[Hiring] Care Management Associate @4004 Aetna Medicaid Administrators

This description is a summary of our understanding of the job description. Click on ‘Apply’ button to find out more.

Role Description

This role involves managing the behavioral health benefit for eligible children and young adults receiving Medicaid services in Ohio.
• Regularly interface with various groups providing care coordination services
• Serve as the “Front desk” to the OhioRISE plan
• Assist the Care Coordination department with various administrative tasks
• Handle inbound care management queue line
• Respond to questions and inquiries from members/guardians or parties assisting with services
• Take referrals for OhioRISE, confirm Medicaid eligibility, and process referrals
• Complete Health Risk Assessments for all assigned members
• Maintain professionalism and compassion when interacting with departments or member representatives
• Support administrative needs involving complex data systems and Electronic Record System
• Adapt to changing tasks to meet the demands of the health plan

The Care Management Associate (CMA) role is a full-time remote telework position. Qualified candidates must reside in Ohio. Schedule is Monday – Friday, 8am-5pm, standard business hours. No required holidays or weekends. Candidates must have a private location to complete all work that is free from distractions or other individuals. Equipment will be provided prior to the first day.

Qualifications
• Recent experience working for other MCOs within the last 5-7 years in Ohio
• Experience may be replaced with recent employment with healthcare organizations or companies
• Must be able to pass the CANS assessment and obtain certification within 90 days of employment
• Ability to articulate strength in critical and quick thinking
• Detail oriented for manual data entry
• Ability to handle escalated calls
• Problem solving skills in stressful situations
• Ability to multitask in multiple systems
• Ability to take initiative and accountability in own learning
• Ability to contribute to a positive work environment
• Ability to independently manage time and assigned tasks

Preferred Qualifications
• Associates degree or other specialized health care certifications or training
• Desire and interest in helping individuals with behavioral health care needs

Pay Range

The typical pay range for this role is: $18.50 – $31.72. 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.

Benefits
• Affordable medical plan options
• 401(k) plan (including matching company contributions)
• Employee stock purchase plan
• No-cost programs including wellness screenings, tobacco cessation, and weight management programs
• Confidential counseling and financial coaching
• Paid time off and flexible work schedules
• Family leave and dependent care resources
• Colleague assistance programs and tuition assistance
• Retiree medical access and many other benefits depending on eligibility