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

Use this summary to align your resume positioning with the role.

Demonstrates strong customer service skills and effective communication abilities while coordinating healthcare services for Medicaid members. Proficient in electronic documentation and adherence to regulatory and accreditation guidelines.

Highest-signal resume keywords

Customer Service SkillsElectronic DocumentationRegulatory ComplianceCare Management ProcessesBilingual Spanish

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data EntryMember-Record DocumentationBasic Medical TerminologyCare Management Concepts

Soft Skills

Effective CommunicationOrganizational SkillsAttention to DetailProblem SolvingAdaptability

Tools & Technologies

Microsoft WordMicrosoft OutlookMicrosoft Excel

Certifications & Qualifications

HS Diploma

Industry Keywords

MedicaidHealthcare ServicesQuality Management ProcessesConfidentiality PoliciesCall Center Experience

About the role

Key responsibilities & impact

Conduct telephonic outreach to and enroll eligible Medicaid members
Engage members using caring and behavioral interviewing techniques
Support comprehensive coordination of healthcare services
Facilitate case assignment
Connect identified members to care managers through warm transfers
Support implementation of care plans and effective healthcare-service utilization
Promote and support quality effectiveness
Answer telephone calls, take messages, research information and assist in solving problems for team members
Complete accurate and complete documentation meeting risk management, regulatory and accreditation requirements
Protect member confidentiality and follow company confidentiality policies
Meet Member Connection Team efficiency, productivity and daily performance metrics

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
Ability to complete detailed electronic documentation of each member call
Ability to work independently and meet deliverables and deadlines
Ability to effectively participate 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
HS Diploma required
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
Strong verbal and written communication skills preferred
Bilingual Spanish preferred
LA Medicaid experience preferred

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, based on eligibility
CVS Health bonus, commission or short-term incentive program eligibility in addition to base pay