Analyst, Patient Relations, CVS Health

CVS Health

Location:
United States, Chicago, Illinois

Category:
Customer Service

Contract Type:
Not provided

Salary:

21.10 - 44.99 USD / Hour

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Job Description:

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. The House Calls Patient Relations Analyst (PRA) leads market operations in providing the best patient care and a great place to work in order to keep patients happy, healthy and out of the hospital. Patient Relations Analysts are an integral part of the Care Team, they are the insurance & resource experts that assist our patients in affording healthcare. PRAs drive teams towards achieving patient satisfaction and educates teams and patients alike with navigating Medicare options. Patient Relations Analyst (PRA) reports to the Patient Relations Associate Manager.

Job Responsibility:

Ability to meet daily, monthly and quarterly metrics
Navigate Medicare & Medicaid for our patient population of older adults
Assist patients with understanding medical bills and walking them through a resolve
Assisting patients with applying for Public Aid benefits, Extra Help for prescription drugs and Extra Benefits provided by their insurance carrier
Ability to navigate multiple systems to track patient and Care Team communication, workflows and next steps
Collaboration with Behavior Health Specialists to determine Medicaid status and community resource support
Assist with managing Referrals and Orders for timely completion
Overseeing payer and patient retention
Assisting with Service Recovery efforts to maintain patient satisfaction
Ability to train and educate on insurance and processes to Care Teams, patients & other external departments
Problem-solving orientated and eagerness to identify process gaps and implement practical solutions
Assisting with team development as our markets grow and expand
Able to handle confidential information with discretion
Provide exceptional customer service
Ability to drive a team culture that is collaborative, patient-centric and oriented toward driving results for our current patients and growing our impact with new patients while making it a Great Place to Work for our teams

Requirements:

Insurance sales and/or Billing background
Has Medicare, Medicaid and Commercial insurance knowledge
4 or more years of Customer Service experience
Experience with Google Suite & Microsoft Products
Experience with successfully achieving required metrics
Proficient PC skills
US work authorization

Nice to have:

Radiating positive energy
Assuming good intentions
Creating an unmatched patient experience
Driving clinical excellence
Taking ownership and delivering results
Being relentlessly determined

What we offer:

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
Paid time off
Flexible work schedules
Family leave
Dependent care resources
Colleague assistance programs
Tuition assistance
Retiree medical access

Additional Information:

Job Posted:
June 12, 2025

Expiration:
November 14, 2025

Employment Type:

Fulltime

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Analyst, Patient Relations