Manager, OhioRISE Clinical Health Services

CVS Health • Work At Home-Ohio, OH

3d • $87,035 - $187,460 • Remote

About The Position

The Manager, OhioRISE Clinical Health Services develops, implements, supports, and promotes Health Services strategies, tactics, policies, and programs to deliver quality healthcare and support current and emerging policies for Aetna OhioRISE. The role oversees clinical team processes and the organization and development of high-performing teams, with accountability for financial, operational, and quality objectives. This is a full-time remote teleworker position for someone residing in Ohio, with travel required up to 10% to surrounding Ohio regions, the New Albany corporate office, or other locations to support members, stakeholders, or direct reports. Core business hours are Monday through Friday, 8 a.m. to 5 p.m. The position requires a quiet, secure, private, designated home work location compliant with company and HIPAA guidelines, and a qualifying internet connection. CVS Health provides computer equipment and related peripherals; employees supply their own workspace furniture. The role is expected to work within the state and city where the employee currently lives.

Requirements

• Must reside in Ohio.
• Active, unrestricted Ohio independent state licensure in an applicable functional area, such as RN (BSN/MA), LPCC, LPCC-S, LISW, or LISW-S; the posting also specifies a master's degree in a behavioral health field.
• At least 5 years of experience in a clinical area of expertise.
• At least 2 years of experience leading and managing large teams.
• At least 2 years of experience using a personal computer, keyboard, mouse, and multiple systems, and with MS Office applications such as Outlook, Word, Excel, SharePoint, and Teams.
• Reliable transportation and willingness and ability to travel within the assigned region up to 10% of the time.
• Ability to obtain and maintain a direct, hardwired internet connection within 7 feet of the modem/router with minimum speeds of 25 Mbps download and 3 Mbps upload, or wireless capabilities meeting the same speed requirements.
• A quiet, secure, private, designated home work location that is free from distractions, tidy and organized, compliant with CVS Health and HIPAA guidelines, and suitable for uninterrupted work during work hours.
• Ability to work within the state and city where the employee currently lives.
• Provide personal workspace furniture, such as a desk or standing desk, and remain at a desk for extended periods.
• Comfort setting up and using multiple monitors and navigating multiple applications simultaneously.
• Ability to communicate using email, calendar invitations, Teams messaging, and virtual meetings.
• Experience with Microsoft Office 365 applications or similar tools such as Google Workspace.
• Ability to access secure systems such as VPN and EHR portals, secure devices and passwords, and recognize suspicious emails or links.
• Ability to resolve common technical issues independently and contact IT for issues that cannot be resolved.
• Openness to learning new skills as the workplace environment evolves.

Nice To Haves

• Managed care experience.
• Medicaid experience.
• Familiarity with QuickBase.
• Remote work experience.
• Experience working with children, adolescents, and young adults.

Responsibilities

• Reinforce clinical philosophy, programs, policies, and procedures.
• Communicate the strategic plan and tactics for meeting it, and ensure tactics are implemented to achieve strategic direction for cost and quality outcomes.
• Create direction and communicate a business case for change, focusing on key priorities to achieve business results.
• Identify opportunities to implement best practices and introduce innovations to improve outcomes.
• Meet the financial, operational, and quality objectives of the unit.
• Manage the assigned team’s day-to-day work to ensure appropriate implementation of and adherence to established practices, policies, and procedures.
• Work with functional area managers to ensure consistency in clinical interventions supporting plan sponsors.
• Develop, initiate, monitor, and communicate performance expectations.
• As needed, serve as a single point of contact for customers and the Account Team, including customer meetings, implementation and oversight of customer cultural requirements, and support for new customer implementation.
• Participate in recruiting and hiring staff using defined education, experience, technical, and performance requirements.
• Assess development needs and collaborate with others to identify and implement action plans that support high-performing teams.
• Model effective change agency and lead change efforts.
• Maintain compliance with policies and procedures and implement them at the employee level.
• Evaluate and interpret data, identify improvement areas, and focus interventions on improving outcomes.
• Proactively address performance management needs for direct reports.
• Meet or exceed KPIs and business metrics for the managed team.
• Work professionally with internal, external, and state regulatory personnel and provide prompt remediation processes.
• Travel as needed for organizational requirements and role responsibilities, including travel beyond the New Albany home-base office.

Benefits

• Medical coverage
• Dental coverage
• Vision coverage
• Paid time off
• Retirement savings options
• Wellness programs
• Other resources to support physical, emotional, and financial well-being, based on eligibility
• Eligibility for a CVS Health bonus, commission, or short-term incentive program

What This Job Offers

• Job Type: Full-time
• Career Level: Manager