
10,000+ employees
Founded 1963
🏥 Healthcare
⚕️ Healthcare Insurance
🛒 Retail
Healthcare • Healthcare Insurance • Retail
CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.
🔥 50 minutes ago
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10,000+ employees
Founded 1963
🏥 Healthcare
⚕️ Healthcare Insurance
🛒 Retail
Healthcare • Healthcare Insurance • Retail
CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.
• Support behavioral health care management operations and member engagement initiatives • Review and assign new case management referrals • Verify member eligibility and insurance coverage • Conduct member outreach and educate members on available programs and resources • Assist with provider searches, including validating network participation and appointment availability • Coordinate internal and external resources to resolve claims, benefits, and service-related issues • Maintain accurate documentation while ensuring compliance with regulatory and quality standards • Partner with clinical teams on special projects, audits, and process improvement efforts
• 2+ years of behavioral health experience • Customer service experience • Strong computer skills with the ability to navigate multiple systems • Associate degree or equivalent combination of education and experience • Managed care experience preferred • Psychology or social services background preferred • Bilingual skills preferred • Ability to work Monday-Friday, 8:00 AM-5:00 PM in the employee’s time zone • Ability to work 40 hours per week
• Fully remote position • Consistent weekday schedule • No nights, weekends, or holidays – Based on business needs • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being • CVS Health bonus, commission or short-term incentive program in addition to base pay range
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