Placement Member Engagement Specialist Job at CVS Health

CVS Health Virginia

Schedule: Monday - Friday 9am- 5:30pm EST. Schedules subject to change at any time with advanced notice.

Fully remote role.

As a 24 hour call center operation, employees are required to support holiday coverage at a reduced staffing level. This means working some holidays, and observing the holiday on others.

  • Answer inbound calls from providers regarding
EAP/mental health benefits, authorizations, and claims
questions
  • Maintain provider records in StopLight/Relationship
Manager/Smart Front End, document each contact with
provider and/or member
  • Connect member with additional benefits/external
resources as needed
  • Create authorizations for face-to-face counseling
  • Negotiate Single Case Agreement rates with providers
that are not contracted with EAP
  • Assist with Account Executive Inquiries, e.g. reviewing
network/provider availability concerns, incorrect
information given to members, outreach calls to member
as needed
  • Assist with inbound MES call volume as needed

Pay Range
The typical pay range for this role is:
Minimum: 18.50
Maximum: 34.60

Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.

Required Qualifications
  • Basic computer knowledge
  • 1-3 years of call center customer service experience

Preferred Qualifications
  • Associate's or Bachelor's degree in a social, psychological
or human service field or equivalent experience preferred
  • Mental health and human services background preferred
  • 1-3 years of healthcare experience preferred
In the education field, identify the degree required and the equivalent experience if applicable for the role. Note this does not apply to clinical or special certification roles

Education
  • High school diploma/GED or equivalent experience required.

Business Overview
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.
We strive to promote and sustain a culture of diversity, inclusion and belonging every day.
CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.



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