Job Details

Member Service Representative

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.

Job Summary:

Must live on eastern seaboard

Training Schedule: (First 6 weeks) 8:30 AM - 5:00 PM EST, Monday through Friday

Production schedule: 8:30 AM - 5:00 PM EST, Monday through Friday

As a Member Service Representative, you will be providing telephone assistance to Aetna Medicaid members and providers. You will assist with an array of inquiries such as eligibility, provider changes, and requests for ID cards. We strive to provide an excellent experience to our callers each and every time. Calls are inbound and strong customer skills are required to be successful in this role. Responsibilities include but limited to the following:

• Answering in-coming member and provider calls and responding to inquiries regarding benefits, eligibility, services, prior authorization requirements, extra benefits and programs, etc.
• Requires high-speed internet connectivity with secure service via ethernet cable, use of Wi-Fi is not permitted.
• Company provides equipment and training.

Required Qualifications:

• Must identify an alternate work location when unable to work from home.
• Ability to communicate effectively with members and providers orally and in written form, ability to meet performance standards, attendance requirements and call quality goals.
• Must be able to work from home and prove to be self-sufficient.

Preferred Qualifications:

• Experience with working remotely in a call center setting.
• Experienced with Medicaid and Medicare.

Education:

High school diploma or equivalent GED.

Anticipated Weekly Hours: 40

Time Type: Full time

Pay Range: The typical pay range for this role is: $17.00 - $25.65.

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 jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 01/31/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. CVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran committed to diversity in the workplace.