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.
We take a team-based approach to providing outstanding patient care. Medicaid Specialists are an integral part of our team and sit within our Contact Center team. They place outgoing and receive incoming calls or referrals in an effort to support our low-income eligible patients with assessing and applying for Medicaid. Medicaid helps patients save money on healthcare expenses, thus improving their access to care. PRMs - Medicaid Specialists advocate for our patients by helping them navigate low-income and insurance resources available. They are also a resource to our center teams for questions regarding Medicaid and eligibility. During the upcoming Medicaid redetermination period PRMs - Medicaid Specialists will be integral in helping our patients navigate the state-specific redetermination process to maintain coverage and continuity of care.
Core Responsibilities:
Place outgoing and receive incoming calls or referrals to assist patients in the Medicaid redetermination process and eligibility and application process
When applicable, attend Medicaid redetermination events in person to support patients application and renewals
Learn the ins and outs of Medicaid and use knowledge to assist patients with navigating low-income resources available
Serve as internal resource for all teams on Medicaid questions
Advocate for the patient in what resources they are entitled to
Gain the trust of patients in an effort to properly advise them in their healthcare coverage
Effectively communicate and coordinate across teams to ensure patient needs are met
Provide exceptional customer service
Other duties, as assigned
What are we looking for?
High school diploma, Bachelor's degree preferred
2-5 years experience
Sales background preferred, but not required
Prior Medicaid experience preferred, but not required
Familiarity with relevant patient population
Community health experience preferred
Proficient PC skills
Fluency in Spanish, Polish, Russian, or other languages spoken by people in the communities we serve, where necessary
40
Full time
The typical pay range for this role is:
$18.50 - $38.82
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.
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.
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
Additional details about available benefits are provided during the application process and on Benefits Moments.
We anticipate the application window for this opening will close on: 10/31/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
CVS Health is the leading health solutions company, delivering care like no one else can. We reach more people and improve the health of communities across America through our local presence, digital channels and over 300,000 dedicated colleagues.
Wherever and whenever people need us, we help them with their health – whether that’s managing chronic diseases, staying compliant with their medications or accessing affordable health and wellness services in the most convenient ways. We help people navigate the health care system – and their personal health care – by simplifying health care one person, one family and one community at a time. Follow @CVSHealth on social media.
