Jobs at Navitus Health Solutions

Drafts, reviews, and negotiates contracts; manages contract lifecycles, legal templates, records, and filings; researches statutes and case law; prepares legal documents and correspondence; and provides legal guidance on business initiatives, policies, and compliance. The role supports senior legal leadership and requires independent legal analysis, organization, and collaboration.

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.

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.

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 specialty mail-order pharmacy operations, including dispensing, verification, fulfillment, cold-chain shipping, inventory, quality, and regulatory compliance. Manages pharmacists, technicians, and support staff through scheduling, training, coaching, and performance oversight. Ensures compliance with pharmacy laws, accreditation standards, HIPAA, REMS, and hazardous-drug requirements. Oversees audits, inspections, vendors, operational KPIs, pharmacy systems, medication safety, and continuous improvement initiatives.

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.

Designs scalable, secure solutions across AWS Cloud and on-premises environments. Partners with architects, development teams, and business stakeholders to translate requirements into technical specifications, create target-state architectures and roadmaps, evaluate technologies, guide implementation, promote coding standards, estimate effort, and manage delivery risks. The role requires extensive cloud architecture, DevOps, data architecture, software development, modern programming, and cross-platform integration experience.

Analyze and report healthcare data while designing, maintaining, and optimizing ETL/ELT pipelines. The role requires SQL querying, data modeling and validation, dashboarding with Power BI and Excel, data governance, automation, and modernization of legacy systems. The analyst will collaborate with stakeholders to define data requirements and improve analytics and operational workflows in a regulated healthcare environment.

Supervises workforce management operations, including intraday scheduling, workload analysis, call routing, staffing forecasts, and service-level performance. Leads schedule production, leave and call-out management, staffing reviews, and workload balancing. Collaborates with schedulers and department managers to improve staffing efficiency, develop scheduling enhancements, identify workforce risks, and ensure operational objectives are met. Supports team development, compliance, and adherence to labor agreements and regulations.

Leads daily specialty mail-order pharmacy operations, including dispensing, verification, fulfillment, cold-chain shipping, inventory, quality assurance, and regulatory compliance. Manages pharmacists, technicians, and support staff while overseeing training, performance, KPIs, vendor relationships, audits, inspections, and continuous improvement. Serves as the designated pharmacist accountable for pharmacy laws, accreditation standards, patient safety, and accurate delivery of specialty medications.

Develops, tests, maintains, and enhances software applications throughout the production lifecycle. Responsibilities include coding, performance testing, debugging, documentation, project planning, code reviews, mentoring, end-user training, and researching development technologies. The role supports cloud-native, API-first, microservice, CI/CD, and DevOps practices while collaborating with IT teams and business stakeholders.

Administers enterprise applications, servers, databases, and SaaS platforms, including Oracle Fusion and Atlassian environments. Responsibilities include system monitoring, upgrades, patching, security and access controls, troubleshooting, disaster recovery, change management, performance optimization, vendor coordination, documentation, and after-hours support. The role also contributes to automation, compliance, application testing, and maintaining Linux and Windows environments.

Provides advanced analytical support for Medicaid fee-for-service pharmacy pricing, including MAC pricing, 340B impacts, predictive modeling, forecasting, and regulatory analysis. Maintains external pricing files, validates data, investigates anomalies, and supports Tier 2 inquiries. Collaborates with internal teams, vendors, clients, and state stakeholders to evaluate financial and contractual impacts, ensure compliance, and inform pricing strategies, reporting, program initiatives, and decision-making.

Maintains Medicaid fee-for-service drug pricing methodologies and financial models. Incorporates NADAC, CMS, and HRSA 340B requirements; reconciles FDB and Medi-Span data; analyzes pricing impacts; supports Statements of Work, regulatory submissions, audits, and reporting. Partners with compliance, finance, legal, government programs, and clients to ensure accurate, transparent, and compliant Medicaid reimbursement models.

Leads pharmacy network financial performance across all business lines, including reconciliation, contracted reimbursement guarantees, effective-rate compliance, MAC pricing, variance management, and corrective action. Oversees Network Reconciliation and MAC Pricing teams, ensuring pricing outcomes align with contract terms and enterprise financial goals. Partners with Network Contracting, Underwriting, Finance, and Analytics leaders on governance, audit readiness, market analysis, RFP pricing, and performance execution.

Leads enterprise formulary, utilization management, and clinical business development strategy for a pharmacy benefit manager. Oversees formulary decisions, drug pipeline monitoring, prior authorization criteria, P&T governance, regulatory alignment, budgeting, client pursuits, and cross-functional teams. Provides clinical leadership, supervises multiple teams, and ensures strategies improve patient outcomes, manage costs, and support organizational growth.

Provides specialty pharmacy clinical and operational services, including prescription verification, medication reconciliation, drug interaction screening, patient education, side-effect management, and telephonic consultations. Reviews specialty medication prescriptions, coordinates with prescribers and patients, oversees pharmacy technician quality, documents clinical interventions, supports medication error prevention, and contributes to pharmacy quality metrics and regulatory compliance.

Analyzes pharmacy contracts, pricing, forecasting, financial models, and network performance for retail, specialty, and mail-order pharmacies. Supports contract negotiations, renewals, strategic partner meetings, reporting, variance analysis, annual planning, and multi-year financial modeling. Collaborates with Finance, Legal, Pharmacy Informatics, Contract Managers, and leadership to develop recommendations and improve contracting performance.

Manage pharmacy contracting, contract redlines, network compliance, audits, pharmacy inquiries, claims issue resolution, communications, plan design builds, quality assurance, and claims processing. The role supports pharmacy network maintenance and government-regulatory compliance within a pharmacy benefit management environment.