Specialist, Clinical Engagement (CPhT)

Navitus Health Solutions, LLC•,

9d•$20 - $24•Remote

About The Position

Navitus Health Solutions is seeking a Specialist, Clinical Engagement to join its Clinical Engagement Center (CEC) team. The Specialist delivers high-quality clinical engagement through telephonic medication consultations, health education, and care coordination. The role supports medication adherence and patient engagement by carrying out Medication Therapy Management (MTM), Stars Adherence, and ongoing clinical initiatives within defined program guidelines. The Specialist supports Navitus’ commitment to high-quality, patient-centered care through proactive outreach, problem-solving, and coordination with internal and external stakeholders. The position helps ensure patients have timely access to medications and resources, contributing to improved clinical performance and Navitus’ strategic health and wellness goals. The Specialist reports to the Supervisor, CEC Operations and interacts with other CEC Operations leaders. The listed schedule is Monday through Thursday, 8:30 a.m.–7:00 p.m. CT, and Friday, 8:30 a.m.–5:00 p.m. CT. Remote work is available only to residents of the states and Washington, DC listed in the posting.

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 accurately 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 across diverse populations.
Experience managing inbound and outbound communications while following established workflows, scripts, and escalation protocols to ensure quality and efficiency.
Knowledge of healthcare regulations, including HIPAA, to protect patient information and ensure interactions and documentation meet compliance standards.
Ability to collaborate within 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

Independently conduct Medication Therapy Management (MTM) and Stars Adherence initiatives within established protocols to support organizational quality, performance, and patient outcomes.
Conduct proactive patient outreach using advanced communication techniques to improve engagement, adherence, and program participation.
Coordinate patient care activities to ensure timely medication access and continuity of therapy, prioritizing work and resolving routine issues with minimal supervision.
Collaborate with CEC team members to support consistent, high-quality clinical services and shared 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, managing exceptions and coordinating with pharmacies or providers as needed.
Identify and address 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 appropriately.
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.