Bilingual Spanish Specialist, Clinical Engagement

Job not on LinkedIn

🔥 12 hours ago

🐻 Alaska, Hawaii, +11 more states – Remote

🐻 Alaska – Remote 🌺 Hawaii – Remote 🦞 Maine – Remote 🗻 New Hampshire – Remote 🌶️ New Mexico – Remote 🌾 North Dakota – Remote 🎸 Mississippi – Remote ⚓ Rhode Island – Remote 🌴 South Carolina – Remote 🗿 South Dakota – Remote ⚔️ Virginia – Remote ⛰️ West Virginia – Remote 🦬 Wyoming – Remote

💵 $20 - $23 / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💬 Bilingual

👻 Ghost score 0%

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Navitus Health Solutions

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2003

💼 Consulting

🛡️ Insurance

🏥 Healthcare

Consulting • Insurance • Healthcare

Navitus Health Solutions is a pharmacy benefit manager (PBM) that provides transparent, people-centered pharmacy benefit solutions to health plans, employers, government programs and other plan sponsors. The company operates a 100% pass-through, cost-plus model that emphasizes lowering medication costs, managing formularies, specialty drug management (including a cost-plus specialty pharmacy), claims adjudication, pharmacy network management, and member enablement and support services. Navitus positions itself as a fiduciary partner focused on affordability, compliance, clinical quality and improving health outcomes through tailored PBM services and digital health integrations.

📋 Description

• Independently conduct Medication Therapy Management (MTM) and Stars Adherence initiatives within established protocols. • Conduct proactive patient outreach to improve engagement, adherence, and program participation. • Coordinate patient care activities to ensure timely medication access and continuity of therapy. • Prioritize work and resolve routine issues with minimal supervision. • Collaborate with Clinical Engagement Center team members to support consistent clinical services and shared accountability for outcomes. • Educate patients on program benefits and medication adherence. • Identify risks, address barriers, and determine appropriate interventions within program protocols. • Facilitate prescription renewals and extended day supply requests. • Manage exceptions and coordinate with pharmacies or providers as needed. • Connect members with appropriate clinical or operational resources. • Apply professional judgment and escalate situations requiring additional guidance. • Adhere to protocols and regulatory requirements, escalating complex, sensitive, or high-risk situations. • Complete assigned workflows accurately and efficiently. • Perform other duties as assigned.

🎯 Requirements

• High School diploma or GED required. • Certified Pharmacy Technician certification required. • State Pharmacy Technician license required where applicable. • 3 years of pharmacy support experience or clinical program execution required. • Active national pharmacy technician certification through either PTCB or NHA is strongly preferred. • Fluency in both English and Spanish is strongly preferred. • Strong pharmaceutical knowledge required. • Demonstrated ability to deliver empathetic, patient-focused support and clear, respectful communication across diverse populations required. • Demonstrated experience managing inbound and outbound communications while following established workflows, scripts, and escalation protocols required. • Knowledge of healthcare regulations, including HIPAA, required. • Demonstrated ability to collaborate within cross-functional teams required. • Participate in, adhere to, and support compliance program objectives. • Ability to interact cooperatively and respectfully with other employees.

🏖️ Benefits

• Top of the industry benefits for Health, Dental, and Vision insurance • 20 days paid time off • 4 weeks paid parental leave • 9 paid holidays • 401K company match of up to 5% - No vesting requirement • Adoption Assistance Program • Flexible Spending Account • Educational Assistance Plan and Professional Membership assistance • Referral Bonus Program – up to $750!