Health Advocate – Healthy Outcomes Team

About This Health Advocate – Healthy Outcomes Team Role

CVS Health is hiring for a Health Advocate – Healthy Outcomes Team position connected to Remote, US. This Bellencia Career Hub summary translates the original job posting into a structured, easier-to-scan career lead for job seekers comparing remote, hybrid, back-office, healthcare, billing, and administrative opportunities.

The role appears to focus on accurate account work, structured documentation, research, and timely follow-through. Candidates should review the official posting carefully before applying because employer needs, schedules, location rules, and application requirements can change.

Key Responsibilities

Daily Work You May Handle

• Handle inbound and outbound calls with members and providers
• Help members access healthcare visits, screenings, vaccinations, and medication refills
• Educate members about benefits for screenings and medications
• Support Medicare members with health-related resources
• Work through barriers that impact member health
• Deliver professional and empathetic member service
• Document conversations accurately in member health records
• Escalate issues for resolution when needed
• Meet business metrics and productivity goals
• Use critical thinking while multitasking in a remote environment

The core workflow centers on accuracy, research, and keeping accounts or records moving through the correct process. A strong applicant should be comfortable reviewing details, comparing information across systems, updating records, and documenting outcomes in a way that supports clean handoffs between departments.

Minimum Requirements

Education, Experience, and Technical Knowledge

• High School Diploma or GED
• Professional communication skills
• Strong active listening and interpersonal skills
• High computer literacy
• Ability to troubleshoot basic computer issues
• Proficiency with Windows, web-based applications, and digital communication tools
• Reliable high-speed internet connection of at least 50 Mbps
• Hard-wired internet connection

For this type of role, employers often look for a mix of practical experience, system confidence, and the ability to understand payer, billing, account, or documentation rules. Even when the role is not heavily phone-based, communication still matters because the work may involve coordination with internal teams, management, or partner departments.

Preferred Qualifications

Helpful Background for Stronger Applicants

• Bilingual or multilingual skills
• Experience with HEDIS screening measures
• Experience with behavior change
• 2+ years of call center or member outreach experience
• 3+ years of healthcare setting experience
• Medical certification such as CNA or Medical Assistant

Phone Level and Work Style

Bellencia phone-level estimate: High Phone. This classification is based on the wording in the pasted posting. Because this is an estimate, applicants who need non-phone or low-phone work should confirm phone expectations during the interview. The posting reads most strongly as Health Advocacy / Member Outreach work with a focus on written records, account review, payer details, research, and follow-up.

Pay, Schedule, and Location Details

Pay: $17.00-$25.65 per hour. Schedule: not clearly listed. Job type: Full-time. Location or work arrangement: Remote, US. Applicants should verify the official application page for the most current pay range, benefits, shift expectations, equipment rules, and state eligibility requirements.

Best-Fit Applicant Profile

This role may be a good match for someone who enjoys detailed, process-driven work and can stay consistent with repetitive but important tasks. It may fit job seekers with experience in medical billing, revenue cycle, accounts receivable, claims, refunds, charge capture, payer research, payment posting, documentation review, insurance eligibility, or healthcare administrative support.

• You are comfortable researching account details and correcting issues before they become larger problems.
• You can follow written procedures and keep documentation clean, accurate, and audit-ready.
• You prefer structured back-office work over sales-driven or heavy call-center duties.
• You can manage confidential information professionally and escalate unclear issues when needed.

Resume Keywords to Consider

Relevant resume keywords may include Health Advocate – Healthy Outcomes Team, Medical / Healthcare, Health Advocacy / Member Outreach, documentation, account research, workflow queues, Excel, payer requirements, reconciliation. Use only the keywords that honestly match your experience. The strongest applications usually connect past duties directly to the employer’s listed responsibilities.

How to Apply

Use the official application link for this job posting when you are ready to apply. Before submitting, review the required experience, confirm the schedule, and tailor your resume summary and bullet points toward the highest-priority duties in this listing.