Member Advocate - Field- New Jersey
Position Summary
The Member Advocate is responsible for direct member outreach and engagement. Join us in this exciting opportunity as we grow and expand DSNP into new markets across the country.
Key Responsibilities
- Initiates engagement with assigned members to introduce the program and gather updated member demographic information with speed, accuracy, and a positive attitude.
- Schedules completion of the assessment based on the member’s preferences and the assigned care manager’s schedule.
- Accurately and consistently documents each call in the member’s electronic record, thoroughly completing required actions with a high level of detail to ensure we meet our compliance requirements.
- Protects the confidentiality of member information and adheres to company policies regarding privacy/HIPAA.
- Effectively supports members during enrollment calls, appropriately managing difficult or emotional member situations, responding promptly to member needs, and demonstrating empathy and a sense of urgency when appropriate.
- Conducts triage, connecting members with appropriate care team personnel including care managers and customer service when needed.
- Ability to be agile, manage multiple priorities, and adapt to change with enthusiasm.
- Determined to build strong relationships with peers and our DSNP members.
- Demonstrates an outgoing, enthusiastic, and caring presence over the telephone.
- Acts as a Medicaid recertification specialist for the team.
Remote Work Expectations
- This is a remote role with 25-40% travel required, candidates must have a dedicated workspace free of interruptions.
- Dependents must have separate care arrangements during work hours, as continuous care responsibilities during shift times are not permitted.
Required Qualifications
- 2 years of experience preferably in customer service, telemarketing, Medicaid, and/or sales.
- Experience with computers, including knowledge of Microsoft Word, Outlook, and Excel - data entry and documentation within member records is preferred.
- Must reside in New Jersey and be able to travel 25-40% to attend member meetings.
Preferred Qualifications
- Call center experience preferred.
- Familiarity with basic medical terminology preferred.
- Flexibility with work schedule to meet business needs.
- Strong organizational skills, including effective verbal and written communications skills.
- Bilingual desired.
Education
The highest level of education desired for candidates in this position is a High School diploma or G.E.D.
Pay Range
The Typical Pay Range For This Role Is $18.50 - $38.82 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. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Additional Details
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.