Clinical Engagement Specialist, CPhT

🔥 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

• 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 access to medications 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. • Connect members with appropriate clinical or operational resources. • Escalate non-routine, complex, sensitive, or high-risk situations appropriately. • Complete assigned workflows accurately and efficiently and support overall department performance. • Report to the Supervisor, CEC Operations and interact with other CEC Operations leaders. • 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 to accurately address inquiries, support medication-related processes, and ensure safe, informed outcomes required. • Demonstrated ability to deliver empathetic, patient-focused support by actively listening, addressing needs, and ensuring clear, respectful communication across diverse populations required. • Demonstrated experience effectively managing inbound and outbound communications while consistently following established workflows, scripts, and escalation protocols to ensure quality and efficiency required. • Knowledge of healthcare regulations, including HIPAA, that protects patient information and ensures all interactions and documentation meet compliance standards required. • Demonstrated ability to collaborate within cross-functional teams to meet service level expectations, support shared goals, and contribute to overall operational success required. • Participate in, adhere to, and support compliance program objectives. • Ability to consistently 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!