Associate Manager – CVS Remote Jobs

Job Type: Associate Manager from home
Location: Texas work from home
Company: CVS Health

The implementation of healthcare management services for Utilization Management Acute will be supervised by the Associate Manager, Clinical Health Service.

Adopts and puts into practice clinical policies and procedures in compliance with relevant regulatory and accrediting requirements (e.g., NCQA, URAC, state and federal standards and mandates as applicable)
Assist the team as a content model expert and mentor with regard to best practices, the effectiveness of interventions, problem-solving, and critical thinking.

Responsibilities:

• To better meet the requirements of the member along the continuum of care, make sure best practice approaches and innovations are implemented and monitored.
• Possible liaison role with other important business departments.
• You could create, help with the creation of, or review new training materials.
• It’s possible to work together/deliver cross-departmental training sessions.
• respects the privacy of members’ information and abides with the company’s confidentiality regulations
• manages the resources in charge of identifying members, creating and implementing care plans, improving the medical appropriateness and standard of care, and monitoring, assessing, and logging treatment.
• Analyze and evaluate the data, pinpoint areas for improvement, and concentrate on initiatives to enhance the results.
• Create, launch, assess, track, and communicate performance expectations
• Ensures that the team is aware of and employs the capabilities and functioning of the information system.
• Participate in the employment and recruitment of personnel utilizing the clearly stated criteria for education, experience, technical ability, and performance skills
• identifies and carries out action plans that support the development of high-performing teams by assessing developmental requirements and working with others to do so.
• Create an atmosphere and work environment that values teamwork, cross-product integration, and continuum of care thinking and produces high performance.
• consistently exhibits the capacity to act as a role model for change and to take the lead in change initiatives.
• In order to foster a healthy work atmosphere, acknowledge team accomplishments, seek feedback, and provide personal support as necessary. responsible for upholding adherence to rules and regulations and putting them into practice at the employee level
• Effectively communicate with Members, Staff, Providers, and Other Leaders (e.g., support Sales Staff & Network Staff through Onsite Customer Visits and/or Presentation

Pay Scale

The usual pay scale for this position is as follows: 78,000 minimum; 168,000 maximum

Please remember that this range represents the salary range for every position in the job grade that this position belongs to. The location is just one of several variables that will be considered when determining the actual compensation offer.

Requirements:

Required credentials

• Unrestricted State License in Active Status
• 5+ years in the field of clinical competence
• 3+ years of utilization management experience

Preferred Qualifications:

• Medicare managed care experiences
• Experience as a supervisor
• Confidence using technology to connect with teams digitally, work from home, and think independently

Education: partners degree (BSN preferred)