Remote Customer Service Representative - New York, NY - Aetna Medicaid Member Services

Bring Your Heart to CVS Health: Transforming Healthcare through Compassionate Customer Service

At CVS Health, our purpose is clear: we're dedicated to bringing our heart to every moment of your health. As a leader in the healthcare industry, we're committed to delivering enhanced, human-centric care that's both personal and convenient. Our brand is built on the foundation of 'heart,' and we're passionate about making a positive impact on the lives of our customers, colleagues, and communities.

As a Remote Customer Service Representative in New York, NY, you'll play a vital role in our Aetna Medicaid Member Services team, providing exceptional telephone assistance to members and providers. Your expertise and compassion will help us achieve our goal of delivering outstanding customer experiences, every time.

About the Role: Key Responsibilities

As a Member Service Representative, you'll be the primary point of contact for Aetna Medicaid members and providers, addressing a range of inquiries and concerns. Your responsibilities will include:

• Responding to inbound calls from members and providers, providing timely and effective solutions to their queries regarding benefits, eligibility, services, prior authorization requirements, and extra benefits and programs.
• Demonstrating strong customer service skills, empathy, and professionalism in all interactions, ensuring a positive experience for every caller.
• Utilizing high-speed internet connectivity with secure service via ethernet cable (Wi-Fi not permitted) to perform your duties efficiently.
• Participating in comprehensive training provided by CVS Health, equipping you with the knowledge and skills necessary to excel in your role.
• Adhering to a production schedule (8:30 AM - 5:00 PM EST, Monday through Friday) and meeting performance standards, attendance requirements, and call quality goals.

Essential Qualifications: What We're Looking For

To succeed in this role, you'll need:

• Residency within 50 miles of New York, NY (or Richmond, VA for alternative location).
• Excellent communication skills, both written and verbal, to effectively interact with members and providers.
• The ability to work independently from home, demonstrating self-sufficiency and a strong work ethic.
• A high school diploma or equivalent.
• Occasional commuting to the office in New York, NY (or Richmond, VA) when unable to work from home due to technical issues.

Preferred Qualifications: Experience That Sets You Apart

While not mandatory, the following experience will give you a competitive edge:

• Previous experience working remotely in a call center environment.
• Familiarity with Medicaid and Medicare programs, enhancing your understanding of member needs and services.

Skills and Competencies: The CVS Health Difference

At CVS Health, we value colleagues who embody our Heart At Work Behaviors, demonstrating:

• Compassion and empathy in customer interactions.
• Effective communication and problem-solving skills.
• A commitment to delivering exceptional service and driving positive outcomes.
• Adaptability and resilience in a fast-paced, dynamic environment.

Career Growth and Learning Opportunities

As a CVS Health colleague, you'll have access to a range of development opportunities, including:

• Comprehensive training programs to enhance your skills and knowledge.
• Free development courses and education assistance to support your career growth.
• A culture that encourages innovation, collaboration, and continuous learning.

Work Environment and Company Culture

At CVS Health, we're proud of our inclusive, diverse culture that values every colleague's contributions. As a remote worker, you'll enjoy:

• Flexible work arrangements that support work-life balance.
• A collaborative, virtual environment that fosters connection and teamwork.
• Opportunities to participate in well-being programs, employee resource groups, and community initiatives.

Compensation and Benefits: A Comprehensive Package

We offer a competitive compensation package, including:

• A pay range of $17.00 - $28.45 per hour, depending on experience and qualifications.
• A comprehensive benefits package, featuring medical, dental, and vision coverage, 401(k) retirement savings plan, and Employee Stock Purchase Plan.
• Paid Time Off (PTO), holidays, and other leave programs to support your well-being.
• Additional perks, such as a CVS store discount, discount programs with participating partners, and free development courses.

Join Our Team: Make a Meaningful Impact

If you're passionate about delivering exceptional customer service and making a positive difference in the lives of others, we invite you to join our team as a Remote Customer Service Representative. Apply now and become part of a dynamic organization that's transforming healthcare through compassion, innovation, and collaboration.

CVS Health is an equal opportunities employer, committed to recruiting, hiring, developing, and retaining individuals with disabilities. We strive to provide equal access to the benefits and privileges of employment, including reasonable accommodations to perform essential job functions.