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Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

Position Summary

Normal Working Hours: Monday through Friday 9am-5:30pm your time zone.

This is a 100% remote position and employee can live in any state but must work the stated EST evening hours.

There are no weekends or holiday rotations with this position.

There is no travel required.

The Care Management Associate (CMA) supports the Fertility Advocate/Maternity program including reviewing benefits/eligibility, setting up member case, making outbound calls/ receiving inbound calls to a queue to eligible members undergoing infertility treatment, completing initial triage information and scheduling appointments for engagement with the Fertility Advocate, transitioning of cases to the maternity case when a member becomes pregnant for continued engagement in the program, and supporting the Fertility Advocate Case Manager. 

  

The Care Management Associate position duties:

-Responsible for initial review and triage of member identification tasks, research cases and make appropriate outbound and receives inbound queue calls to the program.  The care management associate is responsible to introduce the program benefit and completes the  initial enrollment survey with the member. -Utilizes Aetna systems to build, research and enter member information, as needed.  – reviews enrollment survey results and assigns appropriate enrolled member cases to case managers. Performs non-medical research pertinent to the establishment, maintenance, and closure of open cases  -Provides support services to team members by answering telephone calls, taking messages, researching information, and assisting in solving problems.  

-Adheres to compliance with policies and regulatory standards.  -Maintains accurate and complete documentation of required information that meets risk management, regulatory, and accreditation requirements.  -Protects the confidentiality of member information and adheres to company policies regarding confidentiality.  

 

Key Qualifications: 
-Demonstrates highly developed communication and people skills.  Ability to engage and interact easily with diverse group of individuals.  Strong listener, empathetic and supporting. 
-Ability to prioritize and multitask in fast paced, deadline driven environment. 
-Ability to adapt to constantly changing demands and environment. 
-Demonstrates a commitment to service, accountable for actions and issues resolution, responsive  to customer needs. 
. -Demonstrates strong problem-solving skills and ability to work independently. 
-Requires proficiency with computer skills including keyboarding, navigating multiple systems. 
-Proficiency in use of Microsoft Outlook and Office. 
-Must be able to work in private at home office with extended periods of time sitting, talking on telephone, and typing on computer.

Required Qualifications:

-Experience with computers including knowledge of Microsoft Word, Outlook, and Excel
-Experience being able to independently navigate the computer while talking to a member on the telephone at the same time for their entire shift.

Preferred Qualifications

Effective communication, telephonic and organization skills.

-Familiarity with basic medical terminology and concepts used in care management.

-Strong customer service skills to coordinate service delivery including attention to customers, sensitivity to issues, proactive identification, and resolution of issues to promote positive outcomes for members.

-Computer literacy to navigate through computer systems, including Excel and Microsoft Word.

– Experience inpatient or outpatient with women's health, maternity and/or OB-GYN office setting.
-Data entry and documentation within member records
– Experience in customer service or as a medical assistant in a hospital or office setting.
– Call center experience
-Previous telephonic outreach experience or interactions with patients
– Familiarity with basic medical terminology
-Strong telephonic communication skills
– Strong organizational skills, including effective verbal and written communications skills

Education

High School diploma or equivalent

Pay Range

The typical pay range for this role is:

$18.50 - $31.72

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 
 
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities.  The Company offers a full range of medical, dental, and vision benefits.  Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees.  The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners.  As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.  
 
For more detailed information on available benefits, please visit Benefits | CVS Health

We anticipate the application window for this opening will close on: 09/10/2024

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.