Medicare Service Advocate

Position Summary 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 are currently recruiting top talent for our Service Advocate role in our Medicare Stars Member Advocacy Center. The Member Advocacy Center (MAC Team) is an elite team in Medicare Stars that conducts various high touch omnichannel outreach campaigns to deliver a differentiated member experience that closes gaps in care, provides a human connection with the member and proactively assists in navigating their health plan benefits. We are knowledgeable and trusted advocates for our members. A Medicare Service Advocate Ability to navigate multiple systems Acts as an advocate for our members Connects with members to diminish service disruption and educate members on plans Create lasting relationships with our members Documents and tracks contacts with members Educates plan benefits, answers questions, and resolves issues based on campaign outreach Educates members on our self-service options Ensures that every caller is treated with respect, kindness and all questions are thoroughly answered Exceeds member expectations Follows campaign guidelines for exceptional service Respond to inquiries from our Medicare Advantage members Takes ownership and follows through on commitments Work in a team and production-based environment to create world class service Required Qualifications 1 year of customer service experience in any line of business 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 Preferred Qualifications 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 Education High School Diploma or GED Anticipated Weekly Hours 40 Time Type Full time Pay Range $17.00 - $31.30 Benefits This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. #J-18808-Ljbffr CVS Health