Medicare Service Advocate

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.

Position Summary

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. The key to our success is our talent.

In this role, the majority of your work will involve connecting with members through outbound and inbound calls. As member expectations continue to evolve, you may also communicate with our members via video conferencing and/or SMS to answer unasked questions and resolve issues. Our service advocates have a high degree of empathy and patience.

This position also requires performing a holistic approach on benefit usage and education, and claims, including but not limited to; medical, dental, prescriptions, and value-added items and services. The service advocate will be using several computer-based programs to service the members' needs and will need to be able to work in a metric-based production environment.

We encourage bilingual applicants to apply.

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

The typical pay range for this role is:

$17.00 - $31.30

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.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

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: 10/02/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.