Aetna

Health Advocate- Inbound/Outbound Calls, Healthy Outcomes Team

Aetna

Remote
Full-TimeDepends on ExperienceMid-LevelBachelors
Job Description

Welcome to Aetna's Healthy Outcomes Team! We are seeking a passionate and empathetic individual to join us as a Health Advocate for Inbound and Outbound Calls. In this role, you will have the opportunity to make a positive impact on the lives of our members by providing exceptional customer service and advocating for their health needs. Our ideal candidate is a strong communicator, a problem-solver, and a team player who is dedicated to promoting healthy outcomes for our members. If you are driven by a desire to help others and have a background in healthcare, we encourage you to apply for this rewarding position.

  1. Provide exceptional customer service to Aetna members through inbound and outbound calls.
  2. Advocate for members' health needs by understanding and addressing their concerns and inquiries.
  3. Utilize strong communication skills to effectively explain complex healthcare information to members.
  4. Collaborate with team members to identify and implement solutions for member issues.
  5. Use problem-solving skills to resolve member complaints and escalate issues as needed.
  6. Maintain a deep understanding of Aetna's products and services to provide accurate information to members.
  7. Adhere to company policies and procedures while handling member interactions.
  8. Demonstrate empathy and compassion towards members' health concerns.
  9. Keep thorough and accurate records of member interactions and outcomes.
  10. Continuously strive to improve member satisfaction and promote healthy outcomes.
  11. Stay updated on industry trends and developments to provide the best possible service to members.
  12. Collaborate with other departments as needed to ensure seamless member experience.
  13. Comply with all relevant regulations and laws related to healthcare and customer service.
  14. Participate in training and development opportunities to enhance job performance.
  15. Maintain confidentiality of member information at all times.
Where is this job?
This job opening is listed as 100% remote
Job Qualifications
  • Bachelor's Degree In Healthcare-Related Field: Aetna Requires All Health Advocates To Have A Minimum Of A Bachelor's Degree In A Healthcare-Related Field Such As Nursing, Public Health, Or Health Education.

  • Strong Communication And Interpersonal Skills: As An Advocate, You Will Be Interacting With Aetna Members, Providers, And Other Healthcare Professionals On A Daily Basis. Therefore, Strong Communication And Interpersonal Skills Are Necessary To Effectively Advocate For The Health And Well-Being Of Aetna Members.

  • Knowledge Of Healthcare Industry And Insurance Practices: Aetna's Health Advocates Must Have A Deep Understanding Of The Healthcare Industry And Insurance Practices In Order To Provide Accurate And Informed Guidance To Aetna Members.

  • Customer Service Experience: In This Role, You Will Be Handling Inbound And Outbound Calls From Aetna Members And Providers. Previous Customer Service Experience Is Highly Desirable, As It Demonstrates The Ability To Effectively Communicate, Problem-Solve, And Provide Excellent Service.

  • Ability To Work In A Fast-Paced And Dynamic Environment: Aetna's Health Advocates Must Be Able To Adapt To A Fast-Paced And Constantly Changing Environment. This Includes Being Able To Multitask, Prioritize Tasks, And Work Efficiently To Meet Deadlines And Achieve Healthy Outcomes For Aetna Members.

Required Skills
  • Communication

  • Time Management

  • Multitasking

  • Interpersonal skills

  • customer service

  • Active listening

  • Cultural competency

  • Health education

  • Empathy

  • Problem-Solving

  • Conflict

  • Health Navigation

Soft Skills
  • Communication

  • Conflict Resolution

  • Emotional Intelligence

  • Leadership

  • Time management

  • creativity

  • Critical thinking

  • Teamwork

  • Adaptability

  • Problem-Solving

Compensation

According to JobzMall, the average salary range for a Health Advocate- Inbound/Outbound Calls, Healthy Outcomes Team is $40,000-$60,000 per year. However, this can vary depending on location, experience, and the specific company hiring. Some companies may offer additional benefits or bonuses as well.

Additional Information
Aetna is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedMarch 13th, 2025
Apply BeforeMay 22nd, 2025
This job posting is from a verified source. 

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About Aetna

Aetna Inc. is an American managed health care company that sells traditional and consumer directed health care insurance and related services, such as medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans, primarily through employer-paid (fully or partly) insurance and benefit programs, and through Medicare. Since November 28, 2018, the company has been a subsidiary of CVS Health.

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