[Hiring] Care Management Associate @CVS Health

Role Description

We are seeking a detail-oriented and compassionate Care Management Associates (CMA) to support our newly formed Medicare Home Care Precertification team. In this role, you will work alongside nurses, medical directors, providers, and care teams to assist members with a successful transition from acute/post-acute care to the home setting.

• Review and triage provider requests and member cases.
• Member outreach to confirm the delivery of expected home care services and adequate member support.
• Escalation of identified concerns to clinicians for follow-up and intervention.
• Communication with healthcare providers, members, and internal teams to support quality care outcomes.
• Research and resolve case-related issues while ensuring compliance with regulatory and company standards.
• Maintain accurate documentation.
• Provide administrative and customer support for operations.

Qualifications

• Knowledge of basic medical terminology and healthcare concepts.
• Strong customer service and communication skills, including telephone support.
• Call Center experience is required.
• Excellent organizational and problem-solving abilities.
• Proficiency with Microsoft Office applications, including Word and Excel.
• Ability to work effectively in a collaborative, multidisciplinary environment.
• High School Diploma required.

Requirements

• Schedule: Monday – Friday 8:30 am to 5:00 pm Eastern Time Zone.
• Anticipated Weekly Hours: 40.
• Time Type: Full time.
• Pay Range: $18.50 - $35.29.

Benefits

• Comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families.
• Medical, dental, and vision coverage.
• Paid time off.
• Retirement savings options.
• Wellness programs and other resources, based on eligibility.