Job Details

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and qualityin everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

Position Summary

We are currently recruiting top talent for our Service Advocate role in our Medicare Stars Member Advocacy Center. Aetna Medicare's Member Advocacy Center engages with our members to provide innovative, proactive, and compassionate solutions that exceed our member's expectations.

In this role, you will connect with members through many channels including outbound and inbound calls, video conferencing and SMS to answer unasked questions and resolve issues. Our service advocates have a high degree of empathy and patience.

This position also requires performing a review of member claim history to ensure accurate tracking of benefit maximums and/or coinsurance/deductible and educating the member on their plan of benefits based on the campaign. The service advocate will be using several computer-based programs to service the members' needs and will need to be able to work in a metric-based production environment.

We are the knowledgeable, trusted, advocates for our members. The key to our success is our people.

We encourage bilingual applicants to apply.

Fundamental Components/Job Description:

Medicare Member Advocate:

• Educates plan benefits, answers questions, and resolves issues based on campaign outreach.

• Documents and tracks contacts with members.

• Educates members on our self-service options

• Follows campaign guidelines for exceptional service

• Exceeds member expectations

• Ensures that every caller is treated with respect, kindness and all questions are thoroughly answered

• Respond to inquiries from our Medicare Advantage members

• Connects with members to diminish service disruption and educate members on plans

• Takes ownership and follows through on commitments

• Create lasting relationships with our members

• Work in a team and production-based environment to create world class service

• Ability to navigate multiple systems

• Acts as an advocate for our members

Required Qualifications

• Ability to creatively solve members' problems and have desire to help and advocate for them

• Problem solving with demonstrated ownership qualities

• Demonstrated empathy, compassion and listening skills

• Window based application knowledge

Preferred Qualifications

• Proven leadership skills

• Demonstrate ability to de-escalate situations

• Effective communication and documentation skills

• Ability to quickly learn new skills and apply them

• Demonstrated skills to multitask and problem solve

• Healthcare and medical terminology knowledge

• Medical billing and claims process experience
• Bilingual preferred

Education

High School Diploma or GED

Anticipated Weekly Hours
40

Time Type
Full time

Pay Range

The typical pay range for this role is:

$17.00 - $31.30

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.

For more information, visit

We anticipate the application window for this opening will close on: 02/07/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.