[Hiring] Care Management Associate @4004 Aetna Medicaid Administrators

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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

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