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CVS HealthCore Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in member outreach and health education, with a strong focus on improving health outcomes for Medicaid and Medicare populations. Proficient in data management and regulatory compliance, with exceptional communication skills to effectively engage with members.
Highest-signal resume keywords
Member Outreach ExperienceHealthcare MarketingCustomer Service ExperienceData ManagementHEDIS Quality Initiatives
About the role
Key responsibilities & impact- Coordinate member outreach to ensure effective use of health plan benefits
- Ensure members receive important clinical services
- Improve health outcomes within Medicaid or Medicare populations
- Respond to member inquiries in person, by telephone, and in writing
- Support Healthcare Effectiveness Data and Information Set (HEDIS) quality initiatives
- Support regulatory and contractual requirements, including outreach to noncompliant members
- Support medical record capture for HEDIS medical record review and abstraction of supplemental data
Requirements
What you’ll need- 2+ years’ member outreach, health care marketing, and/or other health education experience
- 1+ years of customer service or call center experience
- 1+ years of experience working with data
- Ability to work independently with a high attention to details
- Exceptional verbal and written communication skills
- 2+ years’ experience using a personal computer, keyboard navigation, multiple systems and applications, and MS Office Suite applications including Teams, Outlook, Word, and Excel
- High School Diploma (REQUIRED)
- QuickBase experience (preferred)
- QNXT experience (preferred)
- Project management experience (preferred)
- Analytic experience (preferred)
Benefits
Comp & perks- CVS Health bonus, commission or short-term incentive program in addition to base pay
- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources supporting colleagues' physical, emotional, and financial well-being
- Comprehensive benefits package for full-time colleagues and their families, based on eligibility
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Health EducationData AnalysisProject ManagementRegulatory ComplianceMedical Record Review
Soft Skills
Attention to DetailVerbal CommunicationWritten Communication
Tools & Technologies
MS Office SuiteQuickBaseQNXTTeamsOutlookWordExcel
Certifications & Qualifications
High School Diploma
Industry Keywords
MedicaidMedicareHEDISHealthcare Effectiveness DataNoncompliant Members