3+ years’ Analyst experience with writing requirements, developing solutions, implementing process improvements, and conducting testing in a business environment preferred Participate in, adhere to, and support compliance program objectives The ability to consistently interact cooperatively and respectfully with other employees What can you expect from Navitus? Top of the industry benefits for Health, Dental, and Vision insurance 20 days paid time off 4 weeks paid parental leave 9 paid holidays 401K company match of up to 5% - No vesting requirement Adoption Assistance Program Flexible Spending Account Educational Assistance Plan and Professional Membership assistance Referral Bonus Program – up to $750! #LI-Remote Location : Address Remote Location : Country US

Business Analysis
Data Reporting
Data Manipulation
SQL
Business Intelligence Software
Process Improvement
User Acceptance Testing
Regulatory Compliance
Project Planning
Quality Assurance
Research
Technical Operations
Claims Processing
Root Cause Analysis
Stakeholder Interaction
Metrics Monitoring
Direct Apply
Posted 4 months ago

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