Case Management Analyst - Field in Brandon/Riverview FL

4004 Aetna Medicaid Administrators

United States

On-site

USD 29,000 - 56,000

Full time

3 days ago
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Benefits offered by this job

Medical, dental, and vision coverage
Paid time off
Retirement savings options
Wellness programs

Job summary

CVS Health is seeking a Case Manager Analyst to support optimal member health outcomes by coordinating care, educating members, and facilitating access to services in the Brandon/Riverview, FL area. You will use care management tools and data analysis to assess needs, identify risks, and implement effective care plans with providers and internal teams.

The role requires at least 1 year in behavioral health or long-term care, a Bachelor’s degree or non-licensed master’s level clinician, and

Qualifications

  • Bachelor’s Degree or non-licensed Master’s level clinician required.
  • 1 year in behavioral health or long-term care setting preferred.
  • Bilingual English & Spanish required (verbal and written).
  • Proficient with Microsoft Office Suite.

Responsibilities

  • Coordinate care and develop effective care plans with providers.
  • Educate members and facilitate access to appropriate services.
  • Monitor progress, document activities, and ensure quality reporting.
  • Collaborate with internal teams and external resources to remove barriers.
  • Ensure services align with member benefits and regulatory standards.

Skills

Bilingual English/Spanish
Care coordination
Data analysis
Patient education

Education

Bachelor’s Degree or non-licensed Master’s level clinician

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.

Position Summary – Case Manager Analyst - Field in Brandon/Riverview , FL New Hire Bonus Available

As a Case Manager Analyst you support optimal member health outcomes by coordinating care, providing education, and facilitating access to appropriate healthcare services. Using care management tools and data analysis, you assess member needs, identify risks, and develop and implement effective care plans. You collaborate with internal teams, providers, and external resources to address barriers, improve quality of care, and ensure services align with member benefits. Through communication, coaching, and motivational techniques, you promote member engagement, informed decision‑making, and healthy behavior changes. You are responsible for monitoring care plan progress, documenting activities, and ensuring compliance with regulatory standards, company policies, and quality management guidelines.

Required Qualifications
  • Travel Requirement: Must have reliable transportation and be willing/able to travel up to 75% of the time. Mileage is reimbursed per company policy.
  • Location Requirement: Must reside in Brandon/Riverview & Surrounding Areas, Florida
  • Experience: At least 1 year in a behavioral health or long‑term care setting.
  • Technical Skills: Proficiency in Microsoft Office Suite as well as computer use.
  • Preferred Qualifications: Experience in discharge planning, case management, or managed care (MCO).
  • Bilingual (English & Spanish): Required. Must successfully pass both verbal and written language assessments.
  • Strong ability to multitask, prioritize, and adapt in a fast‑paced environment.
  • Advanced communication skills in both English and Spanish (verbal and written).
  • Education: Bachelor’s Degree or non‑licensed Master’s level clinician required.
  • Degree to be in behavioural health, human services (psychology, social work, marriage and family counseling)
Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is: $21.10 - $40.90. 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.

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: 10/31/2026

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

Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self‑disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.

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