Associate Manager, Health Services

This is a fully remote position, open to applicants in Florida.

📋 Description

• Supervise the healthcare management team and develop high-performing groups.

• Collaborate with functional area managers to ensure uniformity in clinical and non-clinical member interventions.

• Achieve the financial, operational, and quality goals of the unit.

• Oversee the execution of healthcare management services within the designated functional area.

• Enforce clinical and non-clinical policies and procedures in line with regulatory and accreditation standards.

• Act as a subject matter expert and mentor on practice standards, quality of interventions, problem-solving, and critical thinking.

• Apply and evaluate best-practice strategies and innovations across the care continuum.

• Communicate with essential business sectors.

• Develop, assist in the creation, and review training materials.

• Collaborate on and conduct inter- and intra-departmental training sessions.

• Safeguard member information privacy and adhere to company confidentiality policies.

• Oversee resources responsible for member identification, care-plan creation and execution, medical appropriateness, quality-of-care monitoring, evaluation, and documentation.

• Establish, initiate, monitor, and convey performance expectations.

• Ensure the team comprehends and utilizes information system functionalities.

• Potentially manage an individual caseload.

• Serve as the primary contact for members and the Care Management Team, including care-team meetings and addressing member cultural needs.

• Participate in the recruitment and hiring process for staff.

• Evaluate developmental needs and implement action plans to support high-performing teams.

• Encourage teamwork, cross-product integration, and a continuum-of-care mindset.

• Drive change initiatives as a proactive change agent.

• Foster a positive work culture by recognizing contributions, seeking input, and providing support.

• Ensure compliance with policies and procedures at the employee level.

⛳️ Requirements

• Must live in Miami-Dade County, Florida.

• Must have reliable transportation.

• Willingness and capability to travel up to 50% of the time.

• Over 3 years of experience in managed care.

• 3-5 years of experience in a physical or behavioral healthcare environment.

• Familiarity with regulations, standards, and policies related to medical management.

• Proficient in computer skills, including navigating various systems and typing.

• Highly organized and efficient with time management.

• Excellent communication abilities.

• Capacity to mentor and assist staff in meeting business objectives.

• Bachelor’s degree in business or health or human services, such as Social Work, Psychology, Nursing, Mental Health, Counseling, Behavioral Sciences, Sociology, Gerontology, or a related field.

• Bilingual in Spanish is preferred.

• 1-3 years of management experience is preferred.

• Competence in computer literacy and familiarity with Microsoft Excel, Word, and web-based applications is desired.

• Ability to assess and interpret data, pinpoint areas for improvement, and concentrate on interventions that enhance outcomes.

• Effective communication skills with Providers, Members, Staff, and other Leaders in both oral and written formats.

🏝️ Benefits

• CVS Health bonus, commission, or short-term incentive program in addition to base salary.

• Medical insurance.

• Dental insurance.

• Vision insurance.

• Paid time off.

• Retirement savings options.

• Wellness programs.

• Additional resources to support the physical, emotional, and financial well-being of colleagues and their families, based on eligibility.