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Care Management Associate (Remote)

Work from home Full-time role Hiring

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Schedule: Monday-Friday 8:00am-5:00pm EST Position Summary Support comprehensive coordination of medical services, screening and supporting the implementation of care plans to promote effective utilization of healthcare services. Promotes, supports quality effectiveness of Healthcare Services, Care Management Associates (CMAs) support the Care Management (CM) team by performing nonclinical, administrative duties. These duties may include but are not limited to processing referrals, making outreach calls, entering data into Dynamo or QNXT, and processing member mailings.

Key Responsibilities

Effective communication, telephonic and organization skills with ability to be agile, managing multiple priorities at one time, and adapting to change with enthusiasm. Demonstrates ability to meet daily metrics with speed, accuracy, and a positive attitude. 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, adhering to care management processes (to include, but not limited to, privacy and confidentiality, quality management processes in compliance with regulatory, accreditation guidelines, company policies and procedures). Completes documentation of each member call in the electronic record, thoroughly completing required actions with a high level of detail to ensure compliance requirements are met with efficiency. Works independently and competently, meeting deliverables and deadlines while demonstrating an outgoing, enthusiastic, and caring presence telephonically. Ability to effectively participate in a multi-disciplinary team including internal and external participants. Remote Work Expectations This is a 100% remote role; candidates must have a dedicated workspace free of interruptions. Dependents must have separate care arrangements during work hours, as continuous care responsibilities during shift times are not permitted.

Required Qualifications

Minimum of 1 year of Customer service experience preferably in the healthcare industry. Experience with computers including knowledge of Microsoft Word, Outlook, and Excel – data entry and documentation within member records preferred. Strong organizational skills, including effective verbal and written communication skills. Preferred Qualifications 2-4 years’ experience in healthcare field (i.e. experienced in medical office, hospital setting, medical billing/coding) preferred. Familiarity with basic medical terminology and concepts used in care management preferred. Flexibility to work occasional outside of standard business hours. Education High School Diploma or G.E.D. required. Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $18.50 - $35.29 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. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will close on: 06/01/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. Apply To This Job

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