Care Management Associate, Service Operations

CVS Health; Springfield (IL); Presencial; USD 25 000 - 58 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs

Resumo da oferta

CVS Health in Springfield, IL is seeking a full-time Care Management Engagement Outreach Associate to support Medicaid member interactions. You will connect with members telephonically, document calls in the electronic record, and collaborate with a multidisciplinary team to promote positive outcomes.

The role emphasizes metrics, communication, organizational skills, and a patient-first approach within a compliant care management framework.

Qualificações

• Demonstrates ability to meet daily metrics with speed and accuracy.
• Effective telephonic communication and organizational skills.
• Strong customer service to coordinate service delivery with privacy and quality controls.
• Completes documentation in the electronic record with attention to detail.

Responsabilidades

• Engage with members telephonically to support care management processes.
• Document each member call thoroughly to ensure compliance.
• Collaborate with a multi-disciplinary team to resolve member needs.
• Manage priorities and deliverables while maintaining a caring presence.

Conhecimentos

Communication skills

Telephone skills

Organization skills

Customer service

Team collaboration

Formação académica

High School diploma

Ferramentas

Microsoft Word

Outlook

Excel

Descrição da oferta de emprego

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. 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.

Required Qualifications

• Demonstrates ability to meet daily metrics with speed, accuracy and a positive attitude.
• Effective communication, telephonic and organization skills with ability to be agile, managing multiple priorities at one time, and adapting to change with enthusiasm
• Strong customer service skills to coordinate service delivery including attention to customers, sensitivity to issues, proactive identification and resolution of issues to promote positive outcomes for members, adhering to care management processes (to include, but not limited to, privacy and confidentiality, quality management processes in compliance with regulatory, accreditation guidelines, company policies and procedures).
• Completes documentation of each member call in the electronic record, thoroughly completing required actions with a high level of detail to ensure compliance requirements are met with efficiency.
• Works independently and competently, meeting deliverables and deadlines while demonstrating an outgoing, enthusiastic and caring presence telephonically.
• Ability to effectively participate in a multi-disciplinary team including internal and external participants.

Preferred Qualifications

• Experience with computers including knowledge of Microsoft Word, Outlook, and Excel – data entry and documentation within member records preferred.
• 4 years’ experience in healthcare field (i.e. experienced in medical office, hospital setting, medical billing/coding) preferred.
• Familiarity with basic medical terminology and concepts used in care management preferred.
• Flexibility to work occasional weekends outside of standard business hours which can span from 8:00 am to 8:00 pm.
• Strong organizational skills, including effective verbal and written communication skills.
• Bilingual (Spanish) preferred.

Education

The highest level of education desired for candidates in this position in a High School diploma, G.E.D. or equivalent.

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: 10/20/2026

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