Customer Service Representative - Aetna Medicaid Member Services - Remote Opportunity with CVS Health

Bring Your Heart to CVS Health: Transforming Healthcare through Compassion and Innovation At CVS Health, our purpose is clear: we're dedicated to bringing our heart to every moment of your health. This guiding principle shapes our commitment to delivering enhanced, human-centric healthcare solutions in a rapidly evolving world. Our brand is anchored by the concept of "heart" – a symbol of our dedication to making a meaningful difference in the lives of our customers, colleagues, and communities. As a valued member of our team, you'll be empowered to play a vital role in transforming our culture and driving innovation that makes healthcare more personal, convenient, and affordable. About the Role: Aetna Medicaid Member Services Representative We're seeking a highly skilled and compassionate Customer Service Representative to join our Aetna Medicaid Member Services team. As a key member of our customer service team, you'll provide exceptional telephone support to Aetna Medicaid members and providers, addressing a range of inquiries and concerns with empathy, professionalism, and expertise. Your role will be critical in shaping the customer experience and ensuring that our members receive the support they need to navigate the healthcare system. Key Responsibilities: Respond to inbound calls from members and providers, addressing inquiries related to benefits, eligibility, services, prior authorization requirements, and other relevant topics. Provide accurate and timely information, resolving issues and concerns in a professional and courteous manner. Utilize our systems and tools to access member information, document interactions, and escalate complex issues as needed. Maintain a high level of productivity and quality, meeting performance standards and call quality goals. Work from home with a secure, high-speed internet connection (via ethernet cable) and company-provided equipment. Participate in training and ongoing development to enhance your skills and knowledge. Essential Qualifications: Reside within 50 miles of Charleston, WV (commuting to the office may be required in certain circumstances). Excellent communication and interpersonal skills, with the ability to interact effectively with members and providers. Strong problem-solving and analytical skills, with the ability to resolve complex issues. Ability to work independently in a remote setting, with a high degree of self-motivation and discipline. High school diploma or equivalent required. Preferred Qualifications: Previous experience working in a call center environment, preferably in a remote or virtual setting. Familiarity with Medicaid and Medicare programs, including benefits, eligibility, and services. Experience working in a healthcare or insurance setting, with knowledge of relevant systems and processes. What We Offer: Comprehensive Benefits, Career Growth, and a Culture of Care At CVS Health, we're committed to supporting the well-being and success of our colleagues. Our comprehensive benefits package includes: Competitive compensation, with a pay range of $17.00 - $25.15 per hour. Medical, dental, and vision benefits to support your health and well-being. Retirement savings plan (401(k)) and Employee Stock Purchase Plan. Term life insurance, short-term and long-term disability benefits. Well-being programs, education assistance, and free development courses. CVS store discount and discount programs with participating partners. Paid Time Off (PTO) and holidays throughout the calendar year. Our Culture: Heart at Work, Innovation, and Inclusion At CVS Health, we're dedicated to creating a culture that values diversity, inclusion, and compassion. Our Heart At Work behaviors guide our interactions and decision-making, ensuring that we're always putting our customers and colleagues first. We're committed to fostering an environment that's inclusive, supportive, and empowering – where everyone can thrive and grow. Why Join Us? If you're passionate about delivering exceptional customer service, working in a dynamic and supportive environment, and making a meaningful difference in the lives of others, we want to hear from you. As a Customer Service Representative with CVS Health, you'll have the opportunity to: Develop your skills and expertise in a fast-paced, evolving industry. Work with a talented team of professionals who share your commitment to excellence. Enjoy a flexible, remote work arrangement that supports your work-life balance. Be part of a company that's shaping the future of healthcare and making a positive impact on our communities. Ready to Apply? If you're excited about this opportunity and confident in your ability to deliver exceptional customer service, we encourage you to apply today. Please submit your application, including your resume and a cover letter, to be considered for this role. We can't wait to hear from you and explore how you can contribute to our mission to bring our heart to every moment of your health. If you think this role describes you, we would love to hear from you. Apply now to join our team!