CVS Health

Consultant

• Deliver forward-thinking clinical insights derived from analyzing clinical utilization patterns and member behavior impact on medical costs
• Recommend clinical programs and services aligned with customer strategy to influence short‑ and long‑term results
• Analyze, synthesize, and present clinical findings paired with actionable recommendations in customer‑facing meetings
• Serve as a trusted clinical resource on population health, industry trends, and health disparities
• Collaborate across the organization to align strategies between customers and the health plan
• Contribute to customer population health strategies across the clinical continuum
• Create and propose solutions to improve member health, including leveraging community resources and partnerships in the Eastern region

Commercial Clinical Program Consultant – Eastern US Region

• Deliver forward-thinking clinical insights derived from analyzing clinical utilization patterns and member behavior impact on medical costs.
• Recommend clinical programs and services aligned with customer strategy to influence short‑ and long‑term results.
• Analyze, synthesize, and present clinical findings paired with actionable recommendations in customer‑facing meetings.
• Serve as a trusted clinical resource on population health, industry trends, and health disparities.
• Collaborate across the organization to align strategies between customers and the health plan.
• Contribute to customer population health strategies across the clinical continuum.
• Create and propose solutions to improve member health, including leveraging community resources and partnerships in the Western region.
• This is a customer‑facing role requiring up to 50% travel throughout the Western U.S., including onsite customer meetings, plan‑performance discussions, and strategic consultations.

Clinical Program Consultant

Customer Support

• Responsible for supporting the provision and use of the Employee Assistance Program (EAP).
• Responds to incoming inquiries via phone, email, or chat, providing prompt and helpful responses to customer questions, issues, and/or concerns.
• Assists customers with technical or product-related issues by guiding them through troubleshooting steps to resolve problems effectively.
• Helps process customer orders, track shipments, and facilitate returns or exchanges, including addressing any issues related to billing, shipping, or payment.
• Instructs customers on how to use products or services most effectively, offering tips, answering frequently asked questions, and providing step-by-step instructions when needed.
• Maintains records of customer interactions, including inquiries, complaints, and resolutions, to track trends, identify areas for improvement, and provide a comprehensive customer history for future reference.
• Identifies current inefficiencies, seeking input from relevant stakeholders and implementing effective solutions to successfully enhance the company's competitive advantage in the industry.
• Escalates issues to management or specialized departments for further investigation and resolution when customer problems cannot be resolved immediately.
• Assists new employees by providing guidance, sharing knowledge, and ensuring they understand certain processes and procedures.
• Contributes to the delivery of Customer Service onboarding orientations, training programs, in-services, and other programs as required.

Customer Service Representative – Employee Assistance Program

Human Resources

• Responsible for executing and owning investigations into Employee Relations concerns
• Conduct thorough investigations into employee complaints and allegations
• Ensure compliance with federal, state, and local employment laws as well as company policies
• Maintain accurate and confidential records of investigations
• Provide guidance and advice to managers and employees on policy-related issues
• Prepare clear, concise, and accurate investigative reports
• Present findings to senior management and other stakeholders

Commercial Clinical Program Consultant – Eastern US Region

Clinical Program Consultant

Customer Service Representative – Employee Assistance Program

Employee Relations Investigator