Jobs at Navitus Health Solutions

Owns the strategy, roadmap, lifecycle, and continuous improvement of assigned products. Conducts market and competitive research, defines requirements, monitors performance, and leads cross-functional collaboration across IT, clinical, business, clients, and vendors. Supports implementations, product messaging, documentation, and training while ensuring compliance with CMS, HIPAA, URAC, NCQA, FCC, NCPDP, and internal quality standards.

Supports workforce management through forecasting, scheduling, shrinkage analysis, staffing projections, and service-level monitoring. Validates WFM data, manages activities and call-routing adjustments, coordinates queue and skill-group coverage, and identifies reporting enhancements. Develops reports, dashboards, scorecards, training materials, and procedures while analyzing performance opportunities and recommending staffing or process improvements.

Supports manufacturer, payer, and strategic pharmacy clients through operational coordination, reporting, business planning, implementation, issue resolution, and client meetings. Serves as a primary contact for daily requests, escalations, referral questions, patient access barriers, and contract performance. Partners with Trade Account Executives to improve client satisfaction, retain programs, meet guarantees, identify growth opportunities, and deliver strategic business presentations. Travel to client sites or onsite meetings may reach 10%.

Leads strategic growth and end-to-end proposal development, including RFP evaluation, pursuit strategy, cross-functional coordination, performance analysis, process improvement, pricing strategy, compliance, and team leadership. Partners with Sales, clinical, operations, finance, and pricing stakeholders to improve win rates, competitive positioning, resource allocation, and client value. Oversees proposal team staffing, development, workflows, quality controls, and continuous improvement initiatives.

Leads software development strategy and execution, manages software development managers and teams, and oversees modernization of legacy applications. Establishes quality, performance, and delivery metrics; partners with Product, Architecture, Infrastructure, and project management leaders; supports Agile practices, cloud-first development, microservices, automation testing, and AI-enabled delivery improvements.

Develops and executes supply chain contracting strategies for pharmacy GPO members. Leads sourcing, supplier negotiations, category strategies, vendor relationship management, contract execution, performance monitoring, renewals, compliance, and savings initiatives across logistics, cold-chain, packaging, pharmacy technology, and credentialing categories.

Leads financial governance and value realization for enterprise transformation investments. Develops business cases, ROI analyses, financial models, forecasts, dashboards, and executive reporting; monitors spend, risks, variances, milestones, and returns. Partners with FP&A, operations, technology, legal, compliance, and business leaders to guide investment decisions, portfolio performance, and path-to-green planning.

Leads multiple complex enterprise projects from business case development through implementation, managing scope, schedules, budgets, risks, dependencies, communications, stakeholders, and change requests. Partners with leadership and subject matter experts to deliver strategic initiatives involving IT and data elements. Applies Waterfall and Agile methodologies, supports portfolio governance, ensures testing and compliance, and mentors project managers and organizational leaders.

Manages complex pharmacy benefit management client relationships, supporting retention, account strategy, contract performance, strategic business plans, client training, issue resolution, and growth opportunities. The role presents performance data, investigates unmet guarantees, coordinates with subject matter experts, mentors junior staff, and leads projects while maintaining senior-level client relationships. Travel to headquarters and client sites is required as needed.

Supervises the creation, delivery, and evaluation of employee training programs for pharmacy operations and other departments. Develops manuals, learning modules, and course materials; facilitates instruction; monitors trainee quality and retention; manages training documentation; supports mentoring and peer reviews; maintains training resources; and ensures compliance with accreditation standards, pharmacy policies, and regulations. The role collaborates with operations, quality, and pharmacy leadership and may support training across multiple locations.

Leads enterprise accounting, financial reporting, month- and year-end close, budgeting, forecasting, audit coordination, GAAP compliance, government reporting, and financial analysis. Manages accounting teams, internal controls, fixed assets, investments, and financial activities related to mergers, acquisitions, banking relationships, and divestitures. Partners with management, the board, auditors, regulators, and cross-functional teams to improve profitability and cost efficiency.

Manages pricing, underwriting, and risk analysis for pharmacy benefit management business. Leads supervisors and analysts, develops and maintains pricing and profitability models, evaluates financial risk and guarantee exposure, supports new and renewal business, responds to RFPs, presents recommendations to clients, oversees compliance and quality practices, and drives process improvements and team development.

Staff Attorney researches and analyzes laws, regulations, judicial decisions, and contracts; drafts, reviews, and negotiates legal documents; advises staff on legal and compliance matters; maintains legal records and contract-management processes; and supports business operations and regulatory affairs under limited supervision.

Designs, deploys, and manages enterprise cloud security solutions across AWS and Azure. Responsibilities include automating security controls, managing AWS WAF and CDK rules, improving policies, patching vulnerabilities, implementing DevSecOps practices, assessing cloud applications and APIs, monitoring security posture, analyzing logs, triaging issues, and supporting compliance and risk initiatives.

Leads the provider relations strategy for Lumicera Direct, overseeing provider engagement, account management, support operations, and inside sales. Builds executive relationships with provider organizations, drives growth, referrals, retention, adoption, and revenue, and leads strategic initiatives across commercial and operational teams. Owns budgeting, workforce planning, CRM vendor relations, performance reporting, and continuous improvement while serving as a pharmacist subject matter expert. Represents the organization with providers and industry stakeholders and travels up to 40% of the time.

Partners with IT hiring managers to develop talent acquisition strategies, source and screen candidates, build diverse pipelines, and present qualified talent. Provides recruiting consultation, interview guidance, offer support, vendor coordination, TA systems maintenance, reporting, and special-project leadership. Helps maintain recruiting policies, procedures, communications, and organizational talent acquisition programs while mentoring colleagues and promoting Navitus’ employment brand.

Provides application development, configuration, troubleshooting, documentation, testing, and administration across enterprise and SaaS platforms. Works with analysts and business users to gather requirements, automate workflows, support change control, and maintain custom processes. Develops solutions using Microsoft, Atlassian, Oracle, Dynamics, and data movement platforms, while supporting compliance, after-hours assistance, and backup administration.

The Senior Account Manager manages key client relationships and supports operational projects for specialty drug benefit clients. Responsibilities include developing client solutions, resolving member escalations with call center support, gathering project requirements and timelines, managing client operational needs such as member letters, and participating in product development requirements gathering and QA. The role also supports compliance, culture, and learning programs.

Leads the proposal development function, managing a team responsible for RFPs, RFIs, best-and-final offers, retention bids, and sales documents. Oversees proposal strategy, content libraries, financial savings models, performance guarantees, risk identification, project coordination, and collaboration with subject matter experts. Provides consultative support to Sales while recruiting, mentoring, and developing high-performing teams. Requires proposal development expertise, healthcare or PBM industry experience, leadership, and large project management experience.

Develops business intelligence applications and data models using Qlik, SQL, and related tools. Performs ETL, data validation, analytics process improvement, and impact analysis for reporting changes. Provides data-driven insights, supports audits and legislative inquiries, leads stakeholder meetings, and mentors teammates as a business intelligence subject matter expert.