Health Insurance Specialist

CVS Health; Canton (OH); On-site; Full time

Job summary

An established industry player is seeking a dedicated Patient Relations Manager to join their compassionate team. This role focuses on educating patients about Medicare and insurance options, ensuring they receive the care they need. You'll be the go-to resource for patients navigating the healthcare system, advocating for their needs and enhancing their experience. With a commitment to transforming healthcare, this position offers opportunities for growth and leadership in a supportive environment. Join a mission-driven organization that values your contributions and fosters a culture of excellence and compassion.

Benefits

Paid vacation

Sick time

401K match options

Health insurance

Vision benefits

Dental benefits

Leadership development

Continuing education stipends

Flexible work environments

Employee stock purchase plan

Qualifications

• Motivated and experienced in navigating Medicare and insurance options.
• Strong customer service skills and problem-solving orientation.

Responsibilities

• Assist patients with Medicare and insurance issues.
• Educate patients on public benefits and healthcare navigation.
• Provide exceptional customer service and support clinic operations.

Skills

Computer Skills

Problem-solving

Customer Service

Sales Background

Education

Bachelor's degree

Equivalent experience

Tools

Gmail

MS Word

Google Docs

Excel

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.

Role Description

The purpose of the Patient Relations Manager at Oak Street Health is to educate patients about Medicare programs, resources, and affordable insurance coverage options available to them in order to increase patient access to care and retention.

Patient Relations Managers (PRMs) are an integral part of the Oak Street Health care team. Patient Relations Managers are the insurance experts at each clinic and advocate for patients by helping them navigate through insurance options and bills. They are also a resource to the care team and outreach team for questions regarding Medicare and eligibility. Patient Relations Managers are daily key players, particularly during Medicare's Open Enrollment, ensuring that our patients are informed of all their options surrounding Medicare. The Patient Relations Manager will report to the Sr. PRM or Practice Manager.

Check out this pamphlet for a sneak peek into the life of an Oak Street Patient Relations Manager!

Responsibilities:

• Assist patients with navigating Medicare and insurance issues which includes coverage, benefits, summaries, eligibility and getting the most out of their plan.
• Serve as internal resource in the clinic on insurance questions for providers and staff.
• Assist patients in navigating the healthcare system, help patients resolve medical bills inside and outside of Oak Street Health (advocate for the patient).
• Gain the trust of Oak Street Health patients in an effort to properly advise them in their healthcare coverage.
• Manage the welcome visit and orientation process for new Oak Street Health patients.
• Educate patients on how to apply for public benefits, such as Public Aid, and Extra Help for prescription drugs.
• Support the clinic management team on operational activities as needed, including scheduling and billing.
• Provide exceptional customer service.
• Foster patient engagement through the design and execution of events, including center tours.
• Other duties as assigned.

This role reports to the Sr Patient Relations Manager (or Practice Manager in some circumstances) and has significant opportunities for advancement.

What we're looking for

We're looking for motivated, experienced Patient Relations Managers with:

Required Qualifications:

• Computer Skills: Ability to quickly navigate and use multiple computer programs to include, but not limited to: Gmail, MS Word or Google Docs, Excel, etc.
• US work authorization.
• Someone who embodies being "Oaky".

Strongly Preferred Qualifications:

• Proficiency in non-English languages like Spanish, Polish, Russian, or other languages spoken by people in the communities we serve (where necessary) as required by center's demographics.

Preferred Qualifications:

• Experience with helping patients or customers understand their insurance coverage.
• A passion for working with others to create an unmatched patient experience.
• A problem-solving orientation and a flexible and positive attitude.
• Sales background preferred.
• Experience with and a supportive attitude toward our patient population of older adults.
• CRM experience a plus.
• Bachelor degree preferred, or equivalent experience.
• Experience helping patients navigate the health care system, especially related to Medicare and Managed Care.

What does being "Oaky" look like?

• Radiating positive energy.
• Assuming good intentions.
• Creating an unmatched patient experience.
• Driving clinical excellence.
• Taking ownership and delivering results.
• Being relentlessly determined.

Why Oak Street Health?

Oak Street Health is on a mission to "Rebuild healthcare as it should be'', providing personalized primary care for older adults on Medicare, with the goal of keeping patients healthy and living life to the fullest. Our innovative care model is centered right in our patient's communities, and focused on the quality of care over volume of services. We're an organization on the move! With over 150 locations and an ambitious growth trajectory, Oak Street Health is attracting and cultivating team members who embody "Oaky" values and passion for our mission.

Oak Street Health Benefits:

• Mission-focused career impacting change and measurably improving health outcomes for Medicare patients.
• Paid vacation, sick time, and investment/retirement 401K match options.
• Health insurance, vision, and dental benefits.
• Opportunities for leadership development and continuing education stipends.
• New centers and flexible work environments.
• Opportunities for high levels of responsibility and rapid advancement.

Oak Street Health is an equal opportunity employer. We embrace diversity and encourage all interested readers to apply.

Learn more at www.oakstreethealth.com/diversity-equity-and-inclusion-at-oak-street-health

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$21.10 - $36.78

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

We anticipate the application window for this opening will close on: 09/20/2025.

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