Associate Manager Health Services Work at Home in Miami-Dade County, FL

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Associate Manager Health Services - Work at Home in Miami-Dade County FL

Location: Work at Home with some travel in the Miami-Dade County FL Area

Position Summary
The Associate Manager is responsible for oversight of healthcare management staff including the organization and development of high performing teams. Works closely with functional area managers to ensure consistency in clinical and non-clinical interventions supporting our members.

• Accountable for meeting the financial operational and quality objectives of the unit
• Oversees the implementation of healthcare management services for assigned functional area
• Implements clinical and non-clinical policies & procedures in accordance with applicable regulatory and accreditation standards (e.g. NCQA 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 members 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 of care plans enhancement of medical appropriateness and quality of care and monitoring evaluating and documenting of care
• Develop initiate monitor and communicate performance expectations
• Ensures the teams understanding and use of information system capability and functionality
• May have responsibility for their own caseload work
• May act as a single point of contact for the member and the Care Management Team including: participation in care team meetings implementation and oversight of member cultural requirements and support implementation of new members
• Participate in the recruitment and hiring process for staff using clearly defined requirements in terms of education experience technical and performance skills
• Assesses developmental needs and collaborates with others to identify and implement action plans that support the development of high performing teams
• Establish an environment and work style that promotes the concept of teamwork cross product integration and continuum of care thinking that results in strong performance
• Consistently demonstrates the ability to serve as a model change agent and lead change efforts
• Create a positive work environment by acknowledging team contributions soliciting input and offering personal assistance when needed
• Accountable for maintaining compliance with policies and procedures and implements them at the employee level

Required Qualifications

• Must reside in Miami-Dade County Florida
• Must possess reliable transportation and be willing and able to travel up to 50% of the time. Mileage is reimbursed per our company expense reimbursement policy
• 3 years of managed care experience
• 3-5 years of experience in a physical or behavioral healthcare setting
• Knowledge of the regulations standards and policies which relate to medical management
• Proficiency with computer skills which includes navigating multiple systems and keyboarding
• Time efficient and highly organized
• Exceptional communication skills
• Ability to mentor and support staff to meet business needs

Preferred Qualifications

• Bilingual in Spanish
• 1-3 years management experience
• Computer literacy and experience familiarity with Microsoft Excel Word and web-based applications desired
• Ability to work with people in such a manner as to build high morale and group commitment to goals and objectives
• Ability to evaluate and interpret data identify areas of improvement and focus on interventions to improve outcomes
• Ability to communicate effectively with Providers Members Staff and other Leaders both in oral and written format

Education

• Bachelors degree in business or health or human services (e.g. Social Work Psychology Nursing Mental Health Counseling Behavioral Sciences Sociology Gerontology or related field required.

Anticipated Weekly Hours

Time Type

Pay Range

The typical pay range for this role is:

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience education geography and other relevant factors. This position is eligible for a CVS Health bonus commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers patients members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

Additional details about available benefits are provided during the application process and on Benefits Moments.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal state and local laws.