Medicare Service Advocate, 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:

Service Advocate role in Medicare Stars Member Advocacy Center conducting high touch omnichannel outreach campaigns to deliver differentiated member experience, close gaps in care, provide human connection, and assist in navigating health plan benefits. Majority of work involves connecting with members through outbound and inbound calls, with potential for video conferencing and SMS communication.

Job Responsibility:

Educates plan benefits, answers questions, and resolves issues based on campaign outreach
Documents and tracks contacts with members
Educates members on our self-service options
Follows campaign guidelines for exceptional service
Exceeds member expectations
Ensures that every caller is treated with respect, kindness and all questions are thoroughly answered
Respond to inquiries from our Medicare Advantage members
Connects with members to diminish service disruption and educate members on plans
Takes ownership and follows through on commitments
Create lasting relationships with our members
Work in a team and production-based environment to create world class service
Ability to navigate multiple systems
Acts as an advocate for our members

Requirements:

Ability to creatively solve members’ problems and have desire to help and advocate for them
Problem solving with demonstrated ownership qualities
Demonstrated empathy, compassion and listening skills
Window based application knowledge
High School diploma or equivalent preferred but not required

Nice to have:

Proven leadership skills
Demonstrate ability to de-escalate situations
Effective communication and documentation skills
Ability to quickly learn new skills and apply them
Demonstrated skills to multitask and problem solve
Healthcare and medical terminology knowledge
Medical billing and claims process experience
Bilingual skills

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 04, 2025

Expiration:
September 19, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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Medicare Service Advocate