Senior Analyst, Health Coach Wellness

CVS Health

Health Coach improving medication adherence and HEDIS control through telephonic outreach for Medicare population. Engaging and educating members to promote optimal health decisions and outcomes.

Posted 6/16/2026full-timeRemote • Pennsylvania • 🇺🇸 United StatesSenior💰 $46,988 - $102,000 per yearWebsite

About the role

Key responsibilities & impact

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.
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.
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.

Requirements

What you’ll need

1-3 years Microsoft Office
3-5 years practice experience-- Renal, Diabetes, Hypertension, Primary Care/Geriatric, Oncology -Managed Care and Medicare experience
Healthcare licensure and/or certifications (RN, LPN, MSW, LCSW, CDE etc) highly preferred
5 years practice experience-- Renal, Diabetes, Hypertension, Primary Care/Geriatric, Oncology -Managed Care and Medicare experience
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.

Benefits

Comp & perks

medical, dental, and vision coverage
paid time off
retirement savings options
wellness programs
comprehensive benefits package designed to support well-being

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

motivational interviewinghealth risk assessmentmedication adherenceHEDIS health screeningbehavior change facilitationanalytical skillsproblem solvingtelephonic coachingcase managementhealthcare knowledge

Soft Skills

effective communicationorganizational skillsinterpersonal skillsindependent workertime managementactive listeningjudgmentcollaborationinfluencing skillseducation

Certifications

RNLPNMSWLCSWCDE