Madison, Wisconsin, United States · On-site
$101k–$127k/yr
CompanyLumicera About UsLumicera - 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…
Skills: Telephonic Consultations, Medication Reconciliation, Drug Interaction Screening, Product Verification, Clinical Documentation
Peoria, Illinois, United States · On-site
$20/hr–$23/hr
CompanyLumicera About UsLumicera - 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…
Skills: Prescription Processing, Patient Communication, Pharmacy Software, Medication Dispensing, Insurance Adjudication
United States · Remote OK
$101k–$127k/yr
CompanyNavitus About UsNavitus - 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…
Skills: Pharmacy Contracting, Network Strategy, Vendor Management, Contract Negotiation, Reimbursement Analysis
United States · Remote OK
$54k–$65k/yr
CompanyNavitus About UsNavitus - 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…
Skills: CRM/Dynamics 365, eZBenefits, SharePoint, Project/Smartsheet, Excel
United States · Remote OK
$51k–$61k/yr
CompanyNavitus Work Schedule Description (e.g. M-F 8am to 5pm)M-F 8am to 5pm Remote Work NotificationATTENTION: Navitus is unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, Ne…
Skills: Claims Processing, Data Analysis, Root Cause Analysis, Microsoft Office, Formulary Management
United States · Remote OK
$18/hr–$21/hr
CompanyLumicera About UsLumicera - 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…
Skills: Prior Authorization, Pharmacy Support, Patient Triage, Medical Documentation, Healthcare Communication
United States · Remote OK
$22/hr–$26/hr
CompanyLumicera About UsLumicera - 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…
Skills: Accreditation Coordination, Quality Assurance, Compliance Monitoring, Document Creation, Microsoft Outlook
United States · Remote OK
$163k–$203k/yr
CompanyLumicera Work Schedule Description (e.g. M-F 8am to 5pm)M-F 10:30AM-7PM Remote Work NotificationATTENTION: Lumicera is unable to offer remote work to residents of Alaska, Connecticut, Delaware, Hawaii, Idaho, Kans…
Skills: Contract Negotiation, Legal Analysis, Employment Law, Intellectual Property, Regulatory Compliance
Madison, Wisconsin, United States · Hybrid
$28/hr–$34/hr
CompanyNavitus About UsNavitus - 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…
Skills: Licensing Management, Legal Drafting, Legal Research, Regulatory Analysis, Contract Preparation
United States · Remote OK
$20/hr–$21/hr
CompanyNavitus About UsNavitus - 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…
Skills: Medication Therapy Management, Clinical Interventions, Patient Care Coordination, Telephonic Outreach, HIPAA Compliance
United States · Remote OK
$72k–$86k/yr
CompanyNavitus Work Schedule Description (e.g. M-F 8am to 5pm)Monday-Thursday: 9am to 5:30pm CT; with one weekly shift of 10:30am to 7pm CT. Fri: 8:30am to 5pm CT Remote Work NotificationATTENTION: Navitus is unable to o…
Skills: Medication Therapy Management, Clinical Outreach, Care Coordination, CMS Regulations, HIPAA Compliance
Madison, Wisconsin, United States · Hybrid
$38/hr–$47/hr
CompanyNavitus About UsNavitus - 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…
Skills: Licensing Management, Legal Drafting, Legal Research, Regulatory Analysis, Contract Preparation
United States · Remote OK
$64k–$77k/yr
CompanyNavitus About UsNavitus - 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…
Skills: Workforce Management, Forecasting, Scheduling, Contact Center Operations, Data Analysis
United States · Remote OK
$24/hr–$29/hr
CompanyLumicera About UsLumicera - 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…
Skills: Workforce Management, Forecasting, Scheduling, Data Analysis, Shrinkage Analysis
Madison, Wisconsin, United States · Hybrid
$28/hr–$34/hr
CompanyNavitus About UsNavitus - 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…
Skills: Contract Drafting, Legal Research, Licensing Management, Regulatory Analysis, Microsoft Word
United States · Remote OK
$152k–$190k/yr
CompanyNavitus About UsNavitus - 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…
Skills: Formulary Strategy, Clinical Business Development, Utilization Management, Fiscal Management, Clinical Leadership
Bridgeton, Missouri, United States · Hybrid
CompanyArchimedes About UsArchimedes - Transforming the Specialty Drug Benefit - Archimedes is the industry leader in specialty drug management solutions. Founded with the goal of transforming the PBM industry to provide…
Skills: Clinical Case Management, Prior Authorization, Specialty Drug Management, Data Analysis, Clinical Policy Development
United States · Remote OK
$133k–$166k/yr
CompanyLumicera About UsLumicera - 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…
Skills: Product Management, Market Strategy, Product Lifecycle Management, Go-To-Market Strategy, Competitive Analysis
United States · Remote OK
$75k–$92k/yr
CompanyNavitus About UsNavitus - 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…
Skills: Strategic Planning, Account Management, Client Relationship Management, Data Analysis, Negotiation
United States · Remote OK
CompanyArchimedes Work Schedule Description (e.g. M-F 8am to 5pm)8AM to 5PM M-F Remote Work NotificationATTENTION: Archimedes is unable to offer remote work to residents of Alaska, Arizona, Arkansas, California, Connecti…
Skills: Client Relationship Management, Operational Project Management, Pharmacy Benefits Industry Knowledge, Microsoft Office Suite, Requirement Gathering
Madison, Wisconsin, United States • On-site
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Perform telephonic patient consultations regarding specialty medications and disease state management. Responsible for high-volume product verification and collaborating with prescribers to ensure order accuracy and therapeutic appropriateness.
Requires a B.S. Pharmacy or PharmD degree from an ACPE accredited school and a current, unrestricted Pharmacist license. Preference is given to candidates with at least 2 years of experience and a background in specialty pharmacy.
Lumicera Health Services is seeking a Pharmacist, Clinical Operations to join our team!
The Pharmacist, Clinical Operations will be responsible for performing telephonic consultations with patients regarding the use of their specialty medication and management of their disease state. They will perform medication reconciliation, screen for potential drug interactions, and provide side effect management recommendations. Another main duty of this role will include a high volume of product verification to ensure accuracy of orders prior to shipment. The Pharmacist, Clinical Operations can expect to interpret prescribers’ prescriptions, contact prescribers and/or patients to verify information on prescriptions, and expedite the processing of orders. The individual in this position will be expected to meet department production metrics and service levels, support quality standards, resolve patient issues, and vary work priorities and activities to accommodate business needs. The Pharmacist, Clinical Operations works independently with minimal guidance and represents the organization in using patient-centered care to enhance the patient experience.
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We are committed to helping humans by making medications more affordable for the people who need them.
Navitus Health Solutions is a pioneering pharmacy solutions provider, having launched one of the first transparent PBMs over 20 years ago. Unlike traditional PBMs that profit from opaque pricing, Navitus passes 100% of negotiated rebates and discounts directly to health plans and plan sponsors. Its clinical model is built to manage spend from the start, making key decisions that support member health while lowering costs. This in turn drives both immediate value and long-term savings, by managing trend over time. Navitus Health Solutions delivers a range of services through portfolio brands including Navitus, Lumicera and Archimedes. Owned by SSM Health and Costco Wholesale Corporation, the company serves over 18 million members across 800 clients, including public and private sector employers, unions, health plans and health systems. For more information, please visit www.navitus.com.
Offices: 2601 W Beltline Highway, Ste 600, Madison, WI 53713, US · 1025 West Navitus Drive, Appleton, WI 54913, US · 7501 N Capital Of Texas Hwy, Building C, Suite 200, Austin, TX 78731, US · 5350 E High Street, Suite 200, Phoenix, AZ 85054, US
We are committed to helping humans by making medications more affordable for the people who need them.
Navitus Health Solutions is a pioneering pharmacy solutions provider, having launched one of the first transparent PBMs over 20 years ago. Unlike traditional PBMs that profit from opaque pricing, Navitus passes 100% of negotiated rebates and discounts directly to health plans and plan sponsors. Its clinical model is built to manage spend from the start, making key decisions that support member health while lowering costs. This in turn drives both immediate value and long-term savings, by managing trend over time. Navitus Health Solutions delivers a range of services through portfolio brands including Navitus, Lumicera and Archimedes. Owned by SSM Health and Costco Wholesale Corporation, the company serves over 18 million members across 800 clients, including public and private sector employers, unions, health plans and health systems. For more information, please visit www.navitus.com.
Offices: 2601 W Beltline Highway, Ste 600, Madison, WI 53713, US · 1025 West Navitus Drive, Appleton, WI 54913, US · 7501 N Capital Of Texas Hwy, Building C, Suite 200, Austin, TX 78731, US · 5350 E High Street, Suite 200, Phoenix, AZ 85054, US
