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Customer Service Representative - Remote Pharmacy Benefit Manager Support for CVS Health in the South East Region - Providing Exceptional Patient Care and Enhancing Health Outcomes

Remote, USA Full-time Posted 2025-11-03

Join the CVS Health Team as a Customer Service Representative and Make a Difference in People's Lives

Are you a motivated and compassionate individual looking for a flexible work-from-home opportunity that allows you to balance your priorities while making a positive impact on people's lives? Do you reside in Florida, Alabama, Georgia, Kentucky, North Carolina, South Carolina, Virginia, or Tennessee? If so, we invite you to consider a role as a Customer Service Representative with CVS Health, a Fortune 5 company. Our Pharmacy Benefit Manager (PBM) division is currently seeking support teams to assist members with their pharmacy benefit plans, and we want you to be a part of our team.

About CVS Health and Our Mission

At CVS Health, we are dedicated to helping people on their path to better health. As a leading healthcare company, we strive to provide innovative solutions that make healthcare more accessible, affordable, and effective. Our PBM division plays a critical role in this mission, working with healthcare providers, pharmacies, and patients to ensure that medications are safe, effective, and affordable. By joining our team as a Customer Service Representative, you will be an integral part of this mission, providing exceptional patient care and enhancing health outcomes.

Job Summary

As a Customer Service Representative with CVS Health, you will be responsible for taking inbound calls from members and answering questions regarding prescription insurance, medication coverage, and mail-order prescriptions. Your goal will be to provide personalized support and solutions to help members understand their coverage and options, simplifying their healthcare experience. You will be an essential part of our high-energy call center team, working in a fast-paced environment where excellent customer service and empathy are paramount.

Key Responsibilities:

  • Respond to inbound calls from members, addressing questions and concerns regarding prescription insurance, medication coverage, and mail-order prescriptions
  • Provide personalized support and solutions to help members understand their coverage and options, simplifying their healthcare experience
  • Utilize your knowledge and skills to resolve member inquiries on the first call, ensuring efficient and effective issue resolution
  • Adhere to HIPAA and governmental compliance requirements, maintaining confidentiality and security of member information
  • Participate in ongoing training and development programs to enhance your skills and knowledge

Requirements and Qualifications

Essential Qualifications:

  • 6 months of experience interacting with customers in a call center, retail, customer service environment, hospitality industry, or military experience
  • Verifiable high school diploma, GED, or equivalent
  • Ability to maintain your own internet with approved speed requirements and a secure workspace free from distractions

Preferred Qualifications:

  • 1 year of experience working in a call center environment or healthcare-related field
  • 6 months of work-from-home experience
  • Healthcare certification (e.g., Medical Assistant) a plus

Skills and Competencies

To succeed in this role, you will need to possess excellent communication and interpersonal skills, with the ability to empathize with members and provide personalized support. You will also need to be highly organized, with strong problem-solving and analytical skills. Additionally, you will be required to:

  • Possess excellent verbal and written communication skills
  • Be able to work in a fast-paced environment, handling multiple calls and issues simultaneously
  • Demonstrate strong analytical and problem-solving skills, with the ability to resolve complex issues
  • Be adaptable and flexible, with a positive attitude and willingness to learn

Career Growth Opportunities and Learning Benefits

At CVS Health, we are committed to the growth and development of our employees. As a Customer Service Representative, you will have access to comprehensive training programs, including:

  • Initial training program to ensure your success on the team
  • Ongoing training and development programs to enhance your skills and knowledge
  • Opportunities for career advancement and professional growth

Work Environment and Company Culture

Our call centers have a high-energy culture, with a passionate team dedicated to providing excellent customer service and empathy. We offer a flexible work-from-home schedule, with full-time schedules starting at 30 hours per week. Our company culture values:

  • Exceptional customer service and empathy
  • Collaboration and teamwork
  • Innovation and continuous improvement
  • Diversity, equity, and inclusion

Compensation, Perks, and Benefits

We offer a comprehensive benefits package, including:

  • Medical, dental, and vision insurance
  • 401(k) plan
  • Employee discount programs
  • Paid time off and holidays
  • Opportunities for bonuses and recognition

Schedule and Work Arrangements

We offer flexible schedule options, including full-time schedules starting at 30 hours per week. Days off and hours may vary, though you will have a set schedule. Our site hours are 7 days a week, 7am-11pm EST for WFT employees and from 7am-9pm EST for onsite-call center employees.

How to Apply

If you are a motivated and compassionate individual looking for a flexible work-from-home opportunity, we encourage you to apply for this exciting role. Our application process is simple and straightforward:

  1. Apply online
  2. Take our Online Virtual Job Tryout (Interview Platform) to learn more about the position

Conclusion

As a Customer Service Representative with CVS Health, you will have the opportunity to make a positive impact on people's lives, providing exceptional patient care and enhancing health outcomes. With our comprehensive training programs, flexible work-from-home schedule, and competitive benefits package, this role offers a unique opportunity for growth and development. If you are passionate about delivering exceptional customer service and making a difference in people's lives, we encourage you to apply for this exciting role.

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