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Field Services Advocate

https://www.cvshealth.com/ Logo

CVS Health

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Location:
United States, New York

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Category:
Customer Service

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Contract Type:
Employment contract

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Salary:

66330.00 - 159120.00 USD / Year

Job Description:

The Field Services Advocate serves as a bridge between Aetna National Accounts client's members, the customer Benefit Service Center, HR colleagues and Total Rewards Team to promote available health and wellness programs, tools, and resources. This role provides both administrative and clinical support to members as well as navigating them through the health system, providing support on claims issues, and answering coverage-level questions.

Job Responsibility:

  • Function as primary contact for day-to-day escalations of benefit-related issues
  • Work with members, HR representatives and the Total Rewards Team to help them understand their benefits and connect them to available resources
  • Assist members in identifying modifiable risk factors by referring to and leveraging resources
  • Recommend, create, and deliver content for health education newsletters, new hire orientation, Annual Enrollment, and other communication initiatives
  • Plan and execute health awareness tables and other onsite events
  • Be accountable for resolving any benefits related issues including answering routine questions, addressing denied claims, preauthorization
  • Assist the Total Rewards team with the administration of the customer Wellness program

Requirements:

  • 5+ years' experience working directly with consumers delivering a highly experiential interaction
  • CEBS, SPHR, or PHR preferred
  • Clinical background a plus
  • Experience with Aetna and CVS products, claim systems, and digital member applications
  • Associate degree or equivalent work experience
  • Appropriate education relevant to clinical background
  • Knowledge of benefit rules, regulations, policies, and procedures including federal, state, and local regulations related to benefits, including COBRA, ERISA, HIPAA, and Section 125
  • Demonstrated ability to uphold the customer's and Aetna's values of caring, inspiration, integrity, and excellence in each member interaction
  • Outstanding organizational ability including keen attention to detail, strong follow-up skills
  • deadline-oriented and demonstrated ability to prioritize and multi-task in a fast-paced changing environment
  • Organizational and communication skills necessary
  • Competency with MS Office products - Word, PowerPoint, Excel

Nice to have:

  • CEBS, SPHR, or PHR certification
  • Clinical background
  • Experience with Aetna and CVS products, claim systems, and digital member applications
What we offer:
  • Affordable medical plan options
  • 401(k) plan with matching company contributions
  • Employee stock purchase plan
  • No-cost 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:
September 23, 2025

Expiration:
December 04, 2025

Employment Type:
Fulltime
Work Type:
Hybrid work
Job Link Share:
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