Senior Analyst, Health Coach Wellness

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🔥 0 minutes ago

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

💵 $47k - $102k / year

⏰ Full Time

🟠 Senior

🧐 Analyst

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

⚕️ Healthcare Insurance

🛒 Retail

🧘 Wellness

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

• The Health Coach telephonically outreaches our Medicare population to improve medication adherence and/or HEDIS diabetes and blood pressure control, providing education and addressing any barriers to adherence by utilizing the member's benefits. • This may include outreach to pharmacies and prescribers. • The Health Coach utilizes a collaborative process of assessment, planning, implementation, and coordination to engage, educate, and promote/influence members in decisions related to achieving and maintaining optimal health status. • Through motivational interviewing and the use of various tools, uses healthcare knowledge and experience of health risk behaviors to conduct evaluation of member's health status for either HEDIS health screening/control or Medication Adherence. • Utilizes influencing/motivational interviewing skills to ensure member engagement and discern health needs based on key questions and conversation to promote behavior changes to achieve optimum level of health. • Partners with members to identify opportunities for integration into available internal/external programs. • Using holistic approach consults with Manager or others to overcome barriers with assisting members in meeting goals and objectives. • Interprets and utilizes guidelines/criteria to positively impact members health. • Provides up-to-date healthcare information to help facilitate the member’s understanding of his/her health status. • Helps member actively and knowledgably participate with their provider in healthcare decisions. • Applies judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact healthcare access, services and resolution of member issues. • Develops a proactive course of action to address issues presented to enhance the short and long term health outcomes as well as opportunities to enhance a member’s overall wellness through integration.

🎯 Requirements

• 1-3 years Microsoft Office • 3-5 years practice experience-- Renal, Diabetes, Hypertension, Primary Care/Geriatric, Oncology -Managed Care and Medicare experience • Healthcare licensure and/or certifications (RN, LPN, MSW, LCSW, CDE etc) highly preferred • 5 years practice experience-- Renal, Diabetes, Hypertension, Primary Care/Geriatric, Oncology -Managed Care and Medicare experience • Previous telephonic coaching, education or case management experience • Excellent computer skills including MS Office applications • Independent worker • Excellent time manager • Excellent analytical and problem solving skills • Effective communications, organizational, and interpersonal skills, Bilingual a plus • Demonstrated ability to communicate, problem solve, and work effectively with people, use good judgment in challenging situations • Experience in facilitating client positive behavioral change • Background in motivational interviewing, active listening skills.

🏖️ Benefits

• medical, dental, and vision coverage • paid time off • retirement savings options • wellness programs • comprehensive benefits package designed to support well-being