Health Advocate- Call Coordinator, Healthy Outcomes Team
CVS Health
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 The Health Advocate within the Healthy Outcomes Team interacts with members via multiple channels (digital, telephone) and conducts outreaches to our Medicare members to inspire and encourage healthy behaviors through innovative, compassionate and empathetic communications. The goal of each outreach is to ensure that every member has a clear understanding of the available benefits that are afforded to them under their Medicare plan for specific screenings and medications. The Health Advocate delivers provider and member telephonic outreaches to ensure receipt of important health services, medications and resources to improve Star health outcomes. The Health Advocate provides support for Healthcare Effectiveness Data and Information Set (HEDIS) quality initiatives by performing the following: Work on one or more of multiple departmental programs that include: Inbound and outbound calls to members who would benefit from designated services including healthcare visits/ screenings, vaccination, or medication refill. Effective capture of barriers and data collection, use of motivational interviewing skills to provide solutions to facilitate closing gaps in care, and providing best in class support to each member. Ensures that every customer is treated professionally, with respect and all questions are thoroughly answered and/or triaged and responded to. Acts as an advocate for our Medicare membershealthneeds and helps coordinate care between health plan, doctors and pharmacies. Actively listen and collect member reporte...
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