Infusion Representative, Clinical Services

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

Site of Care Specialist is the face of Aetna to provide targeted,
personalized service based on a holistic view of the member,
benefits, health information, and through engagement.
Handles site of service transitions based on medical policy via
telephone, internet, web-chat or written correspondence.
Calls are typically non-routine and may require deviation from
standard screens, scripts and procedures to engage, consult,
and educate members and providers by delivering individualized
programs based upon the member's unique needs and
preferences.
Utilizes resources to assist members in understanding
components of the Aetna products including claims,
accumulators, usage and balances and cost sharing.
Provides support to the Department in meeting client
expectations regarding efficiency, service levels, privacy
maintenance and quality of decision-making.
Responsible for maintaining compliance with ERISA, and client
specific requirements.
Works as part of the team to meet business unit objectives.

Required Qualifications:

A proven background in medical/pharmacy benefits, particularly
infused specialty medications.
Ability to deal with a diverse customer base in a friendly and
confident manner including medical office providers and
members.
Must display empathy and effective listening skills to deliver
successful cost-saving transitions of care.
Analytical skills and the ability to master complex systems are
prerequisites.
A balance of compassion, integrity, discretion, sound judgment,
with a strong desire to achieve and exceed metrics.
Familiar with computer systems and Microsoft Office skills.
Ability to prioritize and manage multiple tasks; Excellent
organization skills; Strong detail orientation; Strong verbal and
written communication skills; Works well as a member of a team; Strong interpersonal skills. Ability to maintain confidentiality. Knowledge of Aetna systems and processes including ATV,
ASD, ACAS, NLX, SFDC and others.

Required High School or equivalent/Preferred Associates
Degree or Bachelors Degree

Pay Range

The typical pay range for this role is:

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.
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.
For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits

CVS Health requires certain colleagues 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, religious belief, or other legally recognized reasons that prevents them from being 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 or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.

CVS Health is committed to recruiting, hiring, developing, advancing, and retaining individuals with disabilities. As such, we strive to provide equal access to the benefits and privileges of employment, including the provision of a reasonable accommodation to perform essential job functions. CVS Health can provide a request for a reasonable accommodation, including a qualified interpreter, written information in other formats, translation or other services through ColleagueRelations@CVSHealth.com If you have a speech or hearing disability, please call 7-1-1 to utilize Telecommunications Relay Services (TRS). We will make every effort to respond to your request within 48 business hours and do everything we can to work towards a solution.