Customer Service Representative - Aetna Medicaid Member Services - Work from Home Opportunity with CVS Health

Posted 2025-10-26
Remote, USA Full Time Immediate Start
Bring Your Heart to CVS Health: Transforming Healthcare through Compassionate Customer Service At CVS Health, we're driven by a singular purpose: to bring our heart to every moment of your health. As a leading healthcare company, we're committed to delivering enhanced, human-centric care that's both personal and convenient. Our Heart At Work Behaviors guide our actions, ensuring that how we deliver our services is just as important as what we deliver. We're seeking a dedicated Customer Service Representative to join our team, providing top-notch support to Aetna Medicaid members and providers. About the Role: Aetna Medicaid Member Services Representative As a Member Service Representative, you'll be the primary point of contact for Aetna Medicaid members and providers, addressing their inquiries and concerns via phone. Your exceptional customer service skills will shine as you navigate a range of topics, including eligibility, provider changes, and ID card requests. We're looking for individuals who are passionate about delivering outstanding experiences and are committed to making a positive impact in the lives of our members. Key Responsibilities: Respond to inbound calls from members and providers, addressing their questions and concerns in a timely and professional manner. Provide accurate and helpful information regarding benefits, eligibility, services, prior authorization requirements, and extra benefits and programs. Utilize our systems and tools to resolve member inquiries, ensuring a seamless and efficient experience. Maintain a high level of productivity and meet performance standards, attendance requirements, and call quality goals. Work from home with a reliable high-speed internet connection (via ethernet cable) and company-provided equipment. Participate in training and ongoing development to stay up-to-date on products, services, and industry trends. Essential Qualifications: Reside within 50 miles of Charleston, WV (commuting to the office may be required in certain circumstances). Excellent communication and interpersonal skills, with the ability to effectively interact with members and providers. Strong problem-solving and analytical skills, with the ability to navigate complex issues. Ability to work independently in a remote setting, with a high degree of self-motivation and discipline. High school diploma or equivalent required. Preferred Qualifications: Previous experience working in a call center environment, preferably in a remote setting. Familiarity with Medicaid and Medicare programs, including their benefits and services. Experience working in a healthcare or insurance setting, with knowledge of industry terminology and concepts. What We Offer: Comprehensive Benefits and Career Growth Opportunities At CVS Health, we're committed to supporting the well-being and success of our colleagues. Our comprehensive benefits package includes: Competitive compensation, with a pay range of $17.00 - $25.15 per hour. Medical, dental, and vision benefits to support your overall health. 401(k) retirement savings plan and Employee Stock Purchase Plan. Term life insurance, short-term and long-term disability benefits. Well-being programs, education assistance, and free development courses. CVS store discount and discount programs with participating partners. Paid Time Off (PTO) and paid holidays throughout the calendar year. Our Culture: Putting Heart into Everything We Do At CVS Health, we're dedicated to creating a culture that values compassion, innovation, and teamwork. Our Heart At Work Behaviors guide our actions, ensuring that we're always putting our heart into everything we do. We're committed to recruiting, hiring, developing, and advancing individuals with disabilities, and we strive to provide equal access to the benefits and privileges of employment. COVID-19 Vaccination Requirements CVS Health requires certain colleagues to be fully vaccinated against COVID-19, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons. As a condition of employment, you'll be required to provide proof of vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Ready to Join Our Team? If you're passionate about delivering exceptional customer service and are committed to making a positive impact in the lives of our members, we want to hear from you. Apply now to join our team as a Customer Service Representative - Aetna Medicaid Member Services! If you think this role describes you, we would love to hear from you. Apply now to join our team!
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