Site of care concierge representative is the face of Aetna/CVS to provide targeted, personalized service based on a holistic view of the member, benefits, and health information through engagement. Handles site of service transitions through CVS Caremark based on medical policy; while working the end to end process once prescription is received at CVS Caremark. Calls are typically routine but may require deviation from standard screens, scripts and procedures to engage and consult; members and providers. Provides support to the Department in meeting client (Aetna) expectations regarding efficiency, service levels, privacy maintenance and quality of decision-making. Responsible for maintaining compliance with ERISA, and client specific requirements. Works as part of the team to meet business unit objectives

Pay Range
The typical pay range for this role is:
Minimum: 18.50
Maximum: 34.60

Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.

Required Qualifications

• 2 years of Customer Service and/or Billing experience
• 2 years of healthcare experience required
• Must live within 50 miles of the following sites: Fairfield, NJ, Monroeville, PA, and Mount Prospect, IL

Preferred Qualifications
Bachelor's Degree

Extreme accuracy and attention to detail and data standards.

• Ability to work in teams and coordinate work efforts.
• Excellent communication, organizational, and interpersonal skills.
• Attention to customer focus to ensure patients are responded to with accurate and timely information.
• Ability to deal with a diverse customer base in a friendly and confident manner including medical office providers and members. Must display empathy and effective listening skills to deliver successful cost-saving transitions of care. A proven background in medical/pharmacy benefits, particularly as these relate to infused specialty medications. Analytical skills and the ability to master complex systems are prerequisites. A balance of compassion, integrity, discretion, sound judgment, with a strong desire to achieve and exceed metrics.

Education
High School Diploma

Business Overview
Bring your heart to CVS Health Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.