Remote Community Health Worker Program Lead

CVS Health Corporation; Northern (KY); Hybrid; USD 88,000 - 190,000; Full time

Benefits offered by this job

Bonus eligibility

Benefits package

Job summary

CVS Health Corporation seeks an Associate Manager of Community Health Worker (CHW) Pilot to lead implementation, oversight, and evaluation across Medicaid members with chronic conditions. This remote role works in a home-based setting across the United States, coordinating with interdisciplinary teams and supervising CHWs to reach program goals.

Responsibilities include managing operations, driving engagement, and improving outcomes such as diabetes management and primary care utilization, while

Qualifications

• 3–5 years of experience in care management, population health, community health, or Medicaid program operations.
• Prior supervisory or team leadership experience.
• Experience managing programs targeting high-risk or underserved populations.
• Strong understanding of SDoH, care coordination, and community-based interventions.
• Experience managing performance metrics and driving quality and utilization outcomes.
• Registered Nurse or independently licensed social worker/therapist in state of residence.

Responsibilities

• Oversee implementation and day-to-day operations of the CHW pilot, ensuring alignment with program design, goals, and timelines.
• Supervise CHWs, including caseload assignment (up to ~30 members per CHW), geographic alignment, and performance oversight.
• Ensure timely member outreach, engagement, and completion of required assessments (e.g., screening within 30 days).
• Drive CHW activities focused on closing gaps in care, improving diabetes management, and increasing primary care utilization.
• Ensure CHWs effectively connect members to SDoH resources (housing, food, transportation) and manage closed-loop referrals.
• Partner with interdisciplinary care teams to coordinate member care plans.
• Lead case reviews, interdisciplinary rounds, and performance discussions to address member needs.
• Monitor pilot performance metrics including ED utilization, inpatient admissions, and quality measures.

Skills

Care management

Population health

Community health

SDoH

Supervisory experience

Data analysis

Communication

Collaboration

Analytical skills

Education

Bachelor of Public Health / Social Work / Nursing / Health Administration

Tools

Dynamo

Job description

CVS Health Corporation seeks an Associate Manager of Community Health Worker (CHW) Pilot to lead implementation, oversight, and evaluation across Medicaid members with chronic conditions. This remote role works in a home-based setting across the United States, coordinating with interdisciplinary teams and supervising CHWs to reach program goals.

Responsibilities include managing operations, driving engagement, and improving outcomes such as diabetes management and primary care utilization, while