Plantation, Florida

Job Description
This is a permanent, full-time, work-from-home position, Monday-Friday, during regular business hours.

**Fluent in English and Spanish.**

Coordinating prevention and wellness activities for Medicaid recipients in Florida specifically designed to promote the importance and benefits of accessing timely preventive and well care through targeted live telephonic outreach.
Responsibilities and duties:
Conduct live telephonic outreach to Medicaid recipients and network providers to remind and promote utilization of preventive services.
Target phone calls to Medicaid recipients who have not had recent visits with a health care practitioner.
Assist members to obtain the recommended health care services to improve member health outcomes.
Identify barriers to accessing health care services and taking appropriate action to address such barriers (i.e., assist with scheduling doctor appointments, coordinating transportation services).
Educate Medicaid recipients on the importance of preventive health care.
Support quality initiatives, regulatory, contractual and/or accreditation requirements, including but not limited to HEDIS.
Collaborate with providers and physician practices to collect medical records for HEDIS.
Attend HEDIS trainings, conferences, seminars, and/or other professional organizational meetings as needed, to support and promote the business objectives.
Ability to track and report on outreach activities.
Actively participate in the production of periodic member and provider newsletters; submit HEDIS and/or prevention/wellness articles.
Collaborate with various members of the health care team members to develop interventions and initiatives for the benefit of Medicaid recipients, promotes adherence to treatment plan and health literary.

Required Qualifications
Effective communications/influencing skills applied to broad internal/external audience.
Fluent in English and Spanish.
Computer literacy (Microsoft Word, Excel, Outlook, Power Point, Teams, internet research).
Minimum 1-year recent experience with or related to:
Live telephone outreach to health care consumers.
Health education.
Working with local health departments, agencies,
and/or organizations in underserved communities.

COVID Requirements
CVS Health requires its Colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, or religious belief that prevents them from being vaccinated.

If you are vaccinated, you are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status within the first 10 days of your employment. For the two COVID-19 shot regimen, you will be required to provide proof of your second COVID-19 shot within the first 45 days of your employment. In some states and roles, you may be required to provide proof of full vaccination before you can begin to actively work. Failure to provide timely proof of your COVID-19 vaccination status will result in the termination of your employment with CVS Health.

If you are unable to be fully vaccinated due to disability, medical condition, or religious belief, you will be required to apply for a reasonable accommodation within the first 10 days of your employment in order to remain employed with CVS Health. As a part of this process, you will be required to provide information or documentation about the reason you cannot be vaccinated. In some states and roles, you may be required to have an approved reasonable accommodation before you can begin to actively work. If your request for an accommodation is not approved, then your employment may be terminated.

Preferred Qualifications
Background in managed care, care/case management or population health.
Experience working with adult and pediatric populations with physical and behavioral health conditions.
Recent experience with data collection and medical record abstraction for HEDIS (Healthcare Effectiveness Data and Information Set)

Associate or bachelor’s degree in a health-related field (health education, etc.) preferred.

Business Overview
At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.

We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities. See Job Description

Plantation, Florida

Continue serving and work with a purpose

As a CVS Health colleague, you'll find career opportunities across the organization and at every stage of your career. More important, your work will have an impactful purpose on someone's life, including your own. Learn more about how you can continue serving on your next mission at CVS Health.

Careers for Veterans and Military Spouses


"The military has an ethos that is grounded in purpose-driven service that’s bigger than the individual. The same holds true for us at CVS Health. You can talk to colleagues in any part of our business and they will be able to articulate our company’s purpose. Working here provides an opportunity for service members and military spouses to continue to serve, just in a civvies."

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