Associate Manager, Clinical Health Services - Remote Opportunity with CVS Health: Shaping the Future of Healthcare

Join Our Mission: Carrying Our Heart to Every Moment of Your Health At CVS Health, our singular, clear purpose is to carry our heart to every moment of your health. Our commitment is to deliver enhanced, human-driven healthcare for a rapidly changing world. We're not just a company; we're a community driven by a shared purpose, with heart at its center. Our Heart At Work Behaviors guide our actions, ensuring that how we deliver our services is just as important as what we deliver. About the Role: Associate Manager, Clinical Health Services We're seeking a dedicated and experienced professional to join our team as an Associate Manager, Clinical Health Services. This full-time telecommuting position is an exciting opportunity to lead the implementation of healthcare management services for assigned functional areas, driving positive change and improving patient outcomes. Key Responsibilities Implements clinical policies and procedures according to relevant regulatory and accreditation standards (e.g., NCQA, URAC, state, and federal laws and regulations as applicable) Acts as a subject matter expert and coach to the team regarding practice guidelines, quality of interventions, issue resolution, and critical thinking Ensures execution and monitoring of best practice approaches and innovations to better address the member's needs across the continuum of care May serve as a liaison with other key business areas and develop/aid in the development and/or review of new training content Collaborates/conducts inter and intra-departmental educational sessions and safeguards the confidentiality of member information Oversees resources responsible for identification of members, development, and execution of care plans, enhancement of clinical appropriateness and quality of care, and monitoring, evaluating, and documenting of care Assesses and interprets data, identifies areas for improvement, and focuses on interventions to improve outcomes Develops, initiates, evaluates, monitors, and communicates performance assumptions and ensures the team's understanding and utilization of information system capabilities and functionality Participates in the recruitment and hiring process for staff, evaluates developmental needs, and collaborates with others to identify and implement action plans that support the development of high-performing teams Establishes a positive work environment by recognizing team contributions, soliciting input, and offering individual support when needed Consistently demonstrates the ability to act as a change agent and lead change efforts Required Qualifications and Skills To be successful in this role, you will need: A Bachelor's degree in a relevant field 3+ years of experience in clinical subject matter Active and unlimited RN or LCSW licensure in the state of residence Strong analytical and problem-solving skills Excellent communication and leadership skills Ability to work independently in a remote setting, utilizing tools to virtually collaborate and connect with teams Preferred Qualifications Managed care experience Graduate degree in a social health field or BSN preferred Certification in a relevant specialty Experience working in a telecommuting environment What We Offer At CVS Health, we're committed to caring for our employees and our communities. As an Associate Manager, Clinical Health Services, you'll enjoy: A competitive salary range of $70-$80 per year, depending on experience and location A comprehensive benefits package, including medical, dental, and vision coverage Opportunities for career growth and professional development A 401(k) retirement savings plan and Employee Stock Purchase Plan Paid time off, holidays, and disability benefits Wellness programs, education assistance, and tuition reimbursement A CVS store discount and programs with participating partners Career Growth and Development At CVS Health, we're dedicated to helping our employees grow and develop in their careers. As an Associate Manager, Clinical Health Services, you'll have opportunities to: Develop your leadership skills and expertise Participate in training and development programs Collaborate with cross-functional teams to drive innovation and improvement Take on new challenges and responsibilities Our Culture and Work Environment At CVS Health, we pride ourselves on our inclusive and supportive culture. As a remote employee, you'll be part of a dynamic team that values: Collaboration and teamwork Innovation and creativity Diversity and inclusion Work-life balance How to Apply If you're a motivated and compassionate professional looking to make a difference in the healthcare industry, we encourage you to apply for this exciting opportunity. To apply, please: Read the official notification carefully Fill out the application form Attach the required documents, including your qualifications certificate, mark sheets, passport-size photographs, and signature Submit your application We look forward to hearing from you and exploring how you can contribute to our mission to carry our heart to every moment of your health. Don't miss this opportunity to join our team and shape the future of healthcare. Apply now and take the first step towards a rewarding and challenging career with CVS Health. Apply for this job