Member Engagement Benefit Specialist

4062 Aetna Resources, LLC; Orlando (FL); On-site; USD 44,000 - 85,000; Full time

Job summary

CVS Health is seeking a Member Engagement Benefit Specialist to support the City of Orlando with onsite, high-touch benefits service across worksites. You’ll resolve inquiries, educate employees during open enrollment, and act as a trusted liaison between CVS Health and city HR teams.

You’ll communicate clearly, travel regularly between sites, and apply your healthcare benefits knowledge to improve member experience and satisfaction for city employees and their families.

Qualifications

• 1-2 years of customer service experience.
• Active Florida Health Insurance License.
• 2-15 Life & Health or 2-40 Health Only (or ability to obtain within 120 days of hire).
• Comfortable with regular travel to City of Orlando worksites.
• Strong oral and written communication skills with a customer-first mindset.

Responsibilities

• Research and resolve inquiries related to benefits, claims, eligibility, and policy interpretation.
• Serve as onsite liaison between CVS Health and City of Orlando HR/Benefits teams.
• Provide real-time support at City worksites and lead enrollment events.
• Review claims and utilization data; share insights with city leadership.
• Ensure HIPAA compliance and accurate documentation of all interactions.
• Coordinate with internal CVS teams to resolve complex member issues.

Skills

Customer service

Communication

Travel readiness

Healthcare benefits knowledge

Microsoft Office

Education

Associates Degree

High School Diploma or GED

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.

Position Summary

The Member Engagement Benefit Specialist at CVS Health, you will play a critical role in supporting client satisfaction, retention, and engagement for the City of Orlando by serving as a trusted onsite representative. This field-based role focuses on delivering responsive, high-touch support to the City of Orlando benefits team and its employees, resolving issues, and building strong, collaborative relationships throughout the life of the account. You will act as a key liaison between CVS Health and the City of Orlando, providing in-person support across City worksites, handling complex benefit and claims inquiries, and delivering education during open enrollment and health-related events. This role is ideal for someone with excellent communication skills, strong healthcare benefits knowledge, and a passion for supporting municipal employees and their families.

Primary Job Duties & Responsibilities

• Research and Resolve: Handle City of Orlando member inquiries and escalations related to benefits, claims, eligibility, pharmacy services, and policy interpretation by identifying root causes, coordinating with internal departments, and delivering timely, accurate solutions.
• Client Relationship Management: Serve as the dedicated onsite liaison between Aetna and the City of Orlando, building strong relationships with Human Resources, Benefits Administration, labor representatives, and key stakeholders.
• Onsite Engagement: Maintain a visible presence at City of Orlando worksites by providing real-time support to employees, retirees, and their families while delivering a high-touch service experience through accessibility and responsiveness.
• Event Management & Representation: Plan and lead open enrollment meetings, employee information sessions, wellness events, benefit fairs, and other onsite and virtual engagements that promote awareness and understanding of available healthcare benefits and programs.
• Reporting & Analytics: Review and interpret claims, utilization, service, and engagement data. Share insights and trends with City leadership and benefits teams to support informed decision-making and identify opportunities to improve the member experience.
• Benefits Expertise: Maintain in-depth knowledge of City of Orlando benefit plans, eligibility requirements, provider networks, pharmacy programs, wellness offerings, and Aetna resources to serve as a trusted advisor and subject matter expert.
• Issue Escalation & Follow-up: Partner with internal Aetna teams, including Eligibility, Claims, Pharmacy, Clinical, and Care Management, to resolve complex member issues and ensure timely follow-through and communication.
• Compliance & Documentation: Ensure all member interactions and account activities comply with HIPAA, contractual requirements, and company policies. Maintain accurate records and documentation of member and stakeholder interactions.
• Travel & Site Management: Regularly travel between City of Orlando worksites and designated locations. Independently manage scheduling, onsite coverage, outreach activities, and stakeholder communications.
• Provider Network Navigation: Proactively assist City of Orlando employees, retirees, and eligible dependents in identifying and selecting in-network medical, behavioral health, and pharmacy providers. Guide members through provider selection and network navigation to help maximize benefit coverage, reduce out-of-pocket costs, and improve access to care.
• Resource Advocacy: Serve as a dedicated advocate for City of Orlando members by promoting awareness and utilization of Aetna programs, digital tools, care management services, wellness initiatives, and support resources. Provide personalized guidance to help members access and fully utilize the comprehensive benefits available to them.

Success in the role

• Client Trust & Retention: Building strong, trusted relationships with the City of Orlando through consistent, knowledgeable, and reliable support.
• Member Experience: Resolving employee issues efficiently and empathetically so City of Orlando members feel supported and confident in their benefits.
• Collaboration & Teamwork: Partnering effectively with internal CVS Health teams to resolve issues and continuously improve service delivery.
• Proactive Problem Solving: Identifying trends and opportunities early and taking action before issues escalates.
• Ownership & Accountability: Following through on commitments and representing CVS Health with professionalism and care.
• Visible Impact: Seeing tangible results through positive City feedback, improved service outcomes, and meaningful support of City employees.

Required Qualifications

• 1-2 years of customer service experience
• Active Florida Health Insurance License
• 2-15 Life & Health or 2-40 Health Only (or ability to obtain within 120 days of hire).
• Comfortable with regular travel to City of Orlando worksites.
• Strong oral and written communication skills with a customer-first mindset.

Preferred Qualifications

• 1–2 years of experience in health insurance, healthcare services, or client/account management.
• Familiarity with managed care processes, healthcare sales, or pharmacy benefits.
• Experience supporting municipal, public sector, or union-sponsored benefit plans.
• Knowledge of managed care processes and pharmacy benefits.
• Strong presentation and relationship‑building skills.
• Excellent organizational and time management skills; ability to manage multiple priorities simultaneously.
• Exceptional interpersonal and relationship‑building skills, both internally and externally.
• Proficiency with Microsoft Office Suite (Word, Outlook, Excel).
• Must be able to work independently and exercise sound judgment in problem‑solving.
• Associates Degree.
• Additional healthcare, insurance, or customer service training.
• Education: High School diploma or GED.

Pay Range

The typical pay range for this role is: $43,888.00 - $85,068.00 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.

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: 11/02/2026.

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

Our Work Experience is the combination of everything that’s unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it’s our people. Our employees are self‑disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.