Medicaid Member Service Representative

2 weeks ago


Melbourne, Victoria, Australia CVS Health Full time $75,000 - $105,000 per year

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.

Position Summary
The Customer Service Representative is the face of Aetna and impacts members' service experience by handling customer service inquiries and problems via telephone, internet, or written correspondence. Customer inquiries are of basic and at times complex nature. CSR engages, consults and educates members based upon the member's unique needs, preferences and understanding while using tools and resources available to help guide the members along a clear path to care.

Required Qualifications
-1 year of Customer service experience in a transaction-based environment such as a call center or retail locations.

-Must live within 50 miles from Plantation and Jacksonville.

Preferred Qualifications
-1-2 years of Healthcare or Medicaid experience

-Trauma informed care training
-Bilingual candidates preferred but not required
-Exposure to Care Management
-Experience in a production environment
-Familiarity with de-escalations
-Telework experience

Education
-High School Diploma or GED equivalent

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$ $25.65

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.  
 

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 

We anticipate the application window for this opening will close on: 10/27/2025

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



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