Full-Time

Analyst – Case Management

Field

Posted on 1/23/2025

CVS Health

CVS Health

10,001+ employees

Comprehensive pharmacy and healthcare services

Healthcare
Consumer Goods

Compensation Overview

$21.1 - $36.78Hourly

+ Bonus + Commission + Short-term Incentive Program

Junior

Company Historically Provides H1B Sponsorship

Ellenton, FL, USA

Candidate must be located in Ruskin, Sun City, Apollo Beach or Manatee County, FL. Willing and able to travel up to 50-75% for face-to-face visits with members in above areas.

Category
Healthcare Administration & Support
Medical, Clinical & Veterinary
Required Skills
Word/Pages/Docs
Excel/Numbers/Sheets

You match the following CVS Health's candidate preferences

Employers are more likely to interview you if you match these preferences:

Degree
Experience
Requirements
  • Candidate must be located in Ruskin, Sun City, Apollo Beach or Manatee County, FL
  • Candidate must be willing and able to travel up to 50-75% for face-to-face visits with members in above areas
  • 1 + year of experience in behavioral health or a long term care setting
  • Computer proficiency in Microsoft Word, Excel, and Outlook
  • Effective communication skills, both verbal and written
Responsibilities
  • Effectively manage a caseload that includes supportive and medically complex members
  • Utilize critical thinking and judgment to collaborate and inform the case management process
  • Facilitate appropriate healthcare outcomes for members by providing care coordination, support and education
  • Conduct comprehensive evaluation of Members using care management tools and information/data review
  • Coordinate and implement assigned care plan activities and monitor care plan progress
  • Conduct multidisciplinary review in order to achieve optimal outcomes
  • Identify and escalate quality of care issues through established channels
  • Utilize negotiation skills to secure appropriate options and services necessary to meet the member’s benefits and/or healthcare needs
  • Utilize influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health
Desired Qualifications
  • Ability to multitask, prioritize and effectively adapt to a fast-paced changing environment
  • Managed care experience
  • Case management and discharge planning experience
  • Bi-lingual (English/Spanish)

CVS Health operates a large network of retail pharmacies and walk-in medical clinics across the United States, providing a variety of health-related products and services. Their offerings include prescription medications, over-the-counter health products, and beauty items, as well as pharmacy benefits management and specialty pharmacy services. CVS Health's integrated business model allows them to serve individual consumers, businesses, and communities effectively, with a focus on improving health outcomes and reducing healthcare costs. Unlike many competitors, CVS Health combines pharmacy services with medical care, making it easier for patients to access comprehensive health management solutions. The company's goal is to enhance access to quality care and support individuals on their journey to better health.

Company Size

10,001+

Company Stage

Debt Financing

Total Funding

N/A

Headquarters

Woonsocket, Rhode Island

Founded

1963

Simplify Jobs

Simplify's Take

What believers are saying

  • Telehealth expansion offers CVS Health growth opportunities in virtual care services.
  • AI in pharmacy operations can improve CVS Health's efficiency and customer satisfaction.
  • Health and wellness apps provide CVS Health avenues to engage customers and improve outcomes.

What critics are saying

  • DOJ legal challenges over opioid prescriptions could harm CVS Health's reputation and finances.
  • Supply chain vulnerabilities, highlighted by the Horizon Milk recall, may impact consumer trust.
  • Competition from retailers like Walmart and Amazon could affect CVS's market share in CRC tests.

What makes CVS Health unique

  • CVS Health operates over 9,600 retail pharmacies and 1,100 walk-in clinics nationwide.
  • The company integrates pharmacy benefits management with specialty pharmacy services for comprehensive care.
  • CVS Health offers a wide range of health products, enhancing accessibility and affordability.

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Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

401(k) Retirement Plan

Company Equity

Wellness Program

Professional Development Budget

Paid Vacation

Paid Holidays

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