Behavioral Health Medicare Care Associate
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.
Care Associate – Behavioral Health Medicare Reviews
Fully Remote | Monday–Friday | 9:00 AM–5:30 PM EST
Are you detail-oriented, customer-focused, and passionate about supporting behavioral health services? Join our team as a Care Associate and play a critical role in the Behavioral Health Medicare Review process, helping ensure timely, accurate communication and coordination for members and providers.
What You'll Do
- Coordinate peer-to-peer review requests as part of the Behavioral Health Medicare review process
- Prepare and distribute accurate correspondence to members and providers
- Support time-sensitive workflows while ensuring compliance with CMS and company requirements
- Communicate with internal and external stakeholders to facilitate effective case processing
- Maintain high standards of accuracy, organization, and customer service
- Help ensure review decisions are completed within mandated turnaround times
WHAT YOU BRING - REQUIRED
- Ability to work Monday–Friday, 9:00 AM–5:30 PM EST
- 2+ years of experience in the health insurance industry
- Customer service experience in healthcare and/or a behavioral health setting
- Strong attention to detail and ability to manage regulated, time-sensitive work
- Excellent organizational and communication skills
Preferred Qualifications
- 2+ years of Behavioral Health experience supporting mental health populations
- Proven ability to communicate effectively, resolve service challenges, and improve processes
- Experience working in fast-paced, deadline-driven environments
- Experience scheduling and processing denials
Education
- Associate degree or equivalent work experience
Why Join Us?
- 100% remote work environment
- Consistent weekday schedule with evenings and weekends free
- Opportunity to support members' behavioral health journeys
- Collaborative team focused on quality, compliance, and service excellence
- Meaningful work that directly impacts member and provider experiences
If you're organized, compassionate, and thrive in a fast-paced healthcare environment, we'd love to hear from you. Apply today!
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$21.10 - $44.99This 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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.