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 Health Coach telephonically outreaches our Medicare population to improve medication adherence and/or HEDIS diabetes and blood pressure control, providing education and addressing any barriers to adherence by utilizing the member's benefits. This may include outreach to pharmacies and prescribers. The Health Coach utilizes a collaborative process of assessment, planning, implementation, and coordination to engage, educate, and promote/influence members in decisions related to achieving and maintaining optimal health status.

Additional responsibilities to include but not limited to the following:

- Assessment of Members: Through motivational interviewing and the use of various tools, uses healthcare knowledge and experience of health risk behaviors to conduct evaluation of member's health status for either HEDIS health screening/control or Medication Adherence.

- Utilizes influencing/motivational interviewing skills to ensure member engagement and discern health needs based on key questions and conversation to promote behavior changes to achieve optimum level of health

- Partners with members to identify opportunities for integration into available internal/external programs

- Using holistic approach consults with Manager or others to overcome barriers with assisting members in meeting goals and objectives. Utilizing Interviewing and active listening skills, provides coaching, information and support to empower the member to make ongoing independent healthy healthcare choices.

- Interprets and utilizes guidelines/criteria to positively impact members health

- Provides up-to-date healthcare information to help facilitate the member’s understanding of his/her health status

- Helps member actively and knowledgably participate with their provider in healthcare decisions

- Applies judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact healthcare access, services and resolution of member issues.

- Develops a proactive course of action to address issues presented to enhance the short and long term health outcomes as well as opportunities to enhance a member’s overall wellness through integration.

Required Qualifications

- 1 year experience using Microsoft Office Suite (Word, Excel, Power Point, Outlook, etc.)
- 3 years practice experience-- Renal, Diabetes, Hypertension, Primary Care/Geriatric, Oncology
- Managed Care and Medicare experience

Preferred Qualifications

- Healthcare licensure and/or certifications (RN, LPN, MSW, LCSW, CDE etc) highly preferred

-5 years practice experience - Renal, Diabetes, Hypertension, Primary Care/Geriatric, Oncology

- Previous telephonic coaching, education or case management experience
- Excellent computer skills including MS Office applications
- Independent worker
- Excellent time manager
- Excellent analytical and problem solving skills
- Effective communications, organizational, and interpersonal skills, Bilingual a plus

- Demonstrated ability to communicate, problem solve, and work effectively with people, use good judgment in challenging situations

- Experience in facilitating client positive behavioral change

- Background in motivational interviewing, active listening skills.

Education

Associates Degree or equivalent experience

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$46,988.00 - $102,000.00

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.

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 https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 04/25/2025

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