Role 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. Medicaid Specialists are an integral part of our team and sit within our Contact Center team. They place outgoing and receive incoming calls or referrals in an effort to support our low-income eligible patients with assessing and applying for Medicaid. Medicaid helps patients save money on healthcare expenses, thus improving their access to care. PRMs - Medicaid Specialists advocate for our patients by helping them navigate low-income and insurance resources available. They are also a resource to our center teams for questions regarding Medicaid and eligibility. During the upcoming Medicaid redetermination period PRMs - Medicaid Specialists will be integral in helping our patients navigate the state-specific redetermination process to maintain coverage and continuity of care.

• Place outgoing and receive incoming calls or referrals to assist patients in the Medicaid redetermination process and eligibility and application process.
• When applicable, attend Medicaid redetermination events in person to support patients application and renewals.
• Learn the ins and outs of Medicaid and use knowledge to assist patients with navigating low-income resources available.
• Serve as internal resource for all teams on Medicaid questions.
• Advocate for the patient in what resources they are entitled to.
• Gain the trust of patients in an effort to properly advise them in their healthcare coverage.
• Effectively communicate and coordinate across teams to ensure patient needs are met.
• Provide exceptional customer service.
• Other duties, as assigned.

Qualifications

• High school diploma, Bachelor's degree preferred.
• 2-5 years experience.
• Sales background preferred, but not required.
• Prior Medicaid experience preferred, but not required.
• Familiarity with relevant patient population.
• Community health experience preferred.
• Proficient PC skills.
• Fluency in Spanish, Polish, Russian, or other languages spoken by people in the communities we serve, where necessary.

Requirements

• Anticipated Weekly Hours: 40.
• Time Type: Full time.
• Pay Range: The typical pay range for this role is $18.50 - $38.82.
• 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.

Benefits

• This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families.
• The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
• Additional details about available benefits are provided during the application process and on Benefits Moments.