Job Summary

CVS Health, a leader in healthcare innovation and patient-centered services, is seeking motivated and detail-oriented Remote Customer Service Representatives to join our US Healthcare Process team. This role is integral to delivering exceptional support to our customers by addressing inquiries related to health plans, pharmacy benefits, and healthcare services. You will play a key role in ensuring a seamless healthcare experience while upholding CVS Healths commitment to quality, accuracy, and compassion.

Key Responsibilities

• Handle inbound and outbound calls from customers regarding healthcare plans, pharmacy services, and general inquiries.

• Accurately verify customer information, process claims, and resolve discrepancies in a timely manner.

• Educate customers on CVS Health products, services, and benefits, ensuring they understand their options.

• Document customer interactions, updates, and actions taken in internal systems following company protocols.

• Collaborate with internal teams to resolve complex customer issues and escalate as necessary.

• Maintain compliance with HIPAA regulations and CVS Health policies to protect sensitive information.

• Achieve performance targets for call quality, resolution, and customer satisfaction.

Required Skills and Qualifications

• High school diploma or equivalent; Associates or Bachelors degree preferred.

• Strong verbal and written communication skills.

• Ability to navigate multiple systems and learn healthcare processes quickly.

• Exceptional problem-solving skills and attention to detail.

• Customer-focused mindset with patience and empathy.

• Reliable internet connection and a quiet workspace suitable for remote work.

Experience

• Minimum of 1–2 years of customer service or call center experience, preferably in healthcare, insurance, or pharmacy operations.

• Experience with healthcare claims, benefits administration, or electronic health record systems is a plus.

Working Hours

• Full-time, remote position.

• Flexible schedules may be available, including day, evening, and weekend shifts.

• Core hours and shift preferences will be discussed during the interview process.

Knowledge, Skills, and Abilities

• Deep understanding of customer service principles and healthcare terminology.

• Strong organizational and multitasking skills.

• Ability to work independently in a remote environment while adhering to deadlines.

• Proficient in Microsoft Office Suite and basic computer applications.

• Demonstrated ability to handle sensitive information with discretion and integrity.

Benefits

• Competitive salary with performance-based incentives.

• Comprehensive healthcare, dental, and vision coverage.

• 401(k) retirement savings plan with company match.

• Paid time off, holidays, and wellness programs.

• Continuous training and professional development opportunities.

• Employee discounts on CVS Health products and services.

Why Join CVS Health

At CVS Health, we believe that healthcare is more than a service—it is a mission. Our employees are empowered to make a meaningful impact in the lives of our customers, colleagues, and communities. As part of our team, you will work in a collaborative, inclusive, and supportive environment that values innovation, integrity, and continuous growth.

How to Apply

Interested candidates should submit their resume and a brief cover letter highlighting relevant experience via our official careers portal: CVS Health Careers. Selected applicants will be contacted for a virtual interview.