Care Management Associate Engagement Hub

CVS Health Corporation; New Mexico; Hybrid; USD 25,000 - 58,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs

Bonus/incentive program

Job summary

CVS Health Corporation is seeking a Care Management Associate for the Engagement Outreach Hub in the United States. You will conduct telephonic outreach, enroll eligible members into care management, and support care plan implementation to improve utilization of healthcare services.

The role blends sales, navigation, and member support, requiring strong communication, organizational skills, and attention to detail.

Qualifications

• HS Diploma or GED equivalent.
• 2–4 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.

Responsibilities

• Direct member outreach and engagement, facilitating case assignment, and connecting identified members to care managers via warm transfer.
• Enroll members into care management and support implementation of care plans to promote effective utilization of healthcare services.
• Provide support to team members by answering calls, taking messages, researching information and assisting in problem solving; ensure compliance and maintain documentation.

Skills

Strong communication

Customer service

Multitasking

Attention to detail

Independent worker

Bilingual Spanish preferred

Education

HS Diploma or GED

Tools

Microsoft Word

Outlook

Excel

Job description

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.