Description
We're building a world of health around every individual , shaping a more connected, convenient, and compassionate health experience.
Responsible for overseeing healthcare management staff, including organizing and developing high-performing teams. Works closely with functional area managers to ensure consistency in health-related and psycho-social interventions supporting members. Accountable for meeting financial, operational, and quality objectives.
Key responsibilities:
- Oversee implementation of healthcare management services
- Ensure policies and procedures align with regulatory and accreditation standards
- Implement and monitor best practices and innovations
- Manage resources for member care planning, quality, and monitoring
- Act as liaison with other business areas
- Assess team developmental needs and implement action plans
- Establish a teamwork environment and serve as a change agent
Requirements:
- 3+ years of experience in a physical or behavioral healthcare setting
- 1+ year of management experience
- 3+ years of experience in managed care
- Knowledge of medical management regulations and standards
- Bachelor's degree in health or human services (e.g., Social Work, Psychology, Nursing)
- Master's degree preferred
Work from Home Requirements:
- Direct/hardwired internet connection with 25 Mbps download and 3 Mbps upload
- Quiet, secure, and private home workspace
- Compliance with CVS Health and HIPAA guidelines
Technical and Logistical Requirements:
- Device and system navigation
- Communication tools (email, calendar, Teams)
- Collaboration and scheduling (Microsoft Office 365)
- Systems access and security
- Troubleshooting and support
Benefits:
- Comprehensive benefits package
- Medical, dental, and vision coverage
- Paid time off
- Retirement savings options
- Wellness programs