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CVS Health is seeking a dedicated outreach specialist to coordinate member outreach and promote health plan benefit utilization within Medicaid or Medicare populations. You will respond to member inquiries in person, by phone, and in writing, and support HEDIS quality initiatives and regulatory requirements, including outreach to noncompliant members.
You will also assist in capturing medical records for HEDIS reviews and data abstraction.
Coordinates member outreach to ensure effective use of health plan benefits, ensure member receipt of important clinical services, and to improve member health outcomes within the Medicaid or Medicare population. Responds to member inquiries in person, via telephone, and in writing. Provides support for Healthcare Effectiveness Data and Information Set (HEDIS) quality initiatives and regulatory and contractual requirements including outreach to members who are noncompliant in the designated outreach services. Supports effective medical record capture for HEDIS medical record review and abstraction of supplemental data.
High School Diploma (REQUIRED). Bachelor’s Degree (PREFERRED).
40
Full time
The typical pay range for this role is: $21.10 - $40.90. 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 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.
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. 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.
We anticipate the application window for this opening will close on: 11/01/2026. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.