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Experienced Customer Service Representative - Flexible Work from Home Opportunity in the South East Region for a Leading Pharmacy Benefit Manager

Remote, USA Full-time Posted 2025-11-03

Introduction to CVS Health and Our Mission

Imagine being part of a team that is dedicated to helping people on their path to better health. At CVS Health, a Fortune 5 company, we are passionate about providing excellent customer service and making a positive impact on the lives of our members. As a leader in the healthcare industry, we are committed to innovation, quality, and customer satisfaction. Our Pharmacy Benefit Manager (PBM) division is currently seeking talented and compassionate individuals to join our support teams as Customer Service Representatives. If you live in the state of Florida, Alabama, Georgia, Kentucky, North Carolina, South Carolina, Virginia, or Tennessee, and are looking for a flexible work from home schedule, we encourage you to consider this exciting opportunity.

Job Overview and Responsibilities

In this role, you will be responsible for assisting members with their pharmacy benefit plans, taking inbound calls, and answering questions regarding prescription insurance, medication coverage, and mail order prescriptions. Your goal will be to provide solutions that simplify our customers' healthcare experience, ensuring they understand their coverage and options. As a Customer Service Representative, you will be the face of our company, and your excellent communication skills, empathy, and problem-solving abilities will be essential in resolving members' questions on the first call.

  • Respond to inbound calls from members, providing accurate and timely information about their pharmacy benefit plans
  • Address questions and concerns regarding prescription insurance, medication coverage, and mail order prescriptions
  • Offer solutions and alternatives to help members navigate their healthcare options
  • Collaborate with internal teams to resolve member issues and provide a seamless customer experience
  • Utilize your knowledge and skills to simplify the healthcare experience for our members

Our Culture and Work Environment

Our call centers are known for their high-energy culture, and we are passionate about providing excellent customer service with empathy. As a Customer Service Representative, you will be part of a fun and fast-paced team that is dedicated to making a positive impact on the lives of our members. We believe in creating a work environment that is supportive, inclusive, and respectful, where everyone can thrive and grow. Our comprehensive training program will ensure your success on the team, and our flexible scheduling options will allow you to balance your priorities in and outside of work.

Qualifications and Requirements

To be successful in this role, you will need to possess excellent communication and customer service skills, as well as the ability to work in a fast-paced environment. The following qualifications are required:

  • 6 months of experience interacting with customers (e.g., call center, retail, customer service environment, hospitality industry, military experience)
  • Verifiable High School diploma, GED, or equivalent
  • Maintain your own internet with approved speed requirements and a secure work space free from distractions
  • Adherence to HIPAA and governmental compliance is required in this role

Preferred qualifications include:

  • 1 year of experience working in a Call Center environment or Healthcare related field
  • 6 months of work from home experience
  • Healthcare certification (e.g., Med Assistant) a plus

Skills and Competencies

To excel in this role, you will need to possess the following skills and competencies:

  • Excellent communication and customer service skills
  • Ability to work in a fast-paced environment and prioritize multiple tasks
  • Strong problem-solving and analytical skills
  • Empathy and understanding of our members' needs and concerns
  • Ability to work independently and as part of a team
  • Strong attention to detail and ability to maintain accuracy in a high-volume environment

Career Growth Opportunities and Learning Benefits

At CVS Health, we are committed to the growth and development of our employees. As a Customer Service Representative, you will have access to comprehensive training programs, career advancement opportunities, and a supportive work environment that encourages learning and growth. You will be able to develop your skills and knowledge in the healthcare industry, and we will provide you with the tools and resources you need to succeed in your role.

Compensation, Perks, and Benefits

We offer a comprehensive benefits package that includes medical, dental, vision insurance, as well as a wide-ranging list of supplemental benefits and discount programs. You will also receive:

  • 16 paid days off for employees
  • 10 paid holidays
  • 401(k) plan
  • Dental insurance
  • Employee discount
  • Health insurance
  • Paid time off
  • Vision insurance

Work Schedule and Location

This is a full-time, work from home opportunity, and you will be required to work a minimum of 30 hours per week. Our site hours are 7 days a week, 7am-11pm EST for work from home employees, and from 7am-9pm EST for onsite-call center employees. You will have a set schedule, and days off and hours may vary.

How to Apply

Our application process is simple and straightforward. To apply, please follow these steps:

  1. Apply online
  2. Take our Online Virtual Job Tryout (Interview Platform) to learn more about the position

We look forward to receiving your application and discussing this exciting opportunity with you further.

Conclusion

If you are a motivated and compassionate individual who is passionate about providing excellent customer service, we encourage you to apply for this exciting opportunity. As a Customer Service Representative at CVS Health, you will be part of a team that is dedicated to making a positive impact on the lives of our members. You will have the opportunity to work from home, balance your priorities, and grow your career in a supportive and inclusive work environment. Don't miss out on this chance to join our team and start making a difference in the lives of others. Apply today!

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