Member Outreach, Account Management

CVS Health Job Opportunity

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. 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.

Responsibilities of this position include:

• 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

Required proficiency in Microsoft Excel, Teams and Sharepoint. This position could involve travel up to 10%.

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

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

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is: $46,988.00 - $112,200.00

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 our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an 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.

We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.