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At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Must reside in New Jersey

Member Advocate

Position Summary/Mission

Aetna is an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. We collaborate with members, providers, and community organizations in pursuit of quality solutions that address the full continuum of our members’ health care and social determinant needs.  Dual Eligible Special Needs Plans (DSNP) members are enrolled in Medicare and Medicaid. The Member Advocate is responsible for direct member outreach and engagement Join us in this exciting opportunity as we grow and expand DSNP into new markets across the country.

Fundamental Components

+ Initiates engagement with assigned members to introduce the program and gather updated member demographic information with speed, accuracy, and a positive attitude

+ Schedules completion of the assessment based on the member’s preferences and the assigned care manager’s schedule.

+ Accurately and consistently documents each call in the member’s electronic record, thoroughly completing required actions with a high level of detail to ensure we meet our compliance requirements

+ Protects the confidentiality of member information and adheres to company policies regarding privacy/ HIPAA Effectively supports members during enrollment calls, appropriately managing difficult or emotional member situations, responding promptly to member needs, and demonstrating empathy and a sense of urgency when appropriate

+ Conducts triage, connecting members with appropriate care team personnel including care managers and customer service when needed

+ Ability to be agile, manage multiple priorities, and adapt to change with enthusiasm

+ Determined to build strong relationships with peers and our DSNP members

+ Demonstrates an outgoing, enthusiastic, and caring presence over the telephone

+ Act as a Medicaid recertification specialist for the team

+ Must be able to travel 25-40% to attend member meetings.

Background Experience

+ Experience with computers, including knowledge of Microsoft Word, Outlook, and Excel - data entry and documentation within member records is preferred

+ 2 years of experience preferably in customer service, telemarketing, Medicaid, and/or sales

+ Call center experience preferred. Familiarity with basic medical terminology preferred

+ Flexibility with work schedule to meet business needs

+ Strong organizational skills, including effective verbal and written communications skills

+ Bilingual desired

Education and Certification Requirements

+ The highest level of education desired for candidates in this position is a High School diploma or G.E.D.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$18.50 - $42.35

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.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

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 https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 01/15/2026

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

We are an equal opportunity and affirmative action employer. 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.