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. Position Summary The Care Management Associate supports clinical operations and EPSDT (Early and Periodic Screening, Diagnostic, and Treatment) teams, either on the phone or by performing data entry. In this role, you will: Process intake of services via electronic fax system, email, and postal mail. Research member eligibility information prior to creating any authorizations. Create authorizations in appropriate database and fax back authorization numbers to assigned providers. Enter EPSDT forms into database and send referrals as requested to internal departments. Protect the confidentiality of member information and adhere to company policies. Promote and support quality administration of healthcare services.

Requirements

  • 1+ year of experience in health care.
  • 1+ year of experience in customer service.
  • Working knowledge of Microsoft Office products (Word, Excel, PowerPoint, Outlook), as well as a demonstrated computer literacy and ability to navigate through internal and external systems.
  • High school diploma or GED.

Nice To Haves

  • 1-2 years of experience as a medical assistant and/or office assistant.
  • Demonstrated comfort receiving regular feedback in the interest of professional development.
  • Previous experience with basic medical terminology.
  • Strong problem-solving and analytical skills.
  • Ability to work successfully in a team-based environment.
  • Effective communication (written & telephonic) and organizational skills.
  • Resides in Maricopa County, Arizona.
  • Associate’s degree.

Responsibilities

  • Process intake of services via electronic fax system, email, and postal mail.
  • Research member eligibility information prior to creating any authorizations.
  • Create authorizations in appropriate database and fax back authorization numbers to assigned providers.
  • Enter EPSDT forms into database and send referrals as requested to internal departments.
  • Protect the confidentiality of member information and adhere to company policies.
  • Promote and support quality administration of healthcare services.

Benefits

  • Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
  • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
  • Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
  • For more information, visit https://jobs.cvshealth.com/us/en/benefits
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