Clinical Engagement Specialist, CPhT

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🔥 0 minutes ago

🏈 Alabama, Arizona, +32 more states – Remote

🏈 Alabama – Remote 🌵 Arizona – Remote 🏄 California – Remote ⛰️ Colorado – Remote 🦌 Connecticut – Remote 🐊 Florida – Remote 🥔 Idaho – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🐎 Kentucky – Remote ⚜️ Louisiana – Remote 🦬 Montana – Remote 🌾 Nebraska – Remote 🎰 Nevada – Remote 🏖️ New Jersey – Remote 🗽 New York – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🌪️ Oklahoma – Remote 🌲 Oregon – Remote 🦀 Maryland – Remote 🍂 Massachusetts – Remote 🚗 Michigan – Remote ❄️ Minnesota – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⛷️ Utah – Remote 🍁 Vermont – Remote ⚔️ Virginia – Remote ☕ Washington – Remote 🧀 Wisconsin – Remote

💵 $20 - $23 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 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

• 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 CEC team members to support consistent, high-quality 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. • Identify barriers to medication access and connect members with appropriate clinical or operational resources. • Apply professional judgment and escalate when additional guidance is needed. • Adhere to protocols and regulatory requirements, escalating complex, sensitive, or high-risk situations. • Complete assigned workflows accurately and efficiently and support overall department performance. • 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. • 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. • Knowledge of healthcare regulations, including HIPAA, required. • Ability to collaborate within cross-functional teams to meet service level expectations and shared goals. • Participate in, adhere to, and support compliance program objectives. • Ability to consistently interact cooperatively and respectfully with other employees. • Remote work available only to residents of Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Montana, Nebraska, Nevada, New Jersey, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Tennessee, Texas, Utah, Vermont, Virginia, Washington, Washington DC, and Wisconsin. • Ability to work M-Th 8:30-7:00 pm CT and F 8:30-5:00 pm CT.

🏖️ 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!