Care Management Associate, Service Operations

CVS Health Careers

. Conduct telephonic outreach to and enroll eligible Medicaid members .

Posted 11/5/2026full-timeRemote • Illinois • 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 expertise in healthcare navigation, member engagement, and care management processes while ensuring compliance with regulatory standards. Strong ability to communicate effectively and provide exceptional customer service in a fast-paced environment.

Highest-signal resume keywords

Healthcare NavigationCare Management ProcessesCustomer Service SkillsEffective CommunicationBilingual Spanish

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Electronic DocumentationBasic Medical TerminologyQuality Management ProcessesRegulatory GuidelinesAccreditation Requirements

Soft Skills

Organizational SkillsProblem-Solving SkillsAdaptabilityAttention to DetailTeam Collaboration

Tools & Technologies

Microsoft WordMicrosoft OutlookMicrosoft Excel

Industry Keywords

MedicaidMember OutreachBehavioral ChangeRisk ManagementConfidentiality

About the role

Key responsibilities & impact

Conduct telephonic outreach to and enroll eligible Medicaid members
Engage members through inbound and outbound interactions to address needs and encourage behavioral change
Provide healthcare navigation and health plan customer support
Conduct direct member outreach and engagement
Facilitate case assignment and connect identified members to care managers through warm transfers
Support implementation of care plans and promote effective utilization of healthcare services
Promote and support quality effectiveness
Answer telephone calls, take messages, research information, and assist in solving problems
Follow company policies, procedures, and regulatory standards
Maintain accurate and complete documentation meeting risk management, regulatory, and accreditation requirements
Protect member confidentiality

Requirements

What you’ll need

Demonstrates ability to meet daily metrics with speed, accuracy and a positive attitude
Effective communication, telephonic and organization skills
Ability to manage multiple priorities and adapt to change
Strong customer service skills and attention to customer needs
Ability to identify and resolve issues and promote positive member outcomes
Knowledge of care management processes, privacy and confidentiality, quality management processes, regulatory and accreditation guidelines, and company policies and procedures
Ability to complete detailed electronic documentation for each member call
Ability to work independently and meet deliverables and deadlines
Ability to participate effectively in a multi-disciplinary team
Experience with computers, including Microsoft Word, Outlook, and Excel, preferred
Four years’ experience in a healthcare field, preferred
Familiarity with basic medical terminology and care management concepts, preferred
Flexibility to work occasional nights and weekends outside standard business hours spanning 8:00 am to 8:00 pm
Strong verbal and written communication skills
Bilingual Spanish preferred
High School diploma, G.E.D. or equivalent

Benefits

Comp & perks

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