Associate Manager, Clinical Health Services - Remote Opportunity to Drive Healthcare Innovation

Join CVS Health: Where Caring Comes First At CVS Health, we're on a mission to redefine the healthcare landscape by making it more personalized, convenient, and affordable. With a rich history and a strong presence in the industry, we're committed to delivering exceptional healthcare services that cater to the evolving needs of our customers. As a leader in the healthcare sector, we're seeking talented individuals who share our passion for improving lives and are eager to be part of a dynamic team that is shaping the future of healthcare. About the Role: Associate Manager, Clinical Health Services We're looking for an experienced Associate Manager, Clinical Health Services to lead the implementation of healthcare management services for assigned functional areas. This is a full-time telecommuting position that offers the opportunity to work remotely and be part of a team that is driving innovation in healthcare. Key Responsibilities: Implements clinical policies and procedures in accordance with relevant regulatory and accreditation standards (e.g., NCQA, URAC, state and federal regulations and guidelines 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 of 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 using clearly defined requirements with regards to education, experience, technical and performance skills Evaluates developmental needs and collaborates with others to identify and implement action plans that support the development of high-performing teams Establishes a climate and work style that promotes the concept of collaboration, cross-product integration, and continuum of care mindset that results in strong performance Consistently demonstrates the ability to act as a change agent and lead change efforts Creates a positive work environment by recognizing team contributions, soliciting input, and offering individual support, when needed Required Qualifications: Bachelor's degree in a relevant field (social health, nursing, etc.) 3+ years of experience in clinical subject matter Active and unlimited RN or LCSW licensure in the state of residence Preferred Qualifications: Managed care experience, preferably in government healthcare Experience working from home/remote setting, using tools to virtually collaborate and connect with teams Graduate degree in social health field or a related field; or Registered Nurse (BSN preferred) Skills and Competencies: To succeed in this role, you'll need to possess excellent clinical knowledge, leadership skills, and the ability to work effectively in a remote setting. Strong communication and collaboration skills are essential, as you'll be working with various stakeholders, including suppliers, members, staff, and other leaders. What We Offer At CVS Health, we're committed to taking care of our employees and providing a comprehensive benefits package that includes: Competitive salary and bonus structure Medical, dental, and vision benefits 401(k) retirement savings plan and Employee Stock Purchase Plan Paid time off (PTO) and holidays Wellness programs and education assistance Opportunities for career growth and professional development Career Growth and Development As an Associate Manager, Clinical Health Services, you'll have the opportunity to develop your skills and advance your career within the organization. Our comprehensive training programs and mentorship opportunities will help you stay up-to-date with industry trends and best practices. Our Culture At CVS Health, we're committed to fostering a culture that values diversity, equity, and inclusion. We believe in creating a work environment that is inclusive, supportive, and empowering, where everyone can thrive and reach their full potential. Why Join Us? If you're passionate about making a difference in the healthcare industry and are looking for a challenging and rewarding role, we encourage you to apply for this exciting opportunity. As an Associate Manager, Clinical Health Services, you'll be part of a dynamic team that is shaping the future of healthcare and making a positive impact on the lives of our customers. How to Apply If you're ready to take the next step in your career and join our team, please follow the instructions below: Read the official notification carefully from the Official Website. Fill out the Application Form (the link is provided below). Attach the required documents, including your qualifications certificate with mark sheets, passport-size photographs, and signature. Submit your application. We look forward to receiving your application and discussing this opportunity further. Apply for this job