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Medicare Service Advocate

CVS Health
Location: Posted on: 17 July 2026
Remote

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 We are currently recruiting top talent for our Service Advocate role in our Medicare Stars Member Advocacy Center.   The Member Advocacy Center (MAC Team) is an elite team in Medicare Stars that conducts various high touch omnichannel outreach campaigns to deliver a differentiated member experience that closes gaps in care, provides a human connection with the member and proactively assist s   in navigating their health plan benefits. We are knowledgeable and trusted advocates for our members. The key to our success is our talent.   In this role, the majority of your work will involve connecting with members through outbound and inbound calls.   As member expectations continue to evolve, you may also communicate with our members via video conferencing and/or SMS to answer unasked questions and resolve issues.   Our service advocates have a high degree of empathy and patience.    This position also requires performing   a    holistic   approach on benefit usage and education, and claims, including but not limited   to;   medical, dental, prescriptions, and   value-added   items and services.   The service advocate will be using several computer-based programs to service the   members'   needs and will need to be able to work in a metric-based production environment.     We encourage bilingual applicants to apply. A Medicare   Service   Advocate:    Ability to navigate multiple systems   Acts as an advocate for our members   Connects with members   to diminish service disruption and   educate members on plans   Create lasting relationships with our members   Documents and tracks contacts with members.   Educates plan benefits, answers questions ,   and resolves issues based on campaign   outreach .   Educates members on our self-service options   Ensures that every caller is treated with respect, kindness and all questions are thoroughly answered   Exceeds member expectations    Follows campaign guidelines for exceptional service   Respond to inquiries from our Medicare Advantage members    Takes ownership and follows through on commitments   Work in a team   and production-based   environment to create world class service   Required Qualifications 1 year of customer service experience in any line of business Ability to creatively solve members’ problems and have desire to help and advocate for them   Problem solving with   demonstrated   ownership qualities   Demonstrated empathy,   compassion   and listening skills   Window based application knowledge   Preferred Qualifications Proven leadership skills   Demonstrate ability to de-escalate situations   Effective communication and documentation skills   Ability to quickly learn new skills and apply them    Demonstrated skills to multitask and problem solve   Healthcare and medical terminology knowledge   Medical billing and claims process experience   Education High School Diploma or GED   Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $17.00 - $31.30 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.     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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments . We anticipate the application window for this opening will close on: 07/18/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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