Medicare Member Advocate

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary

As a Medicare Member Advocate supporting the Allina Health | Aetna plan, you will engage with members , by telephone or in person, to support them in understanding and getting the most value from their Medicare plan , enhancing member experience and retention.

Apply problem solving skills while collaborating with internal colleagues and external entities to bring complex issues to resolution.

Drive member engagement and retention by delivering a positive member experience through all interactions.

Define and track program success measures, identify trends, and participate in designing and implementing solutions .

Conduct audit and monitoring activities as part of service oversight

Prepare and deliver training topics for the market team and other organizational partners to address education gaps and improve member experience and retention.

Provide accurate , timely and insightful analysis in response to ad hoc requests

Participate in member outreach to drive plan performance.

Support community development, member education, and other activities as requested by the Director of Medicare Operations and as customer service demands allow . Examples may include annual member meetings or other member-focused events.

In this role you will work in a hybrid environment with some days in the Allina Health | Aetna joint venture office and others working from home.

Required
Minimum of 2+ years of experience in Medicare insurance, including Medicare Advantage and/or Part D
Minimum of 2+ years of customer service or member-facing experience, preferably in a healthcare or insurance environment
Demonstrated ability to communicate effectively with diverse audiences through telephone, virtual, written, and in‑person interactions
Experience delivering live and virtual presentations, trainings, or educational sessions
Proven ability to resolve complex member issues by collaborating cross‑functionally with internal teams and external partners
Strong analytical and problem‑solving skills, with the ability to identify trends and support performance improvement initiatives
Proficiency with Microsoft Office applications (Outlook, Word, Excel, PowerPoint)
Ability to work effectively in a hybrid work environment, managing time independently while meeting performance expectations
Ability to handle confidential and sensitive information in accordance with HIPAA and company policies

Preferred
Working knowledge of Medicare regulations, CMS requirements, and service oversight expectations
Associate’s or Bachelor’s degree in Healthcare Administration, Public Health, Business, Social Services, or a related field, or equivalent experience
Knowledge of Medicare quality programs such as Stars Ratings, CAHPS, HEDIS, or retention initiatives
Experience supporting member engagement, outreach, or community-based programs
Demonstrated experience developing or delivering training materials to internal teams or external partners

Education
Bachelors 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 - $112,200.00
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: 04/27/2026

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