Health Advocate - Call Coordinator, CVS Health

CVS Health

Location:
United States, Work at Home

Category:
Customer Service

Contract Type:
Employment contract

Salary:

17.00 - 28.46 USD / Hour

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Job Description:

The Health Advocate within the Healthy Outcomes Team interacts with members via multiple channels (digital, telephone) and conducts outreaches to our Medicare members to inspire and encourage healthy behaviors through innovative, compassionate and empathetic communications. The goal of each outreach is to ensure that every member has a clear understanding of the available benefits that are afforded to them under their Medicare plan for specific screenings and medications.

Job Responsibility:

Interacts with members via multiple channels (digital, telephone) and conducts outreaches to Medicare members to inspire and encourage healthy behaviors
Ensures members have clear understanding of available benefits under their Medicare plan for specific screenings and medications
Delivers provider and member telephonic outreaches to ensure receipt of important health services, medications and resources
Provides support for Healthcare Effectiveness Data and Information Set (HEDIS) quality initiatives
Conducts inbound and outbound calls to members who would benefit from designated services including healthcare visits/screenings, vaccination, or medication refill
Effective capture of barriers and data collection
Use of motivational interviewing skills to provide solutions to facilitate closing gaps in care
Acts as an advocate for Medicare members health needs and helps coordinate care between health plan, doctors and pharmacies
Actively listen and collect member reported data elements in the CRM tool to support medical record chasing for HEDIS medical record documentation of services

Requirements:

Windows based application knowledge with ability to use standard corporate software packages and corporate applications with a high degree of computer literacy
Effective communication skills and experience speaking with medical providers and/or clinical staff
Strong listening and interpersonal skills
Strong analytical skills focusing on accuracy and attention to detail
Demonstrated ability to de-escalate situations
Demonstrated empathy, curiosity, enthusiasm for learning, compassion and listening skills
High School Diploma or G.E.D.

Nice to have:

Recent and related experience working with HEDIS screening measures and behavior change
Bilingual or multilingual candidates heavily preferred
Bachelor's degree or equivalent preferred
Medical certification (certified nursing assistant, medical assistant, etc.) is strongly recommended but not required
Prior experience working directly with members / consumers – preferably in a call center setting
Minimum 3 years recent and related experience within healthcare, healthcare marketing, outreach and/or health education, health coaching and disease management experience
3 – 5 years of experience in a healthcare setting with direct communication with various levels of management including medical providers

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:
October 16, 2025

Expiration:
October 21, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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Health Advocate - Call Coordinator