Provider Service Data Specialist

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand ? with heart at its center ? our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

Our Heart At Work Behaviors? support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

Position Summary

CVS Aetna has an opportunity available for a full time Provider Services Specialist in the Resources for Living team. In this role you will be handling outbound calls to providers and members and to facilitate utilization of the Employee Assistance Program (EAP) benefits.

A Brief Overview

Coordinates Worklife, employee assistance, and management consultant resources. Reviews member's needs and communicates information regarding relevant services and resources. Administers policies and procedures for the Employee Assistance Program Worklife area to support organizational objectives.

What you will do

Executes both routine and non-routine business support tasks for the Employee Assistance Program Worklife area under limited supervision, referring deviations from standard practices to managers.

Follows area protocols, standards, and policies to provide effective and timely support.

Answers calls, understands call purpose, completes research to identify potential providers and resources, and enters member information into the appropriate system to initiate the case.

Responds to member inquiries about services, requests, and resources for life skills.

Maintains accurate and complete internal documentation of required information that meets risk management and regulatory requirements.

Takes direction to execute techniques, processes, and responsibilities.

Required Qualifications

1-3 years customer service experience within a Call Center.

Preferred Qualifications

Previous behavioral health experience desired

Medical or insurance background

Education

High School Diploma

Pay Range

The typical pay range for this role is:

$17.00 - $25.65

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.

In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company?s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (?PTO?) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.

For more detailed information on available benefits, please visit Benefits | CVS Health

We anticipate the application window for this opening will close on: 12/31/2024

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

Apply Job!