Navitus Health Solutions

Director, Clinical & Medical Operations - Archimedes

Navitus Health Solutions  •  Missouri (Hybrid)  •  7 days ago
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Job Description

Company

Archimedes

About Us

Archimedes - 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 the necessary ingredients for the sustainability of the prescription drug benefit – alignment, value and transparency – Archimedes achieves superior results for clients by eliminating tightly held PBM conflicts of interest including drug spread, rebate retention and pharmacy ownership and delivering the most rigorous clinical management at the lowest net cost. .____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities.________We are committed to providing equal employment opportunity to all applicants and employees and comply with all applicable nondiscrimination regulations, including those related to protected veterans and individuals with disabilities. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or handicap.

Pay Range

USD $0.00 - USD $0.00 /Yr.

STAR Bonus % (At Risk Maximum)

0.00 - Ineligible

Work Schedule Description (e.g. M-F 8am to 5pm)

M-F 8AM to 5:00PM Remote or can work Hybrid 3 Days in St. Louis, MO or Brentwood, TN

Remote Work Notification

ATTENTION: Archimedes 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.

Archimedes is a specialty medical management company with an industry-leading technology platform that client groups can use to manage specialty medical spend. The focus of this roll is to lead our prior authorization, channel optimization and health economics product operational teams.. The Director is responsible for running an operation that coordinates care between physicians, patients, manufacturers, clients and pharmacies.

Responsibilities

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

Qualifications

  • Proven operations leader with experience scaling a patient-facing operation
  • Experience leading a team of case managers and pharmacists to ensure a high-quality patient experience and clinical management
  • Bachelor’s Degree in appropriate field of study or equivalent work experience, pharmacist or nursing required
  • Experience leading an operation in an infusion setting, physician office or pharmacy
  • Self-motivated and able to thrive in a results-driven environment
  • Ability to prioritize among competing tasks
  • Critical thinking and problem-solving skills
  • Excellent time and project management skills. You’re always looking to improve inefficient processes.
  • Keen attention to detail and adherence to deadlines
  • Expert at Microsoft Office Suite

Location : Address

502 Earth City Expy STE 300

Location : City

Earth City

Location : State/Province

MO

Location : Postal Code

63045

Location : Country

US

Navitus Health Solutions

About Navitus Health Solutions

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.

Industry
Healthcare & Social Services
Company Size
1,001-5,000 employees
Headquarters
Madison, WI
Year Founded
2003
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