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Posted Dec 18, 2025

Customer Service Representative - Aetna Medicaid

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Join our team and make a difference in healthcare! CVS Health is seeking a highly skilled Customer Service Representative to join our Aetna Medicaid team. As a key member of our customer service team, you will provide exceptional service to our Medicaid members and providers, responding to inquiries and resolving issues with a high level of professionalism and courtesy. At CVS Health, we are driven by a purpose to bring our heart to every moment of health. We strive to deliver enhanced human-centric healthcare for a rapidly changing world, and we need talented individuals like you to help us achieve our mission. Position Summary Must live within 50 miles of Charleston, WV As a Customer Service Representative, you will provide telephone assistance to Aetna Medicaid members and providers, addressing a range of inquiries, including eligibility, provider changes, and requests for ID cards. You will be the face of CVS Health, delivering an excellent experience to our callers every time. Responsibilities Answer incoming member and provider calls, responding to inquiries regarding benefits, eligibility, services, prior authorization requirements, and more Utilize high-speed internet connectivity with secure service via ethernet cable (Wi-Fi not permitted) Company-provided equipment and comprehensive training Training Schedule: 8:30 AM - 5:00 PM EST, Monday through Friday (first 6 weeks) Production schedule: 8:30 AM - 5:00 PM EST, Monday through Friday Requirements Must commute to the office in Charleston, WV when unable to work from home due to technical issues Excellent communication skills (oral and written) with ability to meet performance standards, attendance requirements, and call quality goals Self-sufficient and able to work from home Preferred Qualifications Experience working remotely in a call center setting Knowledge of Medicaid and Medicare Education High school diploma or equivalent required Pay Range $17.00 - $25.15 per hour (dependent on experience, education, and location) CVS Health offers a comprehensive benefits package, including: Medical, dental, and vision benefits 401(k) retirement savings plan and Employee Stock Purchase Plan Fully-paid term life insurance plan Short-term and long-term disability benefits Paid Time Off (PTO) and paid holidays If you're passionate about delivering exceptional customer service and making a difference in healthcare, we encourage you to apply now! Apply for this job