Care Management Associate Engagement Hub

CVS Pharmacy

Wisconsin

On-site

USD 25,000 - 58,000

Full time

41 hours ago
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Benefits offered by this job

Medical coverage
Dental coverage
Paid time off

Job summary

CVS Health is seeking a Care Management Associate for the Engagement Outreach Hub to coordinate healthcare services via telephonic outreach and enrollment. You will connect eligible members to care managers and support care plan implementation.

The role blends sales, health navigation, and health-plan support, requiring strong communication and organization. Work hours are standard business days with potential flexibility.

Qualifications

  • Healthcare experience in a clinical support/engagement role.
  • Strong communication and customer service focus.
  • Flexibility to work occasional evenings or weekends.
  • Familiarity with medical terminology and care management concepts.
  • Bilingual Spanish preferred.

Responsibilities

  • Engage members via telephonic outreach and warm transfer to care managers.
  • Facilitate enrollment into care management and support implementation of care plans.
  • Answer calls, research information, and document interactions in accordance with policies.

Skills

Communication skills
Organizational skills
Customer service
Multitasking
Attention to detail
Independent work
Team collaboration
Spanish bilingual

Education

HS Diploma or GED

Tools

Microsoft Word
Outlook
Excel

Job description

Care Management Associate Engagement Hub

Available in 49 locations

Job ID: R1053641

Category: Category: Clinical

Sub Category: Sub Category: Clinical Support

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 ourselvesaccountable 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

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 ourselvesaccountable 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 .

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® and its businesses lead the way to drive affordability, improve access and preserve choice in how people pay for care, receive care and stay healthy. With a wide range of career areas, you can be a part of our purpose-driven team.

Our workforce is dedicated and talented – more than 300,000 colleagues strong – focused on a bold vision to reimagine health care and our passion to make a difference. We unite around making health and care better for colleagues by striving to provide innovative and inclusive benefits for colleagues and their families.

We reflect the consumers we serve and recognize that having diverse teams fosters a workplace where every colleague feels welcomed, valued, respected, and heard. There is a place of opportunity for all here and for everyone to be extraordinary.

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