Care Management Analyst

2 weeks ago

Harrisburg, Pennsylvania, United States CVS Health Full time

Join CVS Health in our mission to enhance the health and well-being of our members. At CVS Health, we are dedicated to providing personalized health care solutions that cater to the evolving needs of our community.

Position Overview:

The Care Management Analyst plays a crucial role within the Care Team, focusing on the management of members enrolled in specialized health plans with minimal health challenges. This position is designed for individuals who can effectively collaborate with a diverse team, including Nurse Care Managers and Care Coordinators, to improve health outcomes and address social determinants of health.

Key Responsibilities:

  • Engage with low-risk members through telephonic communication, coordinating their care and updating assessments and care plans to reflect their needs and goals.
  • Utilize assessments and claims data to develop tailored care plans for members.
  • Participate actively in Interdisciplinary Team meetings to evaluate members' health care requirements and identify barriers to effective care.
  • Connect members with health plan benefits and community resources while performing necessary administrative tasks to support job functions.

Essential Qualifications:

  • Consistent and reliable attendance.
  • Familiarity with community resources and services.
  • Strong organizational and independent working skills.
  • Ability to maintain professional relationships with members and colleagues.
  • Effective verbal and written communication skills.
  • Proficiency in computer systems and Microsoft Office applications.
  • Exceptional customer service abilities.
  • A dedicated workspace for remote work.

Required Qualifications:

  • A minimum of 3 years of experience in a health-related field.
  • At least 2 years of experience using Microsoft Office applications (Word, Excel, Outlook).

Preferred Qualifications:

  • Relevant certifications such as CRC, CDMS, CRRN, COHN, or CCM.
  • Experience with Medicare and Medicaid.
  • Background in managed care.
  • Experience working with geriatric special needs, behavioral health, and disabled populations.
  • Knowledge of assessments, screenings, and care planning.
  • Bilingual capabilities (English/Spanish; English/Creole) are a plus.

Education:

  • A Bachelor's Degree or equivalent experience is required.

Compensation and Benefits:

The typical pay range for this role is $40.90 per hour. This compensation reflects the base hourly rate for positions within this job grade. The actual salary will depend on various factors, including experience, education, and geographic location. In addition to competitive pay, CVS Health offers a comprehensive benefits package, including medical, dental, and vision coverage, a 401(k) retirement savings plan, and an Employee Stock Purchase Plan for eligible employees. Additional benefits include fully-paid life insurance, short-term and long-term disability coverage, well-being programs, education assistance, and discounts at CVS stores and with participating partners.

CVS Health is committed to equal opportunity and affirmative action. We do not discriminate based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable law.

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