Utilization Management Case Manager - Archimedes
NavitusBrentwood, Tennessee, United States
Posted September 15, 2025
Full Time
About the Company
Navitus Health Solutions, LLC, owned by SSM Health and Costco Wholesale Corporation, is a pharmacy benefit manager (PBM) founded in 2003. Focused on affordability, Navitus removes costs from the drug supply chain to make medications more accessible for those who need them. Serving over 14 million people through transparent, fully pass-through models, Navitus helps clients achieve health and financial outcomes with a commitment to human well-being.
Job Description
Archimedes is a rapidly growing leader in specialty drug management solutions, transforming the PBM industry and delivering value and transparency. They are seeking a Utilization Management Case Manager to coordinate care between physicians, patients, and pharmacies. This is a strong opportunity for a dependable and dedicated candidate passionate about improving patient care.
Requirements
- Review chart notes and perform utilization management on patient/drug specific case basis.
- Coordinate facilitation of patients’ specialty drug treatment, ensuring timely delivery.
- Handle case assignments, review case progress, properly document case notes and determine case closure.
- Follow established procedures, processes, and standards.
- Complete care management clinical escalations.
- Ensure all external and internal customers receive the level of customer service required.