Associate Manager Clinical Services - Long Term Shared Services

CVS Health • York, PA

1d

About The Position

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Join our Aetna Better Health Managed Long-Term Care (MLTC) Team! This Associate Manager is responsible for leading the plan’s reassessment program, overseeing clinical quality workflows, and managing external assessment vendors to ensure compliance, accuracy, and timely completion of UAS assessments. This leader serves as the operational and clinical liaison across internal teams, vendors, IT platforms (Lenavi, Field2Base), and external partners. The role requires strong clinical operations expertise, excellent communication skills, and the ability to manage large‑scale, time‑sensitive processes in a high‑volume environment.

Requirements

• Active and unrestricted RN license in the state of NY.
• 3+ years of clinical experience required.
• 2+ years of leadership, management or supervisory experience required
• 1+ years of Managed care experience
• 1+ year of experience Microsoft Office Suite applications (Word, Excel, Teams, PowerPoint)

Nice To Haves

• UAS certification preferred

Responsibilities

• Reassessment Program Leadership: Oversees daily operations of the Reassessment Team, including case assignment, tracking, and high‑volume follow‑up to ensure timely completion of routine, CIC, and CMCA assessments.
• Vendor Management: Manages performance and workflows for six assessment vendors, conducts six weekly vendor calls, monitors quality and turnaround times, oversees Lenavi/F2B access and compliance, and reviews vendor invoices and exceptions
• Serves as a content model expert and mentor to the team regarding practice standards, quality of interventions, problem resolution and critical thinking.
• Ensures implementation and monitoring of best practice approaches and innovations to better address the member's 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.
• Develop, initiate, monitor and communicate performance expectations.
• Ensures the team's understanding and use of information system capability and functionality.
• May have responsibility for their own case load work.
• Participates 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 an 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.

Benefits

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
• For more information, visit https://jobs.cvshealth.com/us/en/benefits

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level