Overview
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
- 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. This is achieved through a dedicated and caring team of health care professionals who connect with passion, caring and behavioral interviewing techniques. The team aims to exceed the delivery of Medicaid health care services, focusing on the Hub’s efficiency and productivity by having Care Management Associates interact telephonically with members. This engagement demonstrates innovative healthcare navigation and motivational health plan customer support representation. 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 eligible members. The Associate combines elements of sales, healthcare navigation and health plan customer support. Responsibilities include direct member outreach and engagement, facilitating case assignment, and connecting identified members to care managers immediately through a warm transfer. By enrolling members into care management, the role supports care plans to promote effective utilization of healthcare services and quality outcomes.
- 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 procedures/regulatory standards. Maintains accurate and complete documentation of required information meeting risk management, regulatory, and accreditation requirements. Protects the confidentiality of member information and adheres to company policies regarding confidentiality.
Required Qualifications
- 2 years’ experience in healthcare field (e.g., medical office, hospital setting, medical billing/coding)
- Experience with computers including knowledge of Microsoft Word, Outlook, and Excel – data entry and documentation within member records
- Familiarity with basic medical terminology and concepts used in care management
- Flexibility to work occasional nights and weekends outside of standard business hours (8:00 am to 8:00 pm)
- Strong organizational skills, including effective verbal and written communication skills
Preferred Qualifications
- Bilingual (Spanish) preferred, must have ability to pass a written and oral exam
- Effective communication, telephonic and organization skills with ability to manage multiple priorities, adapt to change with enthusiasm
- Demonstrates ability to meet daily metrics with speed, accuracy and a positive attitude
- Strong customer service skills to coordinate service delivery with attention to customers, issue resolution and adherence to care management processes (privacy, confidentiality, quality management, regulatory and accreditation guidelines, and company policies)
- Completes documentation of each member call in the electronic record with thorough actions to ensure compliance requirements are met
- Works independently and competently, meeting deliverables and deadlines while maintaining an enthusiastic and caring presence telephonically
- Ability to participate effectively in a multi-disciplinary team including internal and external participants
Education
High School diploma or equivalent GED
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The Typical Pay Range For This Role Is $18.50 - $31.72
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.
Benefits
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.
- 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 different needs and preferences of 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
We anticipate the application window for this opening will close on: 03/30/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.