Care Management Associate - Remote

CVS Health

1d • $19 - $35 • 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. Position Summary Support comprehensive coordination of medical services including Care Team intake and outreach, screening and supporting the implementation of care plans to promote effective utilization of healthcare services. Promotes/supports quality effectiveness of benefits. Responsible for initial review and outreach tasks. Tracks Medicaid redetermination and researches eligibility issues. Utilizes Dynamo, QNXT and other Aetna systems to build, research and enter member information, as needed. Assists Case Managers with coordination of benefits and services. Promotes communication, both internally and externally to enhance effectiveness of medical management services (e.g., health care providers, and health care team members respectively) Provides support services to team members by answering telephone calls, taking messages, researching information, and assisting in solving problems. Adheres to Compliance with Policies and Regulatory Standards. Maintains accurate and complete documentation of required information that meets contract requirements. Protects the confidentiality of member information and adheres to company policies regarding confidentiality

Requirements

• 2-4 years’ experience as a medical assistant, office assistant.
• Strong customer service skills to coordinate service delivery including attention to customers, sensitivity to issues, proactive identification, and resolution of issues to promote positive outcomes for members.
• Computer literacy to navigate through internal/external computer systems, including Excel and Microsoft Word.
• Ability to effectively participate in a multi-disciplinary team including internal and external participants.
• Effective communication, telephonic and organization skills.

Nice To Haves

• Familiarity with basic medical terminology and concepts used in care management.
• Medicaid/ Medicare experience preferred.

Responsibilities

• Support comprehensive coordination of medical services including Care Team intake and outreach
• Screening and supporting the implementation of care plans to promote effective utilization of healthcare services
• Promotes/supports quality effectiveness of benefits
• Responsible for initial review and outreach tasks
• Tracks Medicaid redetermination and researches eligibility issues
• Utilizes Dynamo, QNXT and other Aetna systems to build, research and enter member information, as needed
• Assists Case Managers with coordination of benefits and services
• Promotes communication, both internally and externally to enhance effectiveness of medical management services (e.g., health care providers, and health care team members respectively)
• Provides support services to team members by answering telephone calls, taking messages, researching information, and assisting in solving problems
• Adheres to Compliance with Policies and Regulatory Standards
• Maintains accurate and complete documentation of required information that meets contract requirements
• Protects the confidentiality of member information and adheres to company policies regarding confidentiality

Benefits

• This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families.
• The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
• Additional details about available benefits are provided during the application process and on Benefits Moments.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Number of Employees: 5,001-10,000 employees