Associate Manager, Clinical Health Services

Job not on LinkedIn

6 hours ago

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Logo of CVS Health

CVS Health

Healthcare Insurance • Retail • Wellness

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Responsible for oversight of healthcare management staff including the organization and development of high performing teams • Works closely with functional area management to ensure consistency in clinical interventions supporting our members • Accountable for meeting the financial, operational and quality objectives of the unit • Oversees the implementation of healthcare management services for assigned functional area • Implements clinical policies and procedures • Serves as content model expert and mentor to team • Problem resolution and critical thinking • Monitor best practice approaches • Act as liaison with other key business areas • Assist in development of training content as applicable • Protect confidentiality • Manage resources • Develop, initiate, monitor and communicate performance expectations • Participate in recruitment and hiring process • Establish environment that promotes teamwork, cross product integration and continuum of care thinking that results in strong performance • Change agent • Create a positive work environment • Accountable for maintaining compliance

🎯 Requirements

• Must have active current and unrestricted RN licensure in state of residence • 3+ years of acute experience as a Registered Nurse • 1+ years of Utilization Management experience • Must have experience using MS Office suites • Must be willing to work holiday rotation annually, up to 2 per year • Occasional travel less than 5% to complete audits/meetings

🏖️ Benefits

• Affordable medical plan options • 401(k) plan (including matching company contributions) • 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 the different needs and preferences of our 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

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