Specialist, Clinical Engagement (CPhT)

This job was posted by https://illinoisjoblink.illinois.gov : For more information, please see: https://illinoisjoblink.illinois.gov/jobs/13826758\ \ Overview\ The expected start timeframe for this position is January 2027 or later. Were growing and adding new Specialist CPhT positions! Ready for a new challenge using your pharmacy technician skills that supports your next career move? Check them out and take your next step with us! The Specialist, Clinical Engagement serves as a key member of the Clinical Engagement Center (CEC) team, responsible for delivering high-quality clinical engagement through telephonic medication consultations, health education, and care coordination. This position plays a critical role in advancing medication adherence and patient engagement strategies by execution of Medication Therapy Management (MTM), Stars Adherence, and ongoing clinical initiatives, within defined program guidelines. The Specialist will report to the Supervisor, CEC Operations, as well as interact with other CEC Operations leaders. As part of the CEC, the Specialist, Clinical Engagement supports Navitus commitment to delivering high-quality, patient-centered care through proactive outreach, problem-solving, and coordination with internal and external stakeholders. This position helps ensure that patients receive timely access to medications and resources, ultimately contributing to improved clinical performance aligning with Navitus strategic goals for health and wellness. Is this you? Find out more below! \ \ Responsibilities\ How do I make an impact on my team? - 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. \ \ Qualifications\ Whatourteamexpectsfrom you? High School diploma or GED required. \ \ \ Equal employment opportunity, including veterans and individuals with disabilities.\ \ PI287974048