Associate Manager, Clinical Health Services

CVS Health

. Oversee implementation of healthcare management services for the assigned functional area .

Posted 10/22/2026full-timeRemote • Illinois • United StatesMid-Level💰 $88,374 - $190,344 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in healthcare management services, regulatory compliance, and team leadership within a managed care environment. Proficient in member care-plan development, quality assurance, and fostering cross-functional collaboration.

Highest-signal resume keywords

Active LCPC, LCSW, Or RN LicenseManaged Care ExperienceHealthcare Management ServicesTeam LeadershipCertified Case Manager (CCM)

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Care-Plan DevelopmentQuality Of Care MonitoringRegulatory CompliancePolicy ImplementationBest-Practice ApproachesClinical Staff CollaborationProblem ResolutionCritical Thinking

Soft Skills

TeamworkChange ManagementMentoringCommunication

Certifications & Qualifications

Certified Case Manager (CCM)

Industry Keywords

NCQAURACHealthcare ManagementBehavioral HealthcarePhysical HealthcareMember IdentificationContinuum Of CareCultural Requirements

About the role

Key responsibilities & impact

Oversee implementation of healthcare management services for the assigned functional area
Maintain policies and procedures in accordance with regulatory and accreditation standards, including NCQA and URAC
Implement and monitor best-practice approaches and innovations across the continuum of care
Liaise with key business areas
Manage resources responsible for member identification, care-plan development and implementation, medical appropriateness, quality of care, and care monitoring and documentation
Potentially manage an individual case load
Serve as a point of contact for customers and Account Teams, including customer meetings and implementation of customer cultural requirements
Support implementation of new customers
Assess developmental needs and implement action plans supporting high-performing teams
Promote teamwork, cross-product integration, and continuum-of-care thinking
Lead change efforts as a model change agent
Collaborate with licensed staff overseeing clinical staff and licensed personnel activities
Mentor the team on practice standards, intervention quality, problem resolution, and critical thinking

Requirements

What you’ll need

Active and unrestricted LCPC, LCSW, or RN in the state of Illinois
3 or more years of experience in a physical or behavioral healthcare setting
1 or more years of management experience
3 or more years of experience in managed care
Knowledge of regulations, standards, and policies related to medical management
Bachelor’s degree in health or human services or a related field required
Preferred: Certified Case Manager (CCM)
Preferred: Bilingual in English and Spanish

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