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
Site of Care Specialist is the face of Aetna to provide targeted, personalized service based on a holistic view of the member, benefits, health information, and through engagement. Handles site of service transitions based on medical policy via telephone, internet, web-chat or written correspondence. Calls are typically non-routine and may require deviation from standard screens, scripts and procedures to engage, consult, and educate members and providers by delivering individualized programs based upon the member?s unique needs and preferences. Utilizes resources to assist members in understanding components of the Aetna products including claims, accumulators, usage and balances and cost sharing. Provides support to the Department in meeting client expectations regarding efficiency, service levels, privacy maintenance and quality of decision-making. Responsible for maintaining compliance with ERISA, and client specific requirements. Works as part of the team to meet business unit objectives.
Required Qualifications
Ability to deal with a diverse customer base in a friendly and confident manner including medical office providers and members. Must display empathy and effective listening skills to deliver successful cost-saving transitions of care. A proven background in medical/pharmacy benefits, particularly as these relate to infused specialty medications. Analytical skills and the ability to master complex systems are prerequisites. A balance of compassion, integrity, discretion, sound judgment, with a strong desire to achieve and exceed metrics.
Familiar with computer systems and Microsoft Office skills. Ability to prioritize and manage multiple tasks; Excellent organization skills; Strong detail orientation; Strong verbal and written communication skills; Works well as a member of a team; Strong interpersonal skills. Ability to maintain confidentiality. Knowledge of Aetna systems and processes including ATV, ACAS, NLX, SFDC and others.
Preferred Qualifications
Healthcare/Pharmacy Experience
Salesforce Experience
Education
High School or Equivalent
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: 08/31/2024
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws
To apply for this job please visit topsiksha.com.
