The Health Coach telephonically outreaches our Medicare population to improve medication adherence and/or HEDIS diabetes and blood pressure control, providing education and addressing any barriers to adherence by utilizing the member's benefits. This may include outreach to pharmacies and prescribers. The Health Coach utilizes a collaborative process of assessment, planning, implementation, and coordination to engage, educate, and promote/influence members in decisions related to achieving and maintaining optimal health status.

• Assessment of Members: Through motivational interviewing and the use of various tools, uses healthcare knowledge and experience of health risk behaviors to conduct evaluation of member's health status for either HEDIS health screening/control or Medication Adherence.

• Utilizes influencing/motivational interviewing skills to ensure member engagement and discern health needs based on key questions and conversation to promote behavior changes to achieve optimum level of health

• Partners with members to identify opportunities for integration into available internal/external programs

• Using holistic approach consults with Manager or others to overcome barriers with assisting members in meeting goals and objectives

• Utilizing interviewing and active listening skills, provides coaching, information and support to empower the member to make ongoing independent healthy healthcare choices.

• Interprets and utilizes guidelines/criteria to positively impact members health

• Provides up-to-date healthcare information to help facilitate the member’s understanding of his/her health status

• Helps member actively and knowledgably participate with their provider in healthcare decisions

• Applies judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact healthcare access, services and resolution of member issues.

Develops a proactive course of action to address issues presented to enhance the short and long term health outcomes as well as opportunities to enhance a member’s overall wellness through integration.

Pay Range
The typical pay range for this role is:
Minimum: 43,700
Maximum: 100,000

Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.

Required Qualifications
Medicare experience
3+ years in Health Care field
Experience with educating on medications

COVID Requirements

COVID-19 Vaccination Requirement
CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.

You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.

Preferred Qualifications
Healthcare licensure and/or certifications (RN, LPN, MSW, LCSW, CDE etc) highly preferred

5 years practice experience- Renal, Diabetes, Hypertension, Primary Care/Geriatric, Oncology

Managed Care and Medicare experience

Previous telephonic coaching, education or case management experience
Excellent computer skills including MS Office applications
Independent worker
Excellent time manager
Excellent analytical and problem solving skills
Effective communications, organizational, and interpersonal skills, Bilingual a plus
Demonstrated ability to communicate, problem solve, and work effectively with people, use good judgment in challenging situations
Experience in facilitating client positive behavioral change

Background in motivational interviewing, active listening skills

Education
Associates degree

Business Overview
Bring your heart to CVS Health Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.