[Hiring] Member Outreach, Account Management @CVS Health

Remote Full-time
This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description This position is responsible for member-facing and provider-facing outreach to support Medicare Part D stars initiatives including any current Part D measures. Calls are made to members on the West coast, so work hours will be during appropriate call times for the Pacific Time (PT) zone. • Execute clinical pharmacy programs • Coordinate strategies for increasing adherence • Utilize motivational interviewing and health coaching to impact member behavior • Outreach to members 90% of the day • Ensure effective collaboration with internal and external matrix partners to support clinical programs • Work collaboratively with leadership and management to strengthen business and operational processes • Other duties as required Qualifications • 1+ years of experience with Medicare Stars, managed care or population health • 2+ years of customer or patient-facing experience • Enhanced knowledge of pharmacy and claims processing • Excellent organizational and analytical skills • Superior communication skills with patients and clinicians • Ability to prioritize daily to monthly deliverables • Computer Skills: Proficient in Microsoft Excel, Microsoft Teams, and Sharepoint Requirements • Required proficiency in Microsoft Excel, Teams and Sharepoint • This position could involve travel up to 10% Preferred Qualifications • Certified Pharmacy Technician (CPhT), Technician Trainee license, Licensed Practical Nurse (LPN), Certified Medical Assistant (CMA), or equivalent clinical training • Knowledge of formulary designs, prescription benefit trends • Bilingual in English and Spanish Education • High School Diploma, Associates degree preferred Benefits • 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 • Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility Apply tot his job
Apply Now

Similar Opportunities

[Remote] Senior Claim Benefit Specialist - Remote

Remote

Senior Analyst, Client Service Management

Remote

Senior Analyst, Information Security – Cyber Resiliency

Remote

Case Manager Registered Nurse - Work at Home

Remote

[Hiring] Case Manager, Registered Nurse - Field IL (Cook County) @CVS Health

Remote

Practice Innovation Lawyer – IP, Data & Cyber, Regulatory, Commercial Tech & Transactions and Trade

Remote

Cybersecurity Architect

Remote

Cybersecurity Architect - required onsite (hybrid) in Fairfax, VA

Remote

Solution Architect Health IT & Cybersecurity (Proposal-Writer Hybrid)

Remote

OT Security Architect

Remote

Experienced Remote Customer Service Coordinator – Air Travel and Client Support Specialist at Blithequark

Remote

**Experienced Spanish Bilingual Customer Service Representative – Remote Contractor Role for Prestigious Fortune 500 Clients**

Remote

**Experienced Online Remote Customer Service Representative – Aviation Industry Expertise**

Remote

Experienced Chat Support Specialist – Remote Work Opportunities with Competitive Hourly Rates and Comprehensive Training

Remote

Experienced Customer Experience Representative – Delivering Exceptional Service and Driving Customer Satisfaction in a Fast-Paced Call Center Environment

Remote

Data Analyst, Power BI Dashboards and Visualization Tools Experience Required – Work From Home

Remote

Food Service Worker / Part-Time, Evening Shift (3:30 p.m. - 7:30 p.m.)

Remote

Principal Software Engineer - Cloud

Remote

Experienced Data Entry Clerk – Rate Con Checks & Contract Verification at Blithequark

Remote

**Experienced Customer Support Representative – Delivering Exceptional Service at blithequark**

Remote
← Back to Home