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 quality in 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 Identifies potential resources and initiates collaboration with community centers, mental health centers, faith/ethnic-based social service organizations, and school organizations to improve member health outcomes and HEDIS measures. Makes outbound calls to members to provide assistance in obtaining services (i.e., provide reminders, make appointments, arrange transportation, etc.) to avoid delays in treatment and improve member health outcomes. Identifies when to refer member to Social Worker or Case Manager. Investigates and responds to member inquiries regarding benefits in person, via telephone, and in writing. Distributes educational information to members by most appropriate method (mailings, social media, automated calls, etc.) to help them utilize benefits more effectively. Develops educational/outreach materials including but not limited to incentive documents, call scripts, event flyers, social media text, etc. Develops and maintains member incentive programs to support HEDIS initiatives; maintains incentive database to track member compliance. Identifies opportunities to partner with community organizations on special events and presentations (i.e., health fairs and community events) to heighten awareness of Aetna’s name; works with internal staff to schedule, organize, and staff these events.
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Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED