Senior Analyst, Health Coach Wellness - Remote

CVS Health

1d•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 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.

Requirements

1-3 years Microsoft Office
3-5 years practice experience-- Renal, Diabetes, Hypertension, Primary Care/Geriatric, Oncology
Managed Care and Medicare 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.