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.
Required Qualifications
- 3+ years’ recent and related outreach experience working with providers or members, and/or government program managed care product experience
- Experience with Microsoft Office products (Word, Excel, Project, PowerPoint, Outlook)
Preferred Qualifications
Customer service experiences in a transaction-based environment such as a call center or retail location
Education
- High School Diploma or GED (REQUIRED)
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$21.10 - $36.78
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.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit https://jobs.cvshealth.com/us/en/benefits
We anticipate the application window for this opening will close on: 03/25/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
