Description

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.

We take a team-based approach to providing outstanding patient care. Our Membership Management Team connects directly with our patients and ensures they are happy with their experience. The Membership Management Team is responsible for delivering excellent, high-touch assistance to our patients everyday.
Patient Relations Specialists (PRSs) are an integral part of our team and help us meet our goal of successfully supporting patients with their healthcare coverage. Your role is to provide support for our patients by helping them navigate through insurance benefits, educate them on their plan, properly advise them on healthcare coverage options and assist with any billing questions. PRSs are key players during the Annual Election Period ensuring that our patients are informed of all their options surrounding Medicare as well as serving as support to the in center Patient Relations Managers and our Insurance Advisor partners.

Core Responsibilities:

Learn the basics of Medicare and use knowledge to assist patients with navigating insurance issues
Educate our existing patients and encourage them to engage with us with their questions regarding their current healthcare coverage
Gain the trust of patients in an effort to properly advise them in their healthcare coverage and connect them to the appropriate resources
Serve as support for our in center Patient Relations Managers
Provide assistance to our Insurance Advisor Partners
Assist patients in navigating the healthcare system, help patients resolve medical bills inside and outside of the company (advocate for the patient)
Provide exceptional customer service
Other duties, as assigned

What are we looking for?

High school diploma
Typically, less than 1 year of relevant experience

A problem-solving orientation and a flexible and positive attitude
An eagerness to help us build and refine our operating model
An understanding of the Medicare and Medicare Advantage programs preferred, but not required
Sales background preferred
A commitment to performing meaningful work that dramatically improves the lives of patients
Community health experience preferred
Proficient PC skills
Outstanding phone demeanor and etiquette

Fluency in Spanish, Polish, Russian, or other languages spoken by people in the communities we serve (where necessary)

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 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: 08/31/2026

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