Associate Manager, Health Services

Vaga não está no LinkedIn

🕒 Agosto 19

🐊 Florida – Remoto

🐊 Florida – Remote

💵 $46.988 - $102.000 / ano

⏰ Tempo Integral

🟢 Júnior

🟡 Pleno

👔 Gerente

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CVS Health

SiteLinkedInTodas as Vagas

10.000+ funcionários

Fundada em 1963

🏥 Saúde

⚕️ Seguro de Saúde

🛒 Varejo

Healthcare • Healthcare Insurance • Retail

CVS Health é uma empresa líder de saúde nos Estados Unidos, dedicada a ampliar o acesso e a acessibilidade ao cuidado. A empresa adota uma abordagem abrangente que inclui serviços de saúde, seguro saúde e gestão de benefícios farmacêuticos (PBM). Por meio de suas subsidiárias, como Aetna e CVS Caremark, a CVS Health oferece uma variedade de serviços que promovem o bem-estar, a gestão de condições de saúde e a cobertura acessível de medicamentos prescritos. A CVS Health opera farmácias de bairro, oferece serviços de farmácia por correspondência e gerencia programas de medicamentos de especialidade, com o objetivo de tornar o cuidado com a saúde conveniente e acessível para todos. Movida pela missão de conectar pessoas a serviços essenciais de cuidado, a CVS Health está comprometida em fomentar comunidades mais saudáveis e apoiar o bem-estar de todas as pessoas.

Descrição

• Oversee healthcare management staff and organize and develop high-performing teams • Work with functional area managers to ensure consistency in clinical and non-clinical member interventions • Meet financial, operational, and quality objectives of the unit • Oversee implementation of healthcare management services for the assigned functional area • Implement clinical and non-clinical policies and procedures in accordance with regulatory and accreditation standards • Serve as a content model expert and mentor regarding practice standards, intervention quality, problem resolution, and critical thinking • Implement and monitor best-practice approaches and innovations across the continuum of care • Liaise with key business areas • Develop, assist with development, and review training content • Collaborate on and deliver inter- and intra-departmental training sessions • Protect member information confidentiality and follow company confidentiality policies • Manage resources responsible for member identification, care-plan development and implementation, medical appropriateness, quality-of-care monitoring, evaluation, and documentation • Develop, initiate, monitor, and communicate performance expectations • Ensure team understanding and use of information-system capabilities and functionality • Potentially manage an individual caseload • Serve as a single point of contact for members and the Care Management Team, including care-team meetings and member cultural requirements • Participate in staff recruitment and hiring • Assess developmental needs and implement action plans supporting high-performing teams • Promote teamwork, cross-product integration, and continuum-of-care thinking • Lead change efforts as a model change agent • Create a positive work environment by acknowledging contributions, soliciting input, and offering assistance • Maintain compliance with policies and procedures at the employee level

🎯 Requisitos

• Must reside in Miami-Dade County, Florida • Must possess reliable transportation • Willingness and ability to travel up to 50% of the time • 3+ years of managed care experience • 3-5+ years of experience in a physical or behavioral healthcare setting • Knowledge of regulations, standards, and policies related to medical management • Proficiency with computer skills, including navigating multiple systems and keyboarding • Time efficient and highly organized • Exceptional communication skills • Ability to mentor and support staff to meet business needs • Bachelor's degree in business or health or human services, such as Social Work, Psychology, Nursing, Mental Health, Counseling, Behavioral Sciences, Sociology, Gerontology, or a related field • Bilingual in Spanish preferred • 1-3 years management experience preferred • Computer literacy and familiarity with Microsoft Excel, Word, and web-based applications desired • Ability to evaluate and interpret data, identify areas of improvement, and focus on interventions to improve outcomes • Ability to communicate effectively with Providers, Members, Staff, and other Leaders in oral and written formats

🏖️ Benefícios

• CVS Health bonus, commission or short-term incentive program in addition to base pay • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting the physical, emotional, and financial well-being of colleagues and their families, based on eligibility • Mileage reimbursement per company expense reimbursement policy