Coord,Member Engagement Service

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.

Member Engagement Customer Service Coordinator

How will this role have an impact?
As part of the Signify Health’s Member Engagement team, our Customer Service Team will act
as a liaison between the Member Engagement team, health plan and affiliates, health plan
members, and physician practices across the country. Customer Service Coordinators help
improve the overall member and clinician experience. Primary areas of focus include:
Outbound calls to members and medical facilities, scheduling Primary Care Physician (PCP)
appointments, and interacting with members, clinicians, and doctor’s offices.
In this role, you will speak to both members of various Medicare Advantage and Medicaid health
plans and healthcare providers nationwide, in addition to health plan employees as needed.
Primarily by phone, this role will be multi-faceted and even include coordinating medical
appointments between health plan members and physicians’ offices, tracking that data, and
assisting the Member Engagement team to meet department goals for productivity, quality, and
customer service. Data management, quality customer service, and providing feedback on
areas for improvement are all critical to the success of this department.
This role will report to a Member Engagement Customer Service Manager.
What will you do?
● Present a positive and professional demeanor to clients, health plan members,
clinicians, and co-workers.
● Leverage multiple internal and external systems to facilitate member scheduling of
appointments, and ensure smooth communication between health plan members,
providers and Signify.
● Assist health plan members with coordinating a PCP connection following a health
assessment.
● Meet all quality, customer service, and productivity goals set by the department (i.e.,
number of calls per day, appointments set per day, shift and attendance policy
adherence, quality targets, etc.) in an office or remote environment.
● Must be able to utilize various regulated scripts approved by both clients & Signify.
● Follow internal scripts and processes, track data as requested by Management, and
maintain accurate record notes on member files.
● Receive/enable warm transfers from within or outside the department, including clinician,
doctors’ offices, and call center representatives.
● Follow departmental procedures when communicating with members.
● Handle additional tasks as requested by Management.
● Support business needs by conducting manual outbound calls and handling inbound
phone calls, as well as receiving outbound calls placed by the telephony system as
needed.
● Act as a subject matter expert for peer side-by-side coaching. Assist with training fellow
employees.
● Accept constructive feedback and respond appropriately.

Member Engagement Customer Service Coordinator
● Ability to work overtime and on-call as requested per Signify.
● Be responsible for the security and privacy of any protected health information accessed
during normal work activities.
● Follow departmental procedures when communicating with members, clinicians, and
physicians’ offices.
We are looking for someone with:
● A High School Diploma or two years of relevant work experience preferred
● Previous appointment scheduling and/or call center experience (inbound and/or
outbound) required
● Experience working with call center technology systems (phone, QA, WFM) highly
preferred
● Advanced understanding of call center or sales environment preferred.
● Data-driven troubleshooting experience preferred.
● Basic understanding of relational database functionality preferred.
● Intermediate skills in MS Office, particularly Excel.
● Fluency in speaking, reading, and writing English. Bilingual English/Spanish a plus.
● Proven ability to prioritize and multi-task.
● The ability to work a set scheduled.
● Strong critical thinking, analytical, and data entry skills.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$17.00 - $28.46

This pay range represents the base hourly rate or base annual full-time sala