Medicare Education Specialist

Oak Street Health, part of CVS Health; Hempfield Township (Westmoreland County); On-site; USD 29,000 - 68,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

Oak Street Health is seeking a Medicare Relations Specialist/Patient Relations Analyst to educate patients on Medicare programs and insurance options, increasing access to care. The role extends to guiding patients through benefits, helping with bills, and serving as a clinic resource for staff.

The position emphasizes patient advocacy, engagement, and collaboration with the care and outreach teams, and reports to the Sr Patient Relations Manager. Strong communication in English is essential.

Qualifications

• Proficiency with common office software (Gmail/Docs/Excel)
• US work authorization required
• Embodies the 'Oaky' culture of Oak Street Health

Responsibilities

• Assist patients with navigating Medicare and insurance issues including coverage and eligibility.
• Serve as clinic resource for insurance questions for staff and providers.
• Help patients resolve medical bills and navigate the healthcare system.
• Advise patients on getting the most out of their plan and benefits.
• Manage welcome visits and patient orientation processes.
• Educate on public benefits and prescription drug assistance.
• Support clinic management with scheduling and billing tasks.
• Provide exceptional customer service and patient engagement.

Skills

Computer skills

US work authorization

Oaky culture

CRM experience

Education

Bachelor degree preferred

Tools

CRM

Job 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.

Company: Oak Street Health

Title: Medicare Relations Specialist/Patient Relations Analyst

Location: 11515 Sutphin Blvd, Jamaica, NY 11434

The purpose of the Patient Relations Analyst 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 Analyst (PRAs) are an integral part of the Oak Street Health care team. Patient Relations Analysts 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 Analyst!

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?

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 experiences
• 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

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The Typical Pay Range For This Role Is $21.10 - $49.08

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 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: 11/09/2026

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