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Specialist, Patient Relations

United States, Work at Home 17.00 - 31.30 USD / Hour · Job Posted February 25, 2026
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Job Description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. We take a team-based approach to providing outstanding patient care. Our Membership Management Team connects directly with our patients and ensures they are happy with their experience. The Membership Management Team is responsible for delivering excellent, high-touch assistance to our patients everyday. Patient Relations Specialists (PRSs) are an integral part of our team and help us meet our goal of successfully supporting patients with their healthcare coverage. Your role is to provide support for our patients by helping them navigate through insurance benefits, educate them on their plan, properly advise them on healthcare coverage options and assist with any billing questions. PRSs are key players during the Annual Election Period ensuring that our patients are informed of all their options surrounding Medicare as well as serving as support to the in center Patient Relations Managers and our Insurance Advisor partners.

Job Responsibility

  • Learn the basics of Medicare and use knowledge to assist patients with navigating insurance issues
  • Educate our existing patients and encourage them to engage with us with their questions regarding their current healthcare coverage
  • Gain the trust of patients in an effort to properly advise them in their healthcare coverage and connect them to the appropriate resources
  • Serve as support for our in center Patient Relations Managers
  • Provide assistance to our Insurance Advisor Partners
  • Assist patients in navigating the healthcare system, help patients resolve medical bills inside and outside of the company (advocate for the patient)
  • Provide exceptional customer service
  • Other duties, as assigned

Requirements

  • High school diploma
  • Typically, less than 1 year of relevant experience
  • A problem-solving orientation and a flexible and positive attitude
  • An eagerness to help us build and refine our operating model
  • An understanding of the Medicare and Medicare Advantage programs preferred, but not required
  • Sales background preferred
  • A commitment to performing meaningful work that dramatically improves the lives of patients
  • Community health experience preferred
  • Proficient PC skills
  • Outstanding phone demeanor and etiquette
  • Fluency in Spanish, Polish, Russian, or other languages spoken by people in the communities we serve (where necessary)

Nice to have

  • An understanding of the Medicare and Medicare Advantage programs
  • Sales background
  • Community health experience
  • Fluency in Spanish, Polish, Russian, or other languages spoken by the communities we serve

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

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