Member Advocate – Field

CVS Health

Member Advocate engaging DSNP members in New Jersey through outreach and support. Accountability for compliance and empathy during member enrollment calls with travel requirements.

Posted 7/30/2026full-timeNew Jersey • 🇺🇸 United StatesJuniorMid-Level💰 $19 - $39 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates strong customer service skills with a focus on member engagement, compliance, and effective communication. Proficient in managing multiple priorities while maintaining a positive and empathetic approach in challenging situations.

Highest-signal resume keywords

Customer Service ExperienceMedicaid RecertificationCall Center ExperienceMicrosoft Office ProficiencyBilingual Communication

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

Data EntryDocumentationMedical TerminologyMember EngagementAssessment Scheduling

Soft Skills

EmpathyOrganizational SkillsVerbal CommunicationWritten CommunicationAdaptability

Tools & Technologies

Microsoft WordMicrosoft OutlookMicrosoft Excel

Industry Keywords

HIPAA ComplianceMember ConfidentialityTelemarketingCare ManagementCustomer Service

About the role

Key responsibilities & impact

Initiates engagement with assigned members to introduce the program and gather updated member demographic information with speed, accuracy, and a positive attitude.
Schedules completion of the assessment based on the member’s preferences and the assigned care manager’s schedule.
Accurately and consistently documents each call in the member’s electronic record, thoroughly completing required actions with a high level of detail to ensure we meet our compliance requirements.
Protects the confidentiality of member information and adheres to company policies regarding privacy/ HIPAA
Effectively supports members during enrollment calls, appropriately managing difficult or emotional member situations, responding promptly to member needs, and demonstrating empathy and a sense of urgency when appropriate.
Conducts triage, connecting members with appropriate care team personnel including care managers and customer service when needed.
Ability to be agile, manage multiple priorities, and adapt to change with enthusiasm.
Demonstrates an outgoing, enthusiastic, and caring presence over the telephone.
Act as a Medicaid recertification specialist for the team.

Requirements

What you’ll need

2 years of experience preferably in customer service, telemarketing, Medicaid, and/or sales.
Experience with computers, including knowledge of Microsoft Word, Outlook, and Excel - data entry and documentation within member records is preferred.
Must reside in New Jersey and be able to travel 25-40% to attend member meetings.
Call center experience preferred.
Familiarity with basic medical terminology preferred.
Flexibility with work schedule to meet business needs.
Strong organizational skills, including effective verbal and written communications skills.
Bilingual desired.

Benefits

Comp & perks

medical, dental, and vision coverage
paid time off
retirement savings options
wellness programs