Telephonic MTM & Patient Engagement Specialist

Navitus; Phoenix (AZ); On-site; USD 60,000 - 90,000; Full time

Benefits offered by this job

20 days paid time off

4 weeks paid parental leave

9 paid holidays

401K company match of up to 5% - No v

Adoption Assistance Program

Flexible Spending Account

Job summary

Navitus Health Solutions is seeking a Specialist, Clinical Engagement to join our Clinical Engagement Center (CEC) team in Phoenix, AZ. The role focuses on telephonic MTM, patient education, and care coordination to improve medication adherence and patient engagement within program guidelines.

You will report to the Supervisor, CEC Operations and collaborate with cross-functional teams to deliver high-quality clinical services, navigate regulatory requirements, and drive outcomes aligned with

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 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.
• The ability to consistently interact cooperatively and respectfully with other employees.

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 elevate 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

Pharmacy knowledge

Telephone outreach

Patient communication

Care coordination

Regulatory compliance

Team collaboration

Problem solving

Education

High School diploma or GED

Certified Pharmacy Technician (CPT)

Job description

Navitus Health Solutions is seeking a Specialist, Clinical Engagement to join our Clinical Engagement Center (CEC) team in Phoenix, AZ. The role focuses on telephonic MTM, patient education, and care coordination to improve medication adherence and patient engagement within program guidelines.

You will report to the Supervisor, CEC Operations and collaborate with cross-functional teams to deliver high-quality clinical services, navigate regulatory requirements, and drive outcomes aligned with