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CVS Health

Runs pharmacies, health plans and clinics

Associate Manager - Clinical Health Services

Medical, Clinical & VeterinaryPosted on Nov 12
Full-timeIllinois, USA

About the Job

Requirements

  • At least 5 years of clinical work experience.
  • At least 2 years of management or leadership experience.
  • An active, unrestricted applicable license or certification and specialized knowledge and expertise as a Registered Nurse, Licensed Clinical Social Worker, or Licensed Clinical Professional Counselor in Illinois.
  • An Associate's Degree is required.

Responsibilities

  • Oversee the implementation of healthcare management services for the assigned functional area.
  • Maintain policies and procedures in accordance with applicable regulatory and accreditation standards, and implement them at the employee level, including NCQA, URAC, and applicable state and federal standards and mandates.
  • Ensure implementation and monitoring of best-practice approaches and innovations to address members' needs across the continuum of care.
  • Serve as a liaison with other key business areas as needed.
  • Manage resources responsible for identifying members, developing and implementing care plans, enhancing medical appropriateness and quality of care, and monitoring, evaluating, and documenting care.
  • Handle an individual caseload as needed.
  • Serve as a single point of contact for the customer and Account Team as needed, including participating in customer meetings, implementing and overseeing customer cultural requirements, and supporting new-customer implementation.
  • Assess developmental needs and collaborate with others to identify and implement action plans that support high-performing teams.
  • Establish a work environment and style that promotes teamwork, cross-product integration, and continuum-of-care thinking to achieve strong performance.
  • Model change agency and lead change efforts.
  • Collaborate with licensed staff in other areas who assist with oversight of clinical staff and licensed-personnel activities.
  • Serve as a content model expert and mentor to the team on practice standards, intervention quality, problem resolution, and critical thinking.

Desired Qualifications

  • A Bachelor's Degree or Master's Degree.
  • Advanced problem-solving and decision-making skills.
  • Advanced knowledge of medical terminology.
  • Advanced collaboration and teamwork skills.
  • Advanced growth-mindset skills, including agility and developing oneself and others.
  • Advanced execution and delivery skills, including planning, delivering, and supporting.
  • Ability to weigh the relative costs and benefits of potential actions to select the most appropriate option.
  • Advanced digital literacy skills.

About the Company

CVS Health

Runs pharmacies, health plans and clinics

CVS Health runs pharmacies, health insurance plans and medical clinics for individuals, employers and government programs across the United States. Its businesses include CVS Pharmacy, the Aetna insurer and Caremark, which manages prescription coverage and negotiates drug prices for health plans. Patients fill prescriptions in stores or by mail and receive care through walk-in clinics, primary care centers and home visits. The company earns money from prescription sales, insurance premiums, plan administration fees and clinical services, combining coverage with places to obtain treatment. Its first store opened in 1963, and its headquarters are in Woonsocket, Rhode Island.

Company size
10,001+
Company stage
IPO
Headquarters
Woonsocket, Rhode Island
Founded
1963

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