Transparent pharmacy benefit manager serving 18M members across health plans and employers
Navitus operates a pharmacy benefits platform built on SQL, AWS, Azure, and BI tools (Power BI, Qlik), with operational hiring concentrated in healthcare delivery and operations roles rather than engineering. The project backlog—clinical program implementation, medication therapy management, prior authorization processing, formulary development—reflects a healthcare operations business executing at scale, not a software-first platform play. Pain points around CMS compliance, 340B program requirements, and missed performance guarantees signal the complexity of regulatory and contractual obligations that shape product roadmap priorities.
Notable leadership hires: Call Center Lead, Continuous Improvement Lead
Navitus Health Solutions is a pharmacy benefit manager (PBM) that operates on a transparent rebate model, passing 100% of negotiated discounts directly to health plans and employers rather than retaining them. Founded in 2003 and now owned by SSM Health and Costco Wholesale Corporation, the company serves over 18 million members through 800 client relationships spanning employers, unions, health plans, and health systems. The organization spans three portfolio brands—Navitus, Lumicera, and Archimedes—and operates across clinical management, prior authorization, formulary development, and member outreach functions. With 1,001–5,000 employees based in Madison, Wisconsin, Navitus competes in the PBM market by managing both immediate drug costs and long-term spending trends through clinical decision-making.
Navitus uses SQL, SQL Server, PostgreSQL, Oracle SQL Developer, Power BI, Qlik Sense, AWS (Lambda, Glue, EventBridge), Azure, Azure Data Factory, Azure DevOps, .NET Core, React, Angular, GitHub Actions, Jenkins, SonarQube, Snyk, and Active Directory for core platform and operational tooling.
Navitus is headquartered in Madison, Wisconsin, and hires exclusively in the United States. The company was founded in 2003 and is privately held, owned by SSM Health and Costco Wholesale Corporation.
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