Associate Manager Clinical Health Services MLTSS - Field New Jersey

Associate Manager

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Preference to residents in Bergen, Passaic, Morris and Essex Counties

Position Summary

This Associate Manager opportunity is a fulltime telework position with up to 10% travel to anywhere within the state of New Jersey on as need basis to support the staff. Standard working hours: Monday -Friday, 8am to 5 pm EST.

The Associate Manager role requires strong leadership skills and advanced clinical judgement, with critical thinking skills to support the delivery of comprehensive physical, behavioral health, and psychosocial wraparound services. This position is responsible for daily program oversight, including staff recruitment and retention, problem solving, and fostering collaboration both within and across departments. The Associate Manager will also engage directly with state partners to ensure alignment with program goals and regulatory expectations.

The Associate Manager role shall be responsible for the management and supervision of the MLTSS Care Management staff. The role is responsible for the daily operations of the MLTSS Program and adherence to contractual requirements. The Associate Manager will oversee Care Managers (CM)s who are assigned to members in concentrated geographic areas. This includes members enrolled in enrolled in Managed Long-Term Services and Supports program (MLTSS) and/or Dual Special Needs Program (D-SNP/ FIDE).

Successful completion of the NJ Choice certification is a contingency of employment. As per NJ Division of Aging Services, Office of Community Choice Options guidance, an exam score of 80% or higher is required, along with successful completion of the State training modules, and field mentoring component.

Required Qualifications

• Must reside in the state of New Jersey (Specifically Bergen, Passaic, Morris, or Essex County)
• Must have reliable transportation and be willing and able to travel up to 10% of the time to meet and support staff anywhere in the state of New Jersey. Mileage is reimbursed per our company expense reimbursement policy
• Must have one of the following active unrestricted NJ State Licensure RN, LSW, or LCSW
• 2-5 years of experience in care management (preferred experience with the MLTSS program), behavioral health, or integrated health care settings.
• Strong understanding of Medicaid and Medicare, including experience with MLTSS FIDE SNP membership.
• 1-2 years of previous leadership experience in a healthcare or managed care environment.
• Demonstrated ability to independently problem solve, analyze data to identify trends and gaps, and take proactive action to improve member outcomes and program performance

• Proficiency in data-driven decision-making and performance monitoring
• Experience collaborating with state agencies and external regulators
• Excellent communication, organizational and interpersonal skills.
• Successful completion of the NJ Choice certification is a contingency of employment. As per NJ Division of Aging Services, Office of Community Choice Options guidance, an exam score of 80% or higher is required, along with successful completion of the State training modules, and field mentoring component

Preferred Qualifications

• Familiarity with MLTSS, D-SNP/FIDE program and NJ Medicaid regulations
• Strong understanding of person-centered service models
• Demonstrated ability to lead multidisciplinary teams and manage complex workflows

Education

• Minimum of Bachelor's degree in Nursing (BSN)
• Master's degree required for Social Work

Anticipated Weekly Hours: 40

Time Type: Full time

Pay Range: The typical pay range for this role is: $96,408.00 - $207,648.00

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 our comprehensive and competitive mix of pay and benefits investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• 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.

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