Associate Manager, Health Services - Must live in Florida

CVS Health•Miami, FL

1d•$46,988 - $102,000•Remote

About The Position

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.

Requirements

Must reside in the state of Florida, preferably in Miami FL, and be willing to travel up to 25% of the time
3+ years of managed care experience
2+ years of experience with LTSS
2+ years of Management experience, with the ability to mentor and support staff to meet business needs
2+ years experience in effective communication with Providers, Members, Staff and other Leaders both in oral and written format
Ability to evaluate and interpret data, identify areas of improvement, and focus on interventions to improve outcomes
Knowledge of the regulations, standards, and policies which relate to medical management
Proficiency with computer skills which includes navigating multiple systems and keyboarding, and familiarity with Microsoft Excel, Word, and web-based applications desired
Time efficient and highly organized

Nice To Haves

3-5 years of experience in a physical or behavioral healthcare setting
Ability to work with people in such a manner as to build high morale and group commitment to goals and objectives
Ability to evaluate and interpret data, identify areas of improvement, and focus on interventions to improve outcomes
Previous remote work-from-home experience preferred, with demonstrated ability to stay organized, communicate effectively, and work independently in a virtual environment

Responsibilities

Accountable for meeting the financial, operational and quality objectives of the unit
Oversees the implementation of healthcare management services for assigned functional area
Implements clinical and non-clinical policies & procedures in accordance with applicable regulatory and accreditation standards (e.g. NCQA, state and federal standards and mandates as applicable)
Serve as a content model expert and mentor to the team regarding practice standards, quality of interventions, problem resolution and critical thinking
Ensure implementation and monitoring of best practice approaches and innovations to better address the member's needs across the continuum of care
May act as a liaison with other business areas
May develop/assist in development and/review new training content
May collaborate/deliver inter and intra-departmental training sessions
Protects the confidentiality of member information and adheres to company policies regarding confidentiality
Manages resources responsible for identification of members, development and implementation of care plans, enhancement of medical appropriateness and quality of care and monitoring, evaluating, and documenting of care
Develop, initiate, monitor, and communicate performance expectations
Ensures the team's understanding and use of information system capability and functionality
May have responsibility for their own case load work
May act as a single point of contact for the member and the Care Management Team including: participation in care team meetings, implementation and oversight of member cultural requirements, and support implementation of new members
Participate in the recruitment and hiring process for staff using clearly defined requirements in terms of education, experience, technical and performance skills
Assesses developmental needs and collaborates with others to identify and implement action plans that support the development of high performing teams
Establish an environment and work style that promotes the concept of teamwork, cross product integration, and continuum of care thinking that results in strong performance
Consistently demonstrates the ability to serve as an model change agent and lead change efforts
Create a positive work environment by acknowledging team contributions, soliciting input, and offering personal assistance, when needed
Accountable for maintaining compliance with policies and procedures and implements them at the employee level