Behavioral Health Associate Manager Clinical Health Services - Field NJ

CVS Health

1d•Hybrid

About The Position

The Behavioral Health Associate Manager, Clinical Health Services provides clinical and operational leadership for Aetna’s Integrated Care Management (ICM) Behavioral Health Program in New Jersey. This role leads and supervises a team of care managers supporting Medicaid members with complex behavioral and physical health needs, ensuring high‑quality, coordinated, and compliant care across the continuum. As a Behavioral Health Subject Matter Expert, the Associate Manager drives best practices, regulatory compliance, and continuous improvement while guiding teams through change in a fast‑paced environment. This position is primarily remote with occasional in‑person meetings and field visits, and plays a critical role in audit readiness, program performance, and member outcomes. The ideal candidate is a forward‑thinking, collaborative leader who builds trust, motivates teams, and champions continuous improvement. This position demands a commitment to integrity, transparency, and accountability, along with the ability to lead teams through transformation with empathy, clarity, and vision.

Requirements

3 or more years of leadership experience managing a team
3 or more years’ experience in clinical area of expertise; pediatric, special needs and adult population
2 or more years experience serving chronically ill populations with mental health and/or Substance Use Disorders
2 or more years of care management experience in managed care
1or more year of discharge planning and/or home health care coordination experience
Independently Licensed in NJ (LCSW - Licensed Clinical Social Worker or LPC - Licensed Professional Counselor)
Must possess reliable transportation and be willing and able to travel up to 75% of the time conducting observational face to face audits in the field and/or assisting and mentoring case managers
Advanced computer literacy with strong proficiency in internal and external systems, virtual platforms, and MS Office Suite
Strong data‑gathering, analytical, and interpretive skills to inform sound decision‑making and next steps
Highly organized, adaptable, and effective in fast‑paced, evolving environments
Proven ability to think critically, solve problems independently, and navigate complex situations
Skilled at managing competing priorities and consistently meeting deadlines
Self‑motivated, dependable, and accountable with minimal oversight
Positive, forward‑thinking mindset with a continuous improvement approach
Exceptional written and verbal communication skills, with the ability to tailor messaging for diverse audiences
Solid understanding of compliance requirements, with the initiative to independently learn and apply SOPs, contracts, and departmental standards
Strong attention to detail and commitment to accuracy
Strategic, innovative thinker who brings creative, “outside‑the‑box” solutions to challenges

Nice To Haves

Certified Case Manager (CCM)
Proficient in learning and navigating care management and utilization management systems
Advanced knowledge of NCQA standards and care management requirements
Demonstrated experience with New Jersey Medicaid
Working knowledge of NJ Division of Developmental Disabilities (DDD) and/or Division of Child Protection and Permanency (DCPP)
Experience supporting or participating in IPRO/EQRO audits and reviews

Responsibilities

Lead and support the Integrated Care Management Behavioral Health Program, supervising and mentoring a team of care managers.
Guide high‑quality, coordinated care for members with behavioral and physical health needs.
Serve as a behavioral health expert, promoting best practices and strong clinical judgment.
Ensure regulatory compliance and audit readiness while driving continuous quality improvement.
Collaborate with providers, community partners, and internal teams to improve outcomes.
Develop and motivate staff, lead through change, and support a positive team culture.
Use data and insights to improve performance and member care.
Travel within New Jersey as needed for visits and audits (up to 50–75%).