Outreach Coordinator

CVS Health

3d • $21 - $37

About The Position

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. Position Summary Identifies potential resources and initiates collaboration with community centers, mental health centers, faith/ethnic-based social service organizations, and school organizations to improve member health outcomes and HEDIS measures. Makes outbound calls to members to provide assistance in obtaining services (i.e., provide reminders, make appointments, arrange transportation, etc.) to avoid delays in treatment and improve member health outcomes. Identifies when to refer member to Social Worker or Case Manager. Investigates and responds to member inquiries regarding benefits in person, via telephone, and in writing. Distributes educational information to members by most appropriate method (mailings, social media, automated calls, etc.) to help them utilize benefits more effectively. Develops educational/outreach materials including but not limited to incentive documents, call scripts, event flyers, social media text, etc. Develops and maintains member incentive programs to support HEDIS initiatives; maintains incentive database to track member compliance. Identifies opportunities to partner with community organizations on special events and presentations (i.e., health fairs and community events) to heighten awareness of Aetna’s name; works with internal staff to schedule, organize, and staff these events.

Requirements

• 3+ years’ recent and related outreach experience working with providers or members, and/or government program managed care product experience.
• Experience with Microsoft Office products (Word, Excel, Project, PowerPoint, Outlook)
• High School Diploma or GED (REQUIRED)

Nice To Haves

• Customer service experiences in a transaction-based environment such as a call center or retail location

Responsibilities

• Identifies potential resources and initiates collaboration with community centers, mental health centers, faith/ethnic-based social service organizations, and school organizations to improve member health outcomes and HEDIS measures.
• Makes outbound calls to members to provide assistance in obtaining services (i.e., provide reminders, make appointments, arrange transportation, etc.) to avoid delays in treatment and improve member health outcomes.
• Identifies when to refer member to Social Worker or Case Manager.
• Investigates and responds to member inquiries regarding benefits in person, via telephone, and in writing.
• Distributes educational information to members by most appropriate method (mailings, social media, automated calls, etc.) to help them utilize benefits more effectively.
• Develops educational/outreach materials including but not limited to incentive documents, call scripts, event flyers, social media text, etc.
• Develops and maintains member incentive programs to support HEDIS initiatives; maintains incentive database to track member compliance.
• Identifies opportunities to partner with community organizations on special events and presentations (i.e., health fairs and community events) to heighten awareness of Aetna’s name; works with internal staff to schedule, organize, and staff these events.

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees