Care Management Associate Engagement Hub

CVS Health Corporation; Massachusetts; Hybrid; USD 53.010.000 - 121.350.000; Vollzeit

Benefits dieser Stelle

Medical, dental, vision coverage

Paid time off

Retirement savings options

Zusammenfassung

CVS Health is a leading healthcare company focused on delivering compassionate, accessible care. The Engagement Outreach Hub Care Management Associate role involves telephonic outreach, enrollment into care management, and problem-solving to improve member health outcomes.

The position emphasizes member-centered service, coordination with care managers, and compliance with regulatory standards, with a Monday–Friday schedule and a base pay range that reflects geography and experience.

Qualifikationen

• HS Diploma or GED equivalent.
• 2–4 years of healthcare experience (medical office, hospital, billing/coding, etc.).
• Strong communication, organizational, and customer service skills.
• Proficiency in Microsoft Word, Outlook, and Excel.

Aufgaben

• Direct member outreach and engagement via telephonic contact.
• Facilitate case assignment and connect members to care managers via warm transfer.
• Enroll members into care management to support care plans and utilization.
• Provide support by answering calls, researching information, and problem solving.
• Maintain documentation meeting risk, regulatory, and accreditation requirements.
• Protect confidentiality of member information and adhere to policies.

Kenntnisse

Communication

Multitasking

Productivity

Attention to detail

Independent work

Customer focus

Ausbildung

HS Diploma/GED

Tools

Microsoft Word

Microsoft Outlook

Microsoft Excel

Jobbeschreibung

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.

Aetna’s Medicaid Care Management Engagement Outreach Hub is a new initiative focused on prioritizing Medicaid member interaction, maximizing inbound and outbound touchpoints to solve members’ needs and create behavioral change. How we do this is through a dedicated and caring team of health care professionals who connect with passion, caring and behavioral interviewing techniques. This team has a drive to exceed the delivery of Medicaid Health care services. Focus is on the Hub’s efficiency and productivity efforts whereby the Care Management Associates interact and engage telephonically with members. Through the successful supports orchestrated by the Hub team, this comprehensive care coordination is a collaborative demonstration of innovative healthcare navigation and motivational health plan customer support representation. This is an exciting time to join Aetna, a CVS Health Company, in our journey to change the way healthcare is delivered today. We are health care innovators.

The Engagement Outreach Hub Care Management Associate supports comprehensive coordination of healthcare services through telephonic outreach to and enrollment of our eligible members. Our Engagement Care Management Associates demonstrate a highly energetic blend of salesperson, healthcare navigator and health plan customer support representative. The Associate is responsible for direct member outreach and engagement, facilitating case assignment, and connecting identified members to care managers immediately through a warm transfer. By successfully enrolling members into care management, further supports the implementation of care plans to promote effective utilization of healthcare services, promoting and supporting quality effectiveness.

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 procedure/regulatory standards. Maintains accurate and complete documentation of required information that meets risk management, regulatory, and accreditation requirements. Protects the confidentiality of member information and adheres to company policies regarding confidentiality.

REQUIREMENT QUALIFICATIONS :

• Strong communication, organizational, and customer service skills.
• Ability to manage multiple priorities and adapt to change.
• Consistently meet productivity and quality metrics with accuracy and a positive attitude.
• Strong attention to detail and documentation skills.
• Ability to work independently while collaborating effectively with team members.
• Professional, enthusiastic, and member-focused approach to outreach..

PREFERRED QUALIFICATIONS :

• 2 to 4 years of healthcare experience (medical office, hospital, billing/coding, etc.).
• Proficiency in Microsoft Word, Outlook, and Excel.
• Familiarity with medical terminology and care management concepts.
• Flexibility to work occasional evenings or weekends.
• Strong verbal and written communication skills.
• Bilingual Spanish preferred.

EDUCATION :

HS Diploma or GED equivalent

Work Schedule:

Monday through Friday 8am-5pm Central Time Zone

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$18.50 - $42.35

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

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 (https://learn.bswift.com/cvshealth-mainland) .

We anticipate the application window for this opening will close on: 10/15/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran — committed to diversity in the workplace.