Remote MTM & Clinical Engagement Specialist

Navitus; Saint Paul (MN); Remote; USD 65,000 - 90,000; Full time

Benefits offered by this job

Health, dental, and vision insurance

PTO 20 days

Parental leave 4 weeks

Holidays 9

401K match up to 5%

Adoption assistance

FSAs

Educational & membership assistance

Referral bonus up to $750

Job summary

Navitus Health Solutions seeks a Specialist, Clinical Engagement to join our team in advancing medication adherence and patient engagement through MTM, Stars Adherence, and proactive outreach. You will coordinate care, educate patients, and support timely access to medications within defined program guidelines.

You will work with the CEC to deliver high-quality clinical services, resolve routine issues, and escalate complex cases as needed.

Qualifications

• 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 ability to collaborate within cross-functional teams to meet service level expectations, support shared goals, and contribute to overall operational success required.

Responsibilities

• Independently conduct, within established protocols, Medication Therapy Management (MTM) and Stars Adherence initiatives 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 access to medications 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, applying 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 barriers to medication access by assessing patient specific challenges and connecting members with appropriate clinical or operational resources.
• Ability to apply sound professional judgment in well-defined situations and appropriately escalate when additional guidance is needed.
• Adhere to established protocols and regulatory requirements, escalating non-routine decisions involving complex, sensitive, or high-risk situations appropriately.
• Support operational effectiveness by completing assigned workflows accurately and efficiently and taking ownership of tasks that contribute to overall department performance.
• Other duties as assigned.

Skills

Pharmaceutical knowledge

Patient communication

Inbound/outbound calls

Education

High School diploma or GED

Certified Pharmacy Technician certification

State Pharmacy Technician license

Job description

Navitus Health Solutions seeks a Specialist, Clinical Engagement to join our team in advancing medication adherence and patient engagement through MTM, Stars Adherence, and proactive outreach. You will coordinate care, educate patients, and support timely access to medications within defined program guidelines.

You will work with the CEC to deliver high-quality clinical services, resolve routine issues, and escalate complex cases as needed.