Associate Manager, Clinical Health Services - Remote Opportunity with CVS Health: Shaping the Future of Healthcare Delivery

Join Our Mission: Carrying Our Heart to Every Moment of Your Health At CVS Health, our singular, clear purpose is to carry our heart to every moment of your health. This purpose guides our commitment to delivering enhanced, human-driven healthcare for a rapidly evolving world. With our Heart At Work Behaviors, we empower every individual who works at CVS Health to feel engaged by the role they play in transforming our culture and accelerating our ability to grow and deliver solutions to make healthcare more personal, convenient, and affordable. About the Role: Associate Manager, Clinical Health Services This is a full-time telecommuting position that offers the opportunity to lead the implementation of healthcare management services for assigned functional areas. As an Associate Manager, Clinical Health Services, you will be responsible for driving clinical strategies and best practices, coaching and guiding your team, and ensuring the delivery of high-quality care. Key Responsibilities:

• Implements clinical strategies and protocols in accordance with applicable regulatory and accreditation standards (e.g., NCQA, URAC, state and federal regulations and guidelines as appropriate)
• 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 individuals, development and execution of care plans, enhancement of clinical appropriateness and quality of care, and monitoring, evaluating, and documenting of care
• Evaluates 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, 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
• Establishes a positive work environment by recognizing team contributions, soliciting input, and offering individual support, when needed

Required Qualifications:

• 3+ years of experience in clinical subject matter
• Active and unrestricted RN or LCSW licensure in the state of residence
• Bachelor's degree (Graduate degree in a related field preferred)

Preferred Qualifications:

• Managed care experience, particularly in government healthcare
• Experience working from home/remote environment, utilizing tools to virtually collaborate and connect with teams
• BSN or higher degree in a related field

Skills and Competencies: To succeed in this role, you will need to possess strong clinical knowledge, leadership skills, and the ability to work effectively in a remote environment. You will need to be able to analyze data, identify areas for improvement, and develop and implement plans to drive results. Excellent communication and interpersonal skills are also essential, as you will be working with various stakeholders, including team members, suppliers, and other leaders.

Career Growth

Opportunities and Learning Benefits: At CVS Health, we are committed to the growth and development of our employees. As an Associate Manager, Clinical Health Services, you will have opportunities to develop your skills and expertise, take on new challenges, and advance in your career. We offer a range of training and development programs, including leadership development initiatives, to support your success. Work Environment and Company Culture: As a remote employee, you will have the flexibility to work from home and be part of a dynamic and inclusive team. Our company culture is built on our Heart At Work Behaviors, which emphasize the importance of collaboration, innovation, and customer-centricity. We are committed to creating a work environment that is supportive, engaging, and inclusive. Compensation and