Senior Analyst, Health Coach Wellness

CVS Health

1d

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 Health Coach telephonically outreaches our Medicare population to improve medication adherence and/or HEDIS diabetes and blood pressure control, providing education and addressing any barriers to adherence by utilizing the member's benefits. This may include outreach to pharmacies and prescribers. The Health Coach utilizes a collaborative process of assessment, planning, implementation, and coordination to engage, educate, and promote/influence members in decisions related to achieving and maintaining optimal health status. Assessment of Members: Through motivational interviewing and the use of various tools, uses healthcare knowledge and experience of health risk behaviors to conduct evaluation of member's health status for either HEDIS health screening/control or Medication Adherence. Utilizes influencing/motivational interviewing skills to ensure member engagement and discern health needs based on key questions and conversation to promote behavior changes to achieve optimum level of health Partners with members to identify opportunities for integration into available internal/external programs Using holistic approach consults with Manager or others to overcome barriers with assisting members in meeting goals and objectives Utilizing interviewing and active listening skills, provides coaching, information and support to empower the member to make ongoing independent healthy healthcare choices. Interprets and utilizes guidelines/criteria to positively impact members health Provides up-to-date healthcare information to help facilitate the member’s understanding of his/her health status Helps member actively and knowledgably participate with their provider in healthcare decisions Applies judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact healthcare access, services and resolution of member issues. Develops a proactive course of action to address issues presented to enhance the short and long term health outcomes as well as opportunities to enhance a member’s overall wellness through integration.

Requirements

• 1-3 years Microsoft Office
• 3-5 years practice experience-- Renal, Diabetes, Hypertension, Primary Care/Geriatric, Oncology Managed Care and Medicare experience
• Associates Degree or equivalent experience

Nice To Haves

• Healthcare licensure and/or certifications (RN, LPN, MSW, LCSW, CDE etc) highly preferred
• 5 years practice experience-- Renal, Diabetes, Hypertension, Primary Care/Geriatric, Oncology Managed Care and Medicare experience
• Previous telephonic coaching, education or case management experience
• Excellent computer skills including MS Office applications
• Independent worker
• Excellent time manager
• Excellent analytical and problem solving skills
• Effective communications, organizational, and interpersonal skills, Bilingual a plus
• Demonstrated ability to communicate, problem solve, and work effectively with people, use good judgment in challenging situations
• Experience in facilitating client positive behavioral change
• Background in motivational interviewing, active listening skills.

Responsibilities

• Assessment of Members: Through motivational interviewing and the use of various tools, uses healthcare knowledge and experience of health risk behaviors to conduct evaluation of member's health status for either HEDIS health screening/control or Medication Adherence.
• Utilizes influencing/motivational interviewing skills to ensure member engagement and discern health needs based on key questions and conversation to promote behavior changes to achieve optimum level of health
• Partners with members to identify opportunities for integration into available internal/external programs
• Using holistic approach consults with Manager or others to overcome barriers with assisting members in meeting goals and objectives
• Utilizing interviewing and active listening skills, provides coaching, information and support to empower the member to make ongoing independent healthy healthcare choices.
• Interprets and utilizes guidelines/criteria to positively impact members health
• Provides up-to-date healthcare information to help facilitate the member’s understanding of his/her health status
• Helps member actively and knowledgably participate with their provider in healthcare decisions
• Applies judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact healthcare access, services and resolution of member issues.
• Develops a proactive course of action to address issues presented to enhance the short and long term health outcomes as well as opportunities to enhance a member’s overall wellness through integration.

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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree