Health Advocate, Call Coordinator

Job not on LinkedIn

🔥 3 minutes ago

🌵 Arizona, Florida, +4 more states – Remote

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💵 $17 - $31 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

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Logo of CVS Health

CVS Health

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.

📋 Description

• Interact with Medicare members via digital and telephone channels • Conduct inbound and outbound outreach regarding healthcare visits, screenings, vaccinations, and medication refills • Capture barriers and collect data using motivational interviewing to help close gaps in care • Provide professional, empathetic support and answer or triage member questions • Advocate for Medicare members and coordinate care among health plans, doctors, and pharmacies • Collect member-reported data in the CRM to support HEDIS medical-record documentation • Educate members based on their needs, preferences, and understanding • Serve as a single point of contact, resolving issues and escalating to leadership when needed • Build trusting relationships and connect members with appropriate services • Explain programs, Aetna tools, and healthcare resources • Document and track member contacts, events, and outcomes in applicable systems • Produce business communications, including letters and spreadsheets • Handle multiple functions and products while meeting performance standards • Identify issues requiring escalation and suggest resolutions • Support individual, team, and business goals and initiatives

🎯 Requirements

• Windows-based application knowledge and ability to use standard corporate software packages and applications with a high degree of computer literacy • Effective communication skills and experience speaking with medical providers and/or clinical staff • Strong listening and interpersonal skills • Strong analytical skills with accuracy and attention to detail • Ability to de-escalate situations • Empathy, curiosity, enthusiasm for learning, compassion, and listening skills • Recent and related experience working with HEDIS screening measures and behavior change preferred • Bilingual or multilingual candidates heavily preferred • Bachelor’s degree or equivalent preferred • Medical certification such as certified nursing assistant or medical assistant strongly recommended but not required • Prior experience working directly with members/consumers, preferably in a call center setting • Minimum 3 years of recent and related experience within healthcare, healthcare marketing, outreach and/or health education, health coaching, or disease management • 3–5 years of experience in a healthcare setting with direct communication with various levels of management, including medical providers • Telephonic coordination of care experience • High School Diploma or G.E.D.

🏖️ Benefits

• Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being, based on eligibility

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