Supervisor , Health Services

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Responsabilidades

• Responsible for the overall supervision of Care Management Associate (CMA) employees supporting Utilization Management.
• Accountable for member/provider satisfaction, retention, and growth by efficiently delivering competitive services to members/providers.
• Develops, motivates, evaluates, and coaches staff on work procedures and teamwork delivering excellent customer service.
• Is visible and available to staff to answer questions, monitor calls, and give ongoing feedback.
• Utilizes available incentive programs to reward, recognize and celebrate team and individual successes.
• Assesses individual and team performance on a regular basis and provides candid and timely feedback regarding developmental and training needs; includes completion of monthly and annual scorecards.
• Monitors all performance measures such as daily stats and schedule adherence; allocates resources to meet volume and performance demands.
• Develops and maintains strong collaborative relationships with constituents and internal business partners to maintain excellent lines of communication and share resources to meet common service center objectives. Removes barriers to job performance and ensures regulatory compliance.
• Attracts, selects, and retains high caliber, diverse talent able to successfully achieve or exceed business goals.
• Builds a cohesive team that works well together
• Acts as liaison between staff and other areas, including management, all segments, provider teams, etc., communicating workflow results, ideas, and solutions.
• Proactively analyzes constituent data, identifies trends and issues. Recognizes and acts on the needs to improve the development and delivery of products and services. Clearly identifies what must be accomplished for successful completion of business objectives.
• Effectively applies and enforces Aetna HR polices and practices, i.e., FML/EML, Attendance, Code of Conduct, Disciplinary Guidelines.

Requisitos

• 2+ years of Managed Care experience
• Familiar with basic medical terminology and concepts user in care management
• Ability to effectively participate in a multi-disciplinary team

Diferenciais

• Computer literacy and experience familiarity with Microsoft Excel, Word, and web-based applications
• Ability to work with people in such a manner as to build high morale and group commitment to goals and objectives
• Ability to evaluate and interpret data, identify areas of improvement, and focus on interventions to improve outcomes
• Ability to communicate effectively with Providers, Members, Staff and other leaders both in oral and written format

Educação

• Associates degree or equivalent experience
• Associates degree or equivalent experience

Benefícios

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan .
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan .
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

Processo seletivo

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.