Job Description

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. Site of Care Specialist is the face of Aetna to provide targeted, personalized service based on a holistic view of the member, benefits, health information, and through engagement. Handles site of care transitions based on medical policy via telephone, internet, web-chat or written correspondence. Calls are typically non-routine and may require deviation from standard screens, scripts and procedures to engage, consult, and educate members and providers by delivering individualized programs based upon the member's unique needs and preferences. Utilizes resources to assist members in understanding components of the Aetna products including claims, accumulators, usage and balances and cost sharing. Provides support to the Department in meeting client expectations regarding efficiency, service levels, privacy maintenance and quality of decision-making. Responsible for maintaining compliance with ERISA, and client specific requirements. Works as part of the team to meet business unit objectives. **Required Qualifications:** Ability to deal with a diverse customer base in a friendly and confident manner including medical office providers and members. Must display empathy and effective listening skills to deliver successful cost-saving transitions of care. A proven background in medical/pharmacy benefits, particularly as these relate to infused specialty medications. Strong analytical and critical thinking skills, coupled with the ability to master complex systems, are prerequisites. A balance of compassion, integrity, discretion, sound judgment, with a strong desire to achieve and exceed metrics. Familiar with computer systems and Microsoft Office skills. Ability to prioritize and manage multiple tasks; Excellent organization skills; Strong detail orientation; Strong verbal and written communication skills; Works well as a member of a team; Strong interpersonal skills. Ability to maintain confidentiality. Knowledge of Aetna systems and processes including ATV, ACAS, NLX, SFDC and others. **Preferred Qualifications:** Healthcare/Pharmacy Experience Salesforce Experience **Education:** High School or Equivalent **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $18.50 - $31.72 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. For more information, visit We anticipate the application window for this opening will close on: 12/06/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

Job Tags

Hourly pay, Full time, Temporary work, Work at office, Local area, Flexible hours,

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