Associate Manager, Clinical Health Services (Remote)

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
 
Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

This is a full-time telework role.

The hours for this position are Monday-Friday 8:00a-5:00p Pacific Standard Time.

Program Overview  
Help us elevate our patient care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our Dual Eligible Special Needs Plan (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs. Join us in this exciting opportunity as we grow and expand DSNP to change lives in new markets across the country. 
 
Position Summary 
The Associate Manager, Clinical Health Service will oversee the implementation of healthcare management services for assigned functional area.  
 
Fundamental Components  
• Implements clinical policies & procedures in accordance with applicable regulatory and accreditation standards (e.g., NCQA, URAC, state and federal standards and mandates as applicable) 
• Serve as a content model expert and mentor to the team regarding practice standards, quality of interventions, problem resolution and critical thinking 
• Ensure implementation and monitoring of best practice approaches and innovations to better address the member's needs across the continuum of care  
• May act as a liaison with other key business areas.  
• May develop/assist in development and/review new training content  
• May collaborate/deliver inter and intra-departmental training sessions  
• Protects the confidentiality of member information and adheres to company policies regarding confidentiality   
• Manages resources responsible for identification of members, development and implementation …