Health Advocate – Inbound/Outbound Calls, Healthy Outcomes Team

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CVS Health

WebsiteLinkedInAll Job Openings

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

• Make inbound and outbound calls to members and providers regarding healthcare visits, screenings, vaccinations, and medication refills • Work through barriers affecting members’ health • Deliver a professional and empathetic member experience • Educate members to support healthy decisions and improve health outcomes • Explain benefits for specific screenings and medications • Assist members with health services, medications, and resources to improve Star health outcomes • Accurately document conversations in members’ health records • Answer questions, resolve issues, and escalate issues when needed • Meet business metrics and goals while working efficiently in a fast-paced environment

🎯 Requirements

• High School diploma or G.E.D. • Professional communication skills • Strong active listening and interpersonal skills • High computer literacy, including ability to troubleshoot issues • Proficiency with Windows and web-based applications and digital communication tools • Reliable high-speed internet connection of at least 50 Mbps • Suitable remote workspace • Hard-wired computer connectivity required; DSL, satellite, and wireless broadband are not permitted • 2+ years’ experience with call center or outreach involving members/consumers • Bilingual or multilingual candidates heavily preferred • Experience with HEDIS screening measures preferred • Experience with behavior change preferred • 1+ year experience with production expectations or high-volume calls heavily preferred • 3+ years’ experience in a healthcare setting preferred • Medical certification preferred

🏖️ Benefits

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