Inbound/Outbound Queue Associate, CVS Health

CVS Health

Location:
United States, Maryland

Category:
Customer Service

Contract Type:
Employment contract

Salary:

17.00 - 31.30 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. This role involves maintaining accurate documentation, scheduling peer discussions, placing outbound calls to providers, and updating authorizations. Communication, confidentiality, and working within typical office conditions are central to this position.

Job Responsibility:

Maintains accurate and complete documentation of required information that meets risk management, regulatory, and accreditation requirements
Promotes communication both internally and externally to enhance effectiveness of medical management services
Protects the confidentiality of member information
Communicate with Aetna Case Managers
Supports the administration of the peer-to-peer process in compliance with laws, regulations, and standards
Schedule Peer discussions with Health Plan Medical Directors and providers
Places outbound calls to providers
Update authorizations and complete the provider notification process
Uses Aetna systems like Medcompass, QNXT, ProFAX, ProPAT
Communicates with Aetna Nurses and Medical Directors
Sedentary work involving sitting, talking, hearing, and keying
Work requires visual acuity and accuracy.

Requirements:

1+ years of Call Center environment experience
Microsoft Office (Outlook, Word, Excel) skills required
Excellent grammar and written skills.

Nice to have:

2-4 years’ experience in a Call Center environment
Medical assistant, office assistant or other clinical experience preferred

What we offer:

Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan
No-cost programs 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:
October 09, 2025

Expiration:
October 25, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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Inbound/Outbound Queue Associate