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CVS Health · 1 day ago

Member Advocate - New Jersey (Remote)

United States

Full-time

Remote

Entry Level

$18.50/hr - $42.35/hr

2+ years exp

CVS Health is the nation’s leading health solutions company, dedicated to transforming health care. The Member Advocate is responsible for direct member outreach and engagement, ensuring compliance and providing support during enrollment calls while building strong relationships with members.

Health CareMedicalPharmaceuticalRetailSales

Responsibilities

Initiates engagement with assigned members to introduce the program and gather updated member demographic information with speed, accuracy, and a positive attitude

Schedules completion of the assessment based on the member’s preferences and the assigned care manager’s schedule

Accurately and consistently documents each call in the member’s electronic record, thoroughly completing required actions with a high level of detail to ensure we meet our compliance requirements

Protects the confidentiality of member information and adheres to company policies regarding privacy/ HIPAA Effectively supports members during enrollment calls, appropriately managing difficult or emotional member situations, responding promptly to member needs, and demonstrating empathy and a sense of urgency when appropriate

Conducts triage, connecting members with appropriate care team personnel including care managers and customer service when needed

Ability to be agile, manage multiple priorities, and adapt to change with enthusiasm

Determined to build strong relationships with peers and our DSNP members

Demonstrates an outgoing, enthusiastic, and caring presence over the telephone

Act as a Medicaid recertification specialist for the team

Qualification

Customer service experienceMedicaid knowledgeMicrosoft WordMicrosoft ExcelBilingualCall center experienceBasic medical terminologyOrganizational skillsEffective communication

Required

2 years of experience preferably in customer service, telemarketing, Medicaid, and/or sales

Experience with computers, including knowledge of Microsoft Word, Outlook, and Excel - data entry and documentation within member records is preferred

Must reside in New Jersey and be able to travel 25-40% to attend member meetings

Preferred

Call center experience preferred

Familiarity with basic medical terminology preferred

Flexibility with work schedule to meet business needs

Strong organizational skills, including effective verbal and written communications skills

Bilingual desired

Benefits

Affordable medical plan options

401(k) plan (including matching company contributions)

Employee stock purchase plan

No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching

Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.