Analyst, Care Associate

Job not on LinkedIn

🔥 15 hours ago

🔔 Pennsylvania – Remote

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💵 $21 - $40 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🧐 Analyst

👻 Ghost score 0%

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Logo of CVS Health

CVS Health

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 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.

📋 Description

• Support clinical teams through administrative and workflow activities related to behavioral health care management and authorization processes • Prepare and distribute accurate correspondence to members and providers • Support time-sensitive workflows while ensuring compliance with CMS and company requirements • Communicate with internal and external stakeholders to facilitate effective case processing • Maintain high standards of accuracy, organization, and customer service • Support behavioral health Medicare operations through administrative, care coordination, and workflow services • Help ensure timely, accurate processing of behavioral health requests • Support member access to care, discharge planning, and follow-up activities • Assist with reporting and quality initiatives • Promote member engagement, care continuity, and adherence to treatment plans

🎯 Requirements

• Ability to work Monday–Friday, 8:00 AM–4:30 PM EST • 2+ years of experience in the health insurance industry • Customer service experience in healthcare and/or a behavioral health setting • Strong attention to detail and ability to manage regulated, time-sensitive work • Excellent organizational and communication skills • Associate degree or equivalent work experience • Preferred: 2+ years of Behavioral Health experience supporting mental health populations • Preferred: Proven ability to communicate effectively, resolve service challenges, and improve processes • Preferred: Experience working in fast-paced, deadline-driven environments • Preferred: Experience scheduling and processing denials

🏖️ Benefits

• 100% remote work environment • Consistent weekday schedule with evenings and weekends free • Opportunity to support members' behavioral health journeys • Collaborative team focused on quality, compliance, and service excellence • Meaningful work that directly impacts member and provider experiences • Medical, dental, and vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources, based on eligibility • CVS Health bonus, commission or short-term incentive program in addition to the base pay range

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