
10,000+ employees
Founded 1963
đĽ Healthcare
âď¸ Healthcare Insurance
đ Retail
Healthcare ⢠Healthcare Insurance ⢠Retail
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.
đ August 19
đ Florida â Remote
đľ $47k - $102k / year
â° Full Time
đ˘ Junior
đĄ Mid-level
đ Manager
đť Ghost score 2%
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10,000+ employees
Founded 1963
đĽ Healthcare
âď¸ Healthcare Insurance
đ Retail
Healthcare ⢠Healthcare Insurance ⢠Retail
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.
⢠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
⢠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
⢠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
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