CVS Health Job - 40302452 | CareerArc
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Company: CVS Health
Location: New York, NY
Career Level: Mid-Senior Level
Industries: Retail, Wholesale, Apparel


Job Description
The Sr. Integrated Service Specialist will play a role in supporting health plan membership and revenue growth by enrolling potential members interested in joining Aetna Better Health of NY's Managed Long Term Care Program. The Sr. Integrated Service Specialist will be responsible for:
- Reviewing potential member's Medicaid to determine eligibility to be enrolled
- Collaborating with internal and external teams for assessment scheduling
- Reviewing and educating potential member's on enrollment processes, timeframe and expectations
- Collect, Review, Prepare and Submit enrollment paperwork for potential enrollment
- Data entry of referral information into our internal systems
- Perform all other appropriate tasks as assigned by management

Required Qualifications
- Be in your current role for at least one year
- Be meeting or exceeding key performance indicators,
including metrics and competencies/behaviors.
- Have not been on a formal Performance Improvement
Action Plan in the past year from date of this posting.
- Have a proven track-record of consistent, reliable

COVID Requirements
COVID-19 Vaccination Requirement
CVS Health requires its Colleagues in certain positions to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, pregnancy, or religious belief that prevents them from being vaccinated.

  • If you are vaccinated, you are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status within the first 30 days of your employment. For the two COVID-19 shot regimen, you will be required to provide proof of your second COVID-19 shot within the first 60 days of your employment. Failure to provide timely proof of your COVID-19 vaccination status will result in the termination of your employment with CVS Health.
  • If you are unable to be fully vaccinated due to disability, medical condition, pregnancy, or religious belief, you will be required to apply for a reasonable accommodation within the first 30 days of your employment in order to remain employed with CVS Health. As a part of this process, you will be required to provide information or documentation about the reason you cannot be vaccinated. If your request for an accommodation is not approved, then your employment may be terminated.

Preferred Qualifications
- 3-5+ years previous experience with Call Center environment.
- 1-2 years Medicaid/MLTC Experience
- Strong written and verbal communication skills.
- Proficient with Excel (ability to read and communicate findings)
- Analytical thinking skills
- Bilingual - Spanish speaking preferred

High school diploma, G.E.D. or equivalent experience

Business Overview
At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.

We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. 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.

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