Care Management Associate

CVS Health Careers

. Conduct telephonic outreach to and enroll eligible Medicaid members .

Posted 11/5/2026full-timeRemote • Louisiana • United StatesJuniorMid-Level💰 $19 - $42 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates strong customer service skills and effective communication abilities while coordinating service delivery and navigating healthcare systems. Proficient in maintaining documentation and adhering to regulatory standards in a fast-paced call center environment.

Highest-signal resume keywords

Customer Service SkillsTelephonic CommunicationHealthcare NavigationRegulatory ComplianceBilingual Spanish

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data EntryMember-Record DocumentationBasic Medical TerminologyCare-Management ConceptsMicrosoft WordMicrosoft OutlookMicrosoft Excel

Soft Skills

Attention to DetailProblem SolvingOrganizational SkillsAdaptabilityTeam Collaboration

Certifications & Qualifications

HS Diploma

Industry Keywords

MedicaidQuality Management ProcessesAccreditation GuidelinesPrivacy and ConfidentialityCare Management Processes

About the role

Key responsibilities & impact

Conduct telephonic outreach to and enroll eligible Medicaid members
Engage members using caring and behavioral interviewing techniques
Provide health plan customer support and healthcare navigation
Facilitate case assignment
Connect identified members to care managers through warm transfers
Support implementation of care plans and effective utilization of healthcare services
Promote and support quality effectiveness
Answer telephone calls, take messages, research information, and assist in solving problems
Comply with policies, procedures, and regulatory standards
Maintain accurate and complete documentation for risk management, regulatory, and accreditation requirements
Protect member information confidentiality

Requirements

What you’ll need

1-2+ years strong customer service skills to coordinate service delivery
Attention to customers, sensitivity to issues, proactive identification and resolution of issues
Adherence to care management processes, privacy and confidentiality, quality management processes, regulatory and accreditation guidelines, and company policies and procedures
Completion of detailed member-call documentation in electronic records
Ability to work independently and meet deliverables and deadlines
Ability to participate effectively in a multi-disciplinary team
Effective communication, telephonic, and organizational skills
Ability to manage multiple priorities and adapt to change
Ability to meet daily metrics with speed, accuracy, and a positive attitude
2-4 years’ experience in a call center healthcare field preferred
Experience with Microsoft Word, Outlook, and Excel, data entry, and member-record documentation preferred
Familiarity with basic medical terminology and care-management concepts preferred
Flexibility to work occasional nights and weekends outside standard business hours, which can span from 8:00 am to 8:00 pm
Bilingual Spanish preferred
LA Medicaid experience
HS Diploma required

Benefits

Comp & perks

Medical coverage
Dental coverage
Vision coverage
Paid time off
Retirement savings options
Wellness programs
Other resources supporting physical, emotional, and financial well-being
CVS Health bonus, commission or short-term incentive program eligibility