Specialist, Clinical Engagement (CPhT)

Navitus Health Solutions, LLC•,

16d•$20 - $24•Remote

About The Position

The Specialist, Clinical Engagement is a member of Navitus’ Clinical Engagement Center (CEC) team and delivers clinical engagement through telephonic medication consultations, health education, and care coordination. The role supports medication adherence and patient engagement strategies by carrying out Medication Therapy Management (MTM), Stars Adherence, and ongoing clinical initiatives within defined program guidelines. The Specialist supports patient-centered care through proactive outreach, problem-solving, and coordination with internal and external stakeholders. The role helps patients obtain timely access to medications and resources, contributing to clinical performance and Navitus’ health and wellness goals. The position reports to the Supervisor, CEC Operations and also interacts with other CEC Operations leaders. The expected start timeframe is January 2027 or later.

Requirements

High school diploma or GED.
Certified Pharmacy Technician (CPhT) certification.
State Pharmacy Technician license where applicable.
Three years of pharmacy support experience or clinical program execution.
Strong pharmaceutical knowledge to address inquiries, support medication-related processes, and ensure safe, informed outcomes.
Ability to provide empathetic, patient-focused support through active listening, addressing needs, and clear, respectful communication with diverse populations.
Experience managing inbound and outbound communications while following established workflows, scripts, and escalation protocols.
Knowledge of healthcare regulations, including HIPAA, to protect patient information and ensure compliant interactions and documentation.
Ability to collaborate with cross-functional teams to meet service-level expectations, support shared goals, and contribute to operational success.
Ability to interact cooperatively and respectfully with other employees.

Responsibilities

Conduct Medication Therapy Management (MTM) and Stars Adherence initiatives independently within established protocols.
Conduct proactive patient outreach to improve engagement, adherence, and program participation.
Coordinate patient care activities to support timely medication access and continuity of therapy; prioritize work and resolve routine issues with minimal supervision.
Collaborate with CEC team members to provide consistent, high-quality clinical services and share accountability for outcomes.
Educate patients on program benefits and medication adherence, using professional judgment within program protocols to identify risks, address barriers, and determine appropriate interventions.
Facilitate prescription renewals and extended day supply requests, manage exceptions, and coordinate with pharmacies or providers as needed.
Identify medication-access barriers by assessing patient-specific challenges and connecting members with appropriate clinical or operational resources.
Apply sound professional judgment in well-defined situations and escalate when additional guidance is needed.
Follow established protocols and regulatory requirements, escalating non-routine decisions involving complex, sensitive, or high-risk situations.
Complete assigned workflows accurately and efficiently and take ownership of tasks that support department performance.
Participate in, adhere to, and support compliance program objectives.
Perform other duties as assigned.