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Navitus Health Solutions

Transparent PBM pass-through rebates for plans

Supervisor, Clinical Operations - RN

Medical, Clinical & VeterinaryConfirmed live in the last 24 hours
Full-timeEarth City, MO, USANo salary listed

About the Job

Requirements

  • An Associate’s degree in Nursing or a related clinical field is required.
  • A current, active Registered Nurse license in good standing is required.
  • At least 2 years of nursing experience in patient care, managed care, case management, medical management, utilization management, or specialty drug management is required.
  • Experience supporting medical management or billing functions within a health plan, third-party administrator, provider office, infusion setting, or pharmacy environment is required.
  • The role requires participating in, adhering to, and supporting compliance program objectives.
  • The role requires consistently interacting cooperatively and respectfully with other employees.

Responsibilities

  • Deliver telephonic support to identified patients, caregivers, healthcare professionals, and clinical office staff related to specialty drug management programs.
  • Lead high-touch case management activities that produce quantifiable, quality results for Archimedes programs.
  • Maintain program quality and customer service standards while meeting established operational goals.
  • Develop and strengthen relationships with members, prescribers, pharmacies, vendors, and other program stakeholders.
  • Facilitate coordinated service delivery across multiple healthcare sectors to support specialty drug benefit management.
  • Monitor case activity, program trends, and operational barriers to identify opportunities for improved outcomes and workflow efficiency.
  • Provide guidance, coaching, and support to team members to promote accountability, growth, and consistent execution of program expectations.
  • Assist the director in strategic case management and process enhancement.

Desired Qualifications

  • A Bachelor’s degree is preferred.
  • One to two years of people leadership experience is preferred.

About the Company

Navitus Health Solutions

Transparent PBM pass-through rebates for plans

Navitus Health Solutions is a pharmacy benefits manager that offers transparent pricing by passing 100% of negotiated rebates and discounts to its health-plan clients. It runs a spend-management clinical model designed to control drug costs from the outset while supporting member health, delivering both immediate value and long-term savings as drug spend trends are managed over time. The company markets its services through its portfolio brands—Navitus, Lumicera, and Archimedes—and serves over 18 million members across 800 clients, including public and private employers, unions, health plans, and health systems. It is owned by SSM Health and Costco Wholesale Corporation. Unlike traditional PBMs with opaque pricing, Navitus emphasizes transparency and direct savings for plan sponsors. The overarching goal is to reduce prescription drug costs for plans while improving member health outcomes.

Company size
1,001-5,000
Company stage
Not listed
Total funding
Not listed
Headquarters
Appleton, WI
Founded
2003

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