Experienced Associate Manager, Clinical Health Services – Remote Full-Time Opportunity in Healthcare Management with CVS Wellbeing

Introduction to CVS Wellbeing

At CVS Wellbeing, we are driven by a singular, clear purpose: to bring our heart to every moment of your health. This purpose guides our commitment to delivering enhanced human-driven healthcare for a rapidly changing world. Embedded in our brand — with heart at its center — our mission sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors support this purpose, empowering every individual who works at CVS Wellbeing to feel inspired by the role they play in transforming our culture and accelerating our ability to grow and deliver solutions to make healthcare more personal, convenient, and affordable.

Job Overview

We are seeking an experienced Associate Manager, Clinical Health Services to join our team in a full-time remote capacity. As an Associate Manager, you will direct the implementation of healthcare management services for assigned functional areas, ensuring the delivery of high-quality, patient-centered care. This is an exceptional opportunity to leverage your clinical expertise, leadership skills, and passion for healthcare to make a meaningful impact on the lives of our patients and members.

Key Responsibilities

• Implement clinical policies and procedures in accordance with relevant regulatory and licensure standards (e.g., NCQA, URAC, state and federal regulations and mandates as applicable)
• Serve as a subject matter expert and coach to the team regarding practice guidelines, quality of interventions, issue resolution, and critical thinking
• Ensure implementation and monitoring of best practice approaches and innovations to better address the needs of our members across the continuum of care
• Collaborate with other key business areas to achieve organizational goals and objectives
• Develop and/or assist in the development and review of new training content
• Collaborate and communicate with internal and external stakeholders to drive business results and improve patient outcomes
• Maintain the confidentiality of member data and adhere to company policies regarding confidentiality
• Oversee resources responsible for identification of members, development and implementation of care plans, enhancement of clinical appropriateness and quality of care, and monitoring, evaluating, and documenting of care
• Analyze and interpret data, identify areas for improvement, and focus on interventions to improve outcomes
• Establish, initiate, evaluate, monitor, and communicate performance expectations
• Ensure the team's understanding and utilization of data system capability and functionality
• Participate in the recruitment and hiring process for staff, involving clearly defined requirements with regards to education, experience, technical, and performance skills
• Evaluate developmental needs and collaborate with others to identify and implement action plans that support the development of high-performing teams
• Establish a work environment and style that promotes the concept of teamwork, cross-product integration, and continuum of care feeling that results in strong performance
• Consistently demonstrate the ability to act as a model change agent and lead change efforts
• Establish a positive work environment by recognizing team contributions, requesting input, and offering individual support, when required

Essential Qualifications

• 3+ years of experience in a clinical subject matter expertise
• Active and unrestricted RN or LCSW licensure in the state of residence
• Bachelor's degree in a social health field; or Registered Nurse (BSN preferred)

Preferred Qualifications

• Managed Medicare insight
• Experience working at home/remote arrangement, using tools to virtually collaborate and connect with teams
• Training and certification requirements, such as a graduate degree in a social health field

Career Growth Opportunities and Learning Benefits

At CVS Wellbeing, we are committed to the growth and development of our employees. As an Associate Manager, Clinical Health Services, you will have access to a range of learning and development opportunities, including training programs, mentorship, and career advancement opportunities. Our organization is dedicated to helping you achieve your career goals and providing you with the tools and resources you need to succeed.

Work Environment and Company Culture

Our company culture is built on a foundation of heart, empathy, and compassion. We believe in creating a work environment that is inclusive, supportive, and empowering, where every employee feels valued and respected. As a remote employee, you will be part of a virtual team that is connected by a shared purpose and passion for delivering exceptional patient care.

Compensation, Perks, and Benefits

We offer a competitive salary range of $70-$80 per year, depending on experience and location. In addition to your salary, you will be eligible for a range of benefits, including medical, dental, and vision insurance, a 401(k) retirement savings plan, and a Employee Stock Purchase Plan. We also offer a range of wellness programs, education assistance, and free development courses to support your personal and professional growth.

Conclusion

If you are a motivated and experienced healthcare professional looking for a challenging and rewarding opportunity, we encourage you to apply for this exciting role. As an Associate Manager, Clinical Health Services, you will have the opportunity to make a meaningful impact on the lives of our patients and members, while also advancing your career and developing your skills and expertise. Don't miss out on this exceptional opportunity to join our team and be part of a company that is dedicated to delivering exceptional healthcare and making a difference in the lives of others.

How to Apply

To apply for this role, please submit your application, including your resume, cover letter, and any supporting documentation. We look forward to hearing from you and exploring how you can contribute to our team.

Required Documents

• Qualifications certificate with mark sheets
• Passport size photographs
• Signature

Top 10 Interview Questions

• Can you tell us about yourself?
• What interests you about this position?
• What are your strengths?
• What are your weaknesses?
• Can you give an example of a time when you solved a problem creatively?
• How do you handle stress and pressure?
• How would you describe your work style?
• Can you tell us about a time when you had to work with a difficult colleague or supervisor?
• How do you stay organized and prioritize tasks?
• What are your long-term career goals?