Coordinator, Member Engagement Service

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Member Engagement Customer Service Coordinator

How will this role have an impact?

As part of the Signify Health's Member Engagement team, our Customer Service Team will act

as a liaison between the Member Engagement team, health plan and affiliates, health plan

members, and physician practices across the country. Customer Service Coordinators help

improve the overall member and clinician experience. Primary areas of focus include:

Outbound calls to members and medical facilities, scheduling Primary Care Physician (PCP)

appointments, and interacting with members, clinicians, and doctor's offices.

In this role, you will speak to both members of various Medicare Advantage and Medicaid health

plans and healthcare providers nationwide, in addition to health plan employees as needed.

Primarily by phone, this role will be multi-faceted and even include coordinating medical

appointments between health plan members and physicians' offices, tracking that data, and

assisting the Member Engagement team to meet department goals for productivity, quality, and

customer service. Data management, quality customer service, and providing feedback on

areas for improvement are all critical to the success of this department.

This role will report to a Member Engagement Customer Service Manager.

What will you do?

● Present a positive and professional demeanor to clients, health plan members,

clinicians, and co-workers.

● Leverage multiple internal and external systems to facilitate member scheduling of

appointments, and ensure smooth communication between health plan members,

providers and Signify/CVS.

● Assist health plan members with coordinating a PCP connection following a health

Assessment, facilitate relay test results, schedule mammograms and vaccinations, assist with member enrollment in mail order prescription programs, and coordinate annual wellness visits on behalf of members. facilitating the communication of test outcomes, arranging mammography appointments, administering immunizations, connecting members with mail-order pharmaceutical services, and scheduling yearly health assessments on their behalf.

● Meet all quality, customer service, and productivity goals set by the department (i.e.,

number of calls per day, appointments set per day, shift and attendance policy

adherence, quality targets, etc.) in their remote environment.

● Must be able to utilize various regulated scripts approved by both clients & Signify.

● Follow internal scripts and processes, track data as requested by Management, and

maintain accurate record notes on member files.

● Receive/enable warm transfers from within or outside the department, including clinician,

doctors' offices, pharmacies, and call center representatives.

● Follow departmental procedures when communicating with members, colleagues, and business partners.

● Handle additional tasks as requested by Management within expected timeframe.

● Support business needs by conducting manual outbound calls and handling inbound

phone calls, as well as receiving outbound calls placed by the telephony system as

needed, potentially managing 300+ calls daily.

● Act as a subject matter expert for peer side-by-side coaching. Assist with training fellow

employees.

● Accept constructive feedback and respond appropriately.

● Ability to work overtime and on-call as requested per Signify.

● Be responsible for the security and privacy of any protected health information accessed at all times.

We are looking for someone with:

● A High School Diploma or two years of relevant work experience preferred

● Previous appointment scheduling and/or call center experience (inbound and/or

outbound) required in a multi-tasking, high call volume environment

● Experience working with call center technology systems (softphone, QA, WFM, CMRs, and EMRs) highly preferred

● Advanced understanding of call center or tele-sales environment preferred.

● Data-driven troubleshooting experience preferred.

● Basic understanding of relational database functionality preferred.

● Experienced skills in MS Office, Excel, and particularly G-Suites.

● Fluency in speaking, reading, and writing English. Bilingual English/Spanish is a plus.

● Proven ability to prioritize and multi-task in order to meet productivity standards.

● The ability to work a set schedule as assigned by Management and abide to attendance guidelines.

● Strong critical thinking, analytical, and data entry skills.

Anticipated Weekly Hours

Time Type

Pay Range

The typical pay range for this role is:

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.

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Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.