Medicare Member Advocate-Hybrid St. Louis Park, MN. at CVS Health

St Louis Park, Minnesota, United States

CVS Health Logo
Not SpecifiedCompensation
Junior (1 to 2 years), Mid-level (3 to 4 years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, InsuranceIndustries

Requirements

  • 2 years Medicare Insurance related work experience
  • 2 years customer service work experience
  • Proven communication skills both written and verbal
  • Experience with live and video presentations

Responsibilities

  • Engage with members by telephone or in person to support them in understanding and getting the most value from their Medicare plan, enhancing member experience and retention
  • Apply problem solving skills while collaborating with internal colleagues and external entities to bring complex issues to resolution
  • Drive member engagement and retention by delivering a positive member experience through all interactions
  • Define and track program success measures, identify trends, and participate in designing and implementing solutions
  • Conduct audit and monitoring activities as part of service oversight
  • Prepare and deliver training topics for the market team and other organizational partners to address education gaps and improve member experience and retention
  • Provide accurate, timely and insightful analysis in response to ad hoc requests
  • Participate in member outreach to drive plan performance
  • Support community development, member education, and other activities as requested by the Director of Medicare Operations and as customer service demands allow (e.g., annual member meetings or other member-focused events)

Skills

Medicare
Member Engagement
Problem Solving
Customer Service
Data Analysis
Training Delivery
Member Outreach
Program Management
Audit and Monitoring
Community Development

CVS Health

Comprehensive pharmacy and healthcare services

About CVS Health

CVS Health operates a large network of retail pharmacies and walk-in medical clinics across the United States, providing a variety of health-related products and services. Their offerings include prescription medications, over-the-counter health products, and beauty items, as well as pharmacy benefits management and specialty pharmacy services. CVS Health's integrated business model allows them to serve individual consumers, businesses, and communities effectively, with a focus on improving health outcomes and reducing healthcare costs. Unlike many competitors, CVS Health combines pharmacy services with medical care, making it easier for patients to access quality healthcare. The company's goal is to enhance access to healthcare and support individuals in achieving better health.

Woonsocket, Rhode IslandHeadquarters
1963Year Founded
DEBTCompany Stage
Healthcare, Consumer GoodsIndustries
10,001+Employees

Benefits

Health Insurance
Dental Insurance
Vision Insurance
Life Insurance
Disability Insurance
401(k) Retirement Plan
Company Equity
Wellness Program
Professional Development Budget
Paid Vacation
Paid Holidays

Risks

Legal challenges related to opioid prescriptions could harm CVS's reputation and finances.
The DOJ's intervention in a whistleblower lawsuit may increase legal costs for CVS.
The Horizon Organic Milk recall exposes potential vulnerabilities in CVS's supply chain.

Differentiation

CVS Health operates over 9,600 retail pharmacies and 1,100 walk-in clinics nationwide.
The company integrates pharmacy benefits management with specialty pharmacy services for comprehensive care.
CVS Health offers tailored medication plans through personalized medicine and pharmacogenomics.

Upsides

Expansion of telehealth services allows CVS to reach more patients remotely.
Increased consumer interest in wellness boosts demand for CVS's health-related products.
The trend towards value-based care aligns with CVS's integrated healthcare approach.

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