CVS Health

  • Fresno, CA, USA
CVS Health Remote * (Bismarck, ND, USA)
Sep 18, 2021
Job DescriptionThis is a work at home opportunity for candidates located in Central, Mountain and Pacific Time Zone which includes a $1000 sign on bonus as well as an additional $2000 90 days post training!At Aetna, we are currently recruiting caring, compassionate and curious Health Concierge Representatives who are willing to be problem solvers and champions for our members best health to help guide the members along a clear path to care. We work to build trust with our members and take pride in doing the right thing for the right reason. If you are passionate and empathetic about the people you serve, this position may be a fantastic career opportunity for you!The Health Concierge is the face of Aetna to provide targeted, personalized service based on a holistic view of the member, benefits, health information, and through engagement. Handles customer service inquiries and problems via telephone, internet, web-chat or written correspondence. Engages, consults and educates members...
CVS Health Remote * (Vancouver, WA, USA)
Sep 18, 2021
Job DescriptionThis is a work from home opportunity for candidates located in FL, WA, and OH.-Customer Service Representative is the face of Aetna and impacts members' service experience by manner of how customer service inquiries and problems via telephone, internet or written correspondence are handled. -Customer inquiries are of basic and at times complex nature. -Engages, consults and educates members based upon the members unique needs, preferences and understanding of Aetna plans, tools and resources to help guide the members along a clear path to care.-Customer Service experience in a transaction based environment such as a call center, retail location or hospitality environment preferred. -The CSR guides the member through their members plan of benefits, Aetna policy and procedures as well as having knowledge of resources to comply with any regulatory guidelines. -Takes accountability to fully understand the members needs by building a trusting and caring relationship with...
CVS Health Remote * (Chandler, AZ, USA)
Sep 18, 2021
Job Description CVS has a new opportunity within Customer Support in Chandler, AZ! The Customer Care Representative (CCR) is an important role in that the representative will be the first-line of contact with our customers, setting the tone for how our company and services are experienced. In response to COVID-19, we will offer immediate temporary Work from Home opportunities if you qualify. Qualifications include, but are not limited to, living within 75 miles of 2700 W. FRYE RD. CHANDLER, AZ 85224 maintaining your own internet with approved speed requirements and a secure work space free from distractions. Adherence to HIPAA and governmental compliance is required in this role. In order to be successful in this role you will be promoting a positive team environment, continuously evaluating and identifying opportunities to drive process improvements that positively impact the participant experience and aligns to the goals and objectives of the company. We'll need you to...
CVS Health Remote * (Hartford, CT, USA)
Sep 18, 2021
Job Description Available schedule: 10:00 AM - 6:30 PM EST BH Customer Service Reps provides advocate care to assist the member with a clear path to care, claims understanding and resolution and educates the member with online resources. The CSR guides the member through their members plan of benefits, Aetna policy and procedures as well as having knowledge of resources to comply with any regulatory guidelines. * Creates an emotional connection with our members by understanding and engaging the member to the fullest to champion for our members' best health. Taking accountability to fully understand the member's needs by building a trusting and caring relationship with the member. Anticipates customer needs. * Performs review of member claim history to ensure accurate tracking of benefit maximums and/or coinsurance/deductible. Performs financial data maintenance as necessary. Explains member's rights and responsibilities in accordance with contract. Holiday...
CVS Health Remote * (Indianapolis, IN, USA)
Sep 18, 2021
Job Description Meritain Health's Call Center has an opening for Customer Service Representatives to support our Evansville, IN office. This position handles customer service inquiries and problems via telephone, internet or written correspondence. Customer inquiries are of basic and routine nature. Required Qualifications * Customer Service Experience * Creating a Differentiated Service Experience * Demonstrating Service Discipline * Handling Service Challenges Preferred Qualifications * Providing Solutions to Constituent Needs * Working Across Boundaries Education High School diploma, G.E.D. or equivalent experience Business Overview At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new...
CVS Health Remote * (Irving, TX, USA)
Sep 17, 2021
Job Description The Senior Consultant Data is responsible for collaborating with business teams and leadership to identify trends and process improvement opportunities through data. The Senior Consultant Data will develop moderate to very complex standard and ad hoc reports, scorecards, and dashboards. Construct/deliver analytical findings in presentation format including visualization of data, formulate recommendations, and effectively present results to audiences. The Senior Consultant Data will work with the PBM Operations teams to understand and document business and functional requirements, create wire frames/dashboard mockups, conduct system/UAT testing and deploy reporting solutions to production environment. Furthermore, the Senior Consultant Data will provide support for data integrity, understand data impacts when changes to business processes/tools are made, ensure new business projects/processes built capture appropriate data attributes to build metrics/dashboards, and...
CVS Health Remote * (Phoenix, AZ, USA)
Sep 17, 2021
Job Description CVS Health has an exciting opportunity for Pharmacy Technicians joining the Specialty Pharmacy Team, with work from home opportunities for employees who meet requirements. The CVS Health Specialty Pharmacy is building a Work-From-Home Inbound Pharmacy Customer Service team to support our specialty patients who are in need of life sustaining medications. We are hiring Customer Service Representatives to work in our inbound call center to make the connection and ensure timely delivery to those patients reaching out. Are we busy - absolutely! Do you get a guarantee of 40 hours per week - absolutely! Through your skills and knowledge, you will be able to help our patients on their path to better health. Typical calls include prescription refills, order status, and insurance coverage. Our pharmacy has a high-energy culture and are passionate about providing excellent customer service with empathy while resolving the patients' questions on the first call. If you get...
CVS Health Remote * (Mt Prospect, IL, USA)
Sep 17, 2021
Job Description CVS has a new opportunity within Customer Support in our Mount Prospect,In IL location! The Customer Care Representative (CCR) is an important role in that the representative will be the first-line of contact with our customers, setting the tone for how our company and services are experienced. Adherence to HIPAA and governmental compliance is required in this role. In order to be successful in this role you will be promoting a positive team environment, continuously evaluating and identifying opportunities to drive process improvements that positively impact the participant experience and aligns to the goals and objectives of the company. We'll need you to professionally handle a high volume of complex inbound calls and may also include correspondence to include emails, faxes or written letters. Also, you'll ensure questions and issues are resolved both promptly and accurately and in a manner that participants are able to understand while thoroughly and...
CVS Health Remote * (Cumberland, RI 02864, USA)
Sep 17, 2021
Job Description * This position will provide virtual training and a temporary work from home option due to COVID-19. The role is based in Rhode Island. Exciting customer relations position available supporting CVS retail stores. Responsibilities include responding to customer calls made to our 1-800-SHOP-CVS line in a manner that is reflective of the company's purpose, strategy, and values. Must have superb customer service skills in order to assist customers in an inbound customer contact center setting. In this role, you will serve as a customer advocate when researching, responding or interpreting company procedures or policies with the ultimate goal of delighting our valuable customers. Excellent communication skills are needed as you review and process incoming phone calls, emails, and letters and as you respond to customers either on the phone or via written communications. Collaboration skills are needed as you partner with field management, category managers, and other...
CVS Health Remote * (Monroeville, PA, USA)
Sep 16, 2021
Job DescriptionCVS Health is offering an exciting opportunity to be part of our Re Authorization Prescription Benefits Verification team. This is a work from home position but candidates must live in Pennsylvania, within a 75 mile radius of Monroeville, PA. As a Benefits Verification Representative, you are a critical liaison between our patients, healthcare professionals and insurance carriers. You will verify insurance coverage in order to process patient prescription orders in a timely manner. Successful candidates in this role will possess an empathetic telephone presence, strong attention to detail, problem solving skills, and a goal driven work ethic. This position is 40 hours and offers overtime during our business peaks. We offer a comprehensive benefits package which includes medical, dental, vision insurance as well as a wide-ranging list of supplemental benefits and discount programs.? In addition to sixteen paid days off for employees, we also offer ten paid holidays....
CVS Health Remote * (Tucson, AZ, USA)
Sep 16, 2021
Job Description CVS Health, a Fortune 4 company, has an exciting opportunity in Arizona for a Customer Service Representative working on our Specialty Pharmacy team! The CVS Health Specialty Pharmacy is building a team to support our specialty patients in need of life sustaining medications. Are we busy - absolutely! Do you get a guarantee of 40 hours per week - absolutely! Through your skills and knowledge, you will be able to help our patients on their path to better health. Typical calls include prescription refills, order status, and insurance coverage inquiries. Our pharmacy has a high-energy culture and we're passionate about providing excellent customer service with empathy, while resolving the patients' questions on the first call. If you get satisfaction by knowing that you have helped someone, apply today. We have a comprehensive training program to ensure your success on the team.We offer Work from Home flexibility if you meet standards. Work from Home qualifications...
CVS Health Remote * (Jacksonville, FL, USA)
Sep 15, 2021
Job Description The role of the Customer Service Representative is to be a customer-focused, courteous, empathetic, service professional, who effectively uses knowledge of plans, products, procedures and systems to provide information and resolve issues, resulting in enhanced customer satisfaction and retention. The Customer Service Representative position is Aetna's window to our members, providers, physicians and hospitals. This is a work from home position at $17.50 per hour. As a Customer Service Representative, the image you project over the telephone and how you handle the caller's situation is the public's perception of Aetna. We provide a human connection when it is needed most. Required Qualifications * Experience in a production environment. * Customer Service experiences in a transaction-based environment such as a call center or retail location preferred, demonstrating ability to be empathetic and compassionate. * Strong communication and problem-solving skills *...
CVS Health Remote * (Tallahassee, FL, USA)
Sep 15, 2021
Job Description Meritain Health an Aetna/CVS affiliate has multiple openings for Customer Service Representatives in our permanent work from home role $17.50/hr wage. This position handles customer service inquiries and problems via telephone, internet or written correspondence. Customer inquiries are of basic and routine nature. * Handle incoming calls from members and providers regarding claims status, benefits and eligibility, PPO participation, etc * Maintain department established performance metrics at a meets or exceeds expectations level * Work together as a team and apply the Aetna Core Values in day-to-day operations * Creating a Differentiated Service Experience * Demonstrating Service Discipline * Handling Service Challenges * Providing Solutions to Constituent Needs * Working Across Boundaries Required Qualifications * Call center and medical terminology/insurance experience * Experience in a production environment Preferred Qualifications Please see above...
CVS Health Remote * (Sacramento, CA, USA)
Sep 15, 2021
Job Description The CVS Health Specialty Pharmacy is building an Inbound Pharmacy Service team to support our specialty patients who are in need of life sustaining medications. We are hiring Customer Service Representatives to work in our inbound call center to make the connection and ensure timely delivery to those patients reaching out. Are we busy - absolutely! Do you get a guarantee of 40 hours per week - absolutely! Through your skills and knowledge, you will be able to help our patients on their path to better health. Typical calls include prescription refills, order status, and insurance coverage. Our pharmacy has a high-energy culture and are passionate about providing excellent customer service with empathy while resolving the patients' questions on the first call. If you get satisfaction by knowing that you have helped someone, apply today. Do you have at least 12 months of customer service experience working with customers/patients (in a fast-paced, metric...
CVS Health Remote * (Orlando, FL, USA)
Sep 15, 2021
Job Description * This position will provide virtual training and a temporary work from home option due to COVID-19. The role is based in our Orlando location. Exciting customer relations position available supporting CVS retail stores. Responsibilities include responding to customer calls made to our 1-800-SHOP-CVS line in a manner that is reflective of the company vision, mission and values. Must have superb customer service skills in order to assists customers in an inbound customer contact center setting. In this role, you will serve as a customer advocate when researching, responding or interpreting company procedures or policies with the ultimate goal of delighting our valuable customers. Excellent communication skills are needed as you review and process incoming phone calls, emails, and letters and as you respond to customers either on the phone or via written communications. Collaboration skills are needed as you partner with field management, category managers, and other...
CVS Health Remote * (Columbus, OH, USA)
Sep 15, 2021
Job Description This is a permanent work from home position from any US state. * Supports comprehensive coordination of medical services including intake, screening and referrals to Aetna Medical Services Programs. * Promotes/supports quality effectiveness of Healthcare Services. Performs intake of calls from members or providers regarding services via telephone, fax, EDI. * Utilizes eTUMS and other Aetna system to build, research and enter member information Screens requests for appropriate referral to medical services staff. * Approve services that do not require a medical review in accordance with the benefit plan. * Performs non-medical research including eligibility verification, COB, and benefits verification. * Maintains accurate and complete documentation of required information that meets risk management, regulatory, and accreditation requirements. * Promotes communication, both internally and externally to enhance effectiveness of medical management services (e.g., claim...
CVS Health Remote * (Portland, OR, USA)
Sep 14, 2021
Job Description This is a work at home opportunity for candidates located in the EST and CST and PST time zones which includes a $1000 sign on bonus as well as an additional $2000 90 days post training! Health Concierge is the face of Aetna to provide targeted, personalized service based on a holistic view of the member, benefits, health information, and through engagement. Handles customer service inquiries and problems via telephone, internet, web-chat or written correspondence. Engages, consults and educates members based upon the member's unique needs, preferences and understanding of Aetna plans, tools and resources to help guide the members along a clear path to care. Utilizes resources to assist customers in understanding components of the Aetna products including claims, accumulators, usage and balances, and cost sharing. Required Qualifications Answers questions and resolves issues as a "single-point-of-contact" based on phone calls, plan sponsors, PSS/ISO, members...
CVS Health Remote * (Tampa, FL, USA)
Sep 14, 2021
Job Description This is a work from home opportunity for candidates located in FL, WA, and OH. Customer Service Representative is the face of Aetna and impacts members' service experience by manner of how customer service inquiries and problems via telephone, internet or written correspondence are handled. Customer inquiries are of basic and at times complex nature. Engages, consults and educates members based upon the member's unique needs, preferences and understanding of Aetna plans, tools and resources to help guide the members along a clear path to care. Customer Service experience in a transaction based environment such as a call center, retail location or hospitality environment preferred. The CSR guides the member through their members plan of benefits, Aetna policy and procedures as well as having knowledge of resources to comply with any regulatory guidelines. Takes accountability to fully understand the member's needs by building a trusting and caring...
CVS Health Remote * (Fresno, CA, USA)
Sep 14, 2021
Job Description This is a Customer Service Work From Home Position at $17.50 per hour with a $1000 sign on bonus. Handles provider customer service inquiries and problems via telephone, internet or written correspondence. Customer inquiries are of basic and routine nature. * Answers questions and resolves issues based on phone calls/letters from providers. Triages resulting rework to appropriate staff. Documents and tracks contacts with members, providers and plan sponsors. * Explains member's benefits, rights and responsibilities in accordance with contract to our providers. * Educates providers on our self-service options; Assists providers with credentialing and re-credentialing issues. * Determines applicable coverage provisions and verifies member plan eligibility relating to incoming correspondence and internal referrals. * Handles incoming status requests for appeals and pre-authorizations not handled by Clinical Claim Management. * Performs review of member/provider claim...
CVS Health Remote * (Wellesley, MA, USA)
Sep 12, 2021
Job DescriptionCVS Health Clinical Trials Services and Real-World Evidences (CTS/RWE) organization provides clinical trial services and RWE generation services to life science and medical technology partners. We also collaborate with our business partners, government agencies and academics to conduct public health, epidemiology, RWE, Health Economics and Outcomes Research (HEOR), leveraging the rich and extensive data from claims, pharmacy, community clinics, laboratory tests, and electronic medical records.As the Lead Biostatistician, you will be working in a multi-disciplinary team and in collaboration with clients. You will conduct statistical and methodological activities in design, analysis, interpretation, and dissemination on a variate of RWE studies.- Contributes to study design, including sample size estimation, power analysis, and research relevant literature.- Provide input into protocols and develop and review statistical analysis plans.- Creates and evaluates the data...