Health Advocate – Inbound/Outbound Calls

September 22, 2026

Job Description:

Make inbound and outbound calls to members and providers regarding healthcare visits, screenings, vaccinations, and medication refills
Work through barriers preventing members from achieving good health
Deliver professional, empathetic member experiences
Educate members to support informed health decisions and improved outcomes
Accurately document conversations in members’ health records
Explain benefits for specific screenings and medications
Assist members with health services, medications, and resources to improve Star health outcomes
Escalate issues for resolution when needed
Meet business metrics and goals while working efficiently in a fast-paced environment

Requirements:

2+ years’ experience with call center or outreach involving members/consumers
Dependents must have separate care arrangements during work hours; continuous care responsibilities during shift times are not permitted
Professional communication skills
Strong active listening and interpersonal skills
High computer literacy, including ability to troubleshoot issues
Proficiency with Windows, web-based applications, and digital communication tools
Reliable high-speed internet connection and suitable remote workspace
Hard-wired connectivity to the computer; DSL, satellite, and wireless broadband are not permitted
High School Diploma or GED (REQUIRED)
Ability to use multiple monitors and navigate multiple applications simultaneously
Ability to communicate via email, calendar invites, Teams messaging, and virtual meetings
Experience with Microsoft Office 365 applications or similar Google Workspace applications
Ability to log in to secure systems such as VPN and EHR portals, manage strong passwords, and recognize suspicious emails or links
Ability to troubleshoot common technical issues independently
Quiet, secure, private, designated home workspace compliant with CVS Health and HIPAA guidelines
Must work within the state and city where currently living
Must obtain required internet speeds and comply with Work From Home requirements

Benefits:

Medical coverage
Dental coverage
Vision coverage
Paid time off
Retirement savings options
Wellness programs
Company-provided equipment (keyboard, monitor, computer, headset, etc.)
Comprehensive benefits package supporting physical, emotional, and financial well-being

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