Care Management Associate (CST/EST)

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. Program Overview Join the Aetna Clinical Collaboration (ACC) team - an innovative and growing, community‑based care management model designed to transform how we serve our members. ACC utilizes best‑in‑class clinical and operating models to deliver meaningful, high‑impact care where it matters most. ACC is a member‑centric, team‑delivered approach that meets members where they are. Through compassionate engagement and strong communication, our care teams collaborate with members, providers, and community organizations to address the full continuum of healthcare needs, including medical, behavioral, and social determinants of health. This is an exciting opportunity to be part of a growing program with national expansion; offering the chance to help shape care delivery in new markets and have a life‑changing impact on the members we serve. Position Summary/Mission The Care Management Associate (CMA) supports the ACC Case Management team by performing non-clinical care coordination and administrative functions to promote timely, effective member care. Working under the direction of Senior Managers, the CMA assists with care coordination activities, telephonic outreach, and case support to ensure efficient care delivery and positive member outcomes.

Key Responsibilities

• Supports ACC team with daily care coordination and case support activities
• Review and monitor daily census and providing to on-site staff via email
• Perform inbound and outbound telephonic outreach to members, providers, and facilities
• Process referrals, track cases, manage shared queues and program mailboxes
• Enter and maintain accurate documentation in clinical systems (e.g., MedCompass, CEC)
• Complete detailed documentation of all member interactions in compliance with regulatory and accreditation standards
• Facilitate communication between interdisciplinary care team members and external stakeholders
• Conduct non-clinical research and gather information to support care planning and case progression
• Escalate clinical concerns or barriers to Senior Managers as appropriate

Remote Work Expectations

• This is a 100% remote role; candidates must have a dedicated workspace free of interruptions
• Dependents must have separate care arrangements during work hours, as continuous care responsibilities during shift times are not permitted

Required Qualifications

• Candidate must reside in CST/EST time zones
• 1+ year(s) of customer service experience (healthcare environment preferred)
• Strong customer service and member engagement skills
• Strong organizational skills, including effective verbal and written communication skills
• Basic knowledge of medical terminology
• Proficiency in Microsoft Office (Word, Excel, Outlook, Teams) and ability to navigate multiple systems
• Candidates must have a dedicated workspace free of interruptions
• Dependents must have separate care arrangements during work hours, as continuous care responsibilities during shift times are not permitted

Preferred Qualifications

• 2–4 years of healthcare experience (e.g., medical office, hospital, care coordination, billing/coding)
• Experience supporting care management or case management teams
• Familiarity with clinical platforms such as MedCompass or CEC

Education

• High School Diploma or GED (REQUIRED)

Anticipated Weekly Hours 40 Time Type Full time Pay Range The Typical Pay Range For This Role Is $18.50 - $35.29 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. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will close on: 06/26/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. Apply To This Job