
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.
🔥 2 hours ago
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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.
• Oversee healthcare management staff and develop high-performing teams • Oversee implementation of healthcare management services for the assigned functional area • Maintain policies and procedures in accordance with regulatory and accreditation standards • Implement and monitor best-practice approaches and innovations across the continuum of care • Manage resources responsible for member identification, care-plan development, quality-of-care monitoring, evaluation, and documentation • Serve as a liaison with key business areas and support customer implementations • Participate in customer meetings and oversee customer cultural requirements • Assess developmental needs and implement action plans supporting high-performing teams • Promote teamwork, cross-product integration, and continuum-of-care thinking • Lead change efforts and collaborate with licensed staff overseeing clinical activities • Mentor the team on practice standards, intervention quality, problem resolution, and critical thinking • Meet financial, operational, and quality objectives of the unit
• 3 or more years of experience in a physical or behavioral healthcare setting • 1 or more years management experience • 3 or more years of experience in managed care • Knowledge of regulations, standards, and policies relating to medical management • Bachelor’s degree in health or human services or a related field required • Certified Case Manager (CCM) preferred • Master’s degree in a noted field preferred • Ability to work with applicable regulatory and accreditation standards, including NCQA and URAC • Full-time availability, 40 anticipated weekly hours
• Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being • CVS Health bonus, commission or short-term incentive program eligibility
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