Customer Service Representative - Medicare - PST or EST

CVS Health; Frankfort (KY); Remote; USD 10,000 - 60,000; Full time

Job summary

CVS Health is hiring Customer Service Representatives for their Medicare team. This remote position involves providing compassionate support, responding to member inquiries, and ensuring a remarkable customer experience. The role offers full-time hours with comprehensive training and benefits for a fulfilling career in health solutions.

Benefits

Affordable medical plan options

401(k) plan with matching contributions

Employee stock purchase plan

No-cost wellness programs

Tuition assistance

Flexible work schedules

Paid time off

Qualifications

• 1+ years of customer service experience.
• 1+ years of experience in health insurance or related field.

Responsibilities

• Respond to inquiries from Medicare Advantage members via calls and messages.
• Deliver personalized service to Medicare members.
• Navigate multiple systems to resolve issues.

Skills

Empathy

Communication

Problem Solving

Education

High School Diploma or equivalent

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.

About the Role

We are currently hiring Customer Service Representatives (CSRs) to join our Medicare Customer Service team at Aetna, a CVS Health company. This is a fully remote opportunity to make a meaningful difference in the lives of our Medicare Advantage members.

Our CSRs are trusted advocates who provide proactive, compassionate, and knowledgeable support. We are committed to exceeding our members' expectations and delivering a remarkable customer experience.

Location: Remote (Permanent Work from Home)

Time Zone Requirement: Candidates must reside in Eastern Time or Pacific Time Zone (EST and PST)

Training & Schedule:

• Training: 10 weeks, full-time (8 hours/day), Monday-Friday. Hours may vary between 7:00 AM - 5:00 PM PST or 8:30 AM - 5:00 PM EST. No time off is permitted during training.
• Permanent Schedule: Shifts may begin as early as 7:00 AM and end as late as 6:00 PM local time. Schedules are updated quarterly through a shift bid process based on employee performance, attendance, and behavior; open schedules are determined by business needs and managed by Workforce Management (WFM).

Key Responsibilities

• Respond to inquiries from Medicare Advantage members via inbound calls, online messages, and written correspondence.
• Deliver empathetic, patient, and personalized service to Medicare members.
• Navigate multiple systems efficiently to resolve complex issues.
• Participate in ongoing training and professional development.
• Work independently while collaborating with team members to ensure a seamless member experience.
• Adapt to a dynamic and evolving work environment.

Required Qualifications

• 1+ years of customer service experience
• 1+ years of experience in health insurance or a related field

Preferred Qualifications

• Experience supporting senior populations
• Familiarity with medical terminology
• Knowledge of Medicare or other health insurance plans
• Fluent in both Spanish and English (spoken and written)

Education

• High School Diploma or equivalent

What We Offer

• Permanent remote work with comprehensive virtual training
• A supportive and inclusive team culture
• Opportunities for career growth and advancement
• The chance to make a real impact in the lives of our members

Anticipated Weekly Hours
40

Time Type
Full time

Pay Range

The typical pay range for this role is:

$17.00 - $31.30

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.

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 https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 06/27/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.