Behavioral Health Medicare Care Associate

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. Care Associate - Behavioral Health Medicare Reviews Fully Remote | Monday-Friday | 9:00 AM-5:30 PM EST Are you detail-oriented, customer-focused, and passionate about supporting behavioral health services? Join our team as a Care Associate and play a critical role in the Behavioral Health Medicare Review process, helping ensure timely, accurate communication and coordination for members and providers. What You'll Do Coordinate peer-to-peer review requests as part of the Behavioral Health Medicare review process Prepare and distribute accurate correspondence to members and providers Support time-sensitive workflows while ensuring compliance with CMS and company requirements Communicate with internal and external stakeholders to facilitate effective case processing Maintain high standards of accuracy, organization, and customer service Help ensure review decisions are completed within mandated turnaround times

WHAT YOU BRING - REQUIRED

Ability to work Monday-Friday, 9:00 AM-5:30 PM EST 2+ years of experience in the health insurance industry Customer service experience in healthcare and/or a behavioral health setting Strong attention to detail and ability to manage regulated, time-sensitive work Excellent organizational and communication skills Preferred Qualifications 2+ years of Behavioral Health experience supporting mental health populations Proven ability to communicate effectively, resolve service challenges, and improve processes Experience working in fast-paced, deadline-driven environments Experience scheduling and processing denials Education Associate degree or equivalent work experience Why Join Us? 100% remote work environment Consistent weekday schedule with evenings and weekends free Opportunity to support members' behavioral health journeys Collaborative team focused on quality, compliance, and service excellence Meaningful work that directly impacts member and provider experiences Anticipated Weekly Hours 40 Time Type Full time Pay Range Today's pay range for this role is: $21.10 - $44.99 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. 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. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will close on: 08/15/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. #J-18808-Ljbffr Hispanic Alliance for Career Enhancement