Job Description: Make inbound and outbound calls to members and providers regarding healthcare visits, screenings, vaccinations, and medication refills Work through barriers preventing members from achieving good health Deliver professional, empathetic member experiences Educate members to support informed health decisions and improved outcomes Accurately document conversations in members’ health records Explain benefits for specific screenings and medications Assist members with health services, medications, and resources to improve Star health outcomes Escalate issues for resolution when needed Meet business metrics and goals while working efficiently in a fast-paced environment Requirements: 2+ years’ experience with call center or outreach involving members/consumers Dependents must have separate care arrangements during work hours; continuous care responsibilities during shift times are not permitted Professional communication skills Strong active listening and interpersonal skills High computer literacy, including ability to troubleshoot issues Proficiency with Windows, web-based applications, and digital communication tools Reliable high-speed internet connection and suitable remote workspace Hard-wired connectivity to the computer; DSL, satellite, and wireless broadband are not permitted High School Diploma or GED (REQUIRED) Ability to use multiple monitors and navigate multiple applications simultaneously Ability to communicate via email, calendar invites, Teams messaging, and virtual meetings Experience with Microsoft Office 365 applications or similar Google Workspace applications Ability to log in to secure systems such as VPN and EHR portals, manage strong passwords, and recognize suspicious emails or links Ability to troubleshoot common technical issues independently Quiet, secure, private, designated home workspace compliant with CVS Health and HIPAA guidelines Must work within the state and city where currently living Must obtain required internet speeds and comply with Work From Home requirements Benefits: Medical coverage Dental coverage Vision coverage Paid time off Retirement savings options Wellness programs Company-provided equipment (keyboard, monitor, computer, heet, etc.) Comprehensive benefits package supporting physical, emotional, and financial well-being
