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.
Care Management Associate – Position Summary
Step into a role where you can make a meaningful impact every day. As a Care Management Associate, you will support a collaborative clinical team dedicated to delivering high‑quality, cost‑effective care to our members. You’ll help ensure individuals receive the right services at the right time by coordinating care activities, streamlining workflows, and enhancing the overall member experience.
What You’ll Do
- Engage with members through proactive outreach to support seamless care coordination.
- Review and process prior authorization requests to keep care moving efficiently.
- Triage and manage incoming Care Team tasks with accuracy and urgency.
- Identify the reason for admission and apply appropriate assessment tools to guide care decisions.
- Screen members using established business rules to determine service needs and make referrals.
- Track cases for discharge planning and flag outliers for further clinical review.
- Connect members to supportive programs such as Case Management or Disease Management.
- Maintain up‑to‑date and accurate member information using internal platforms (e.g., Dynamo).
- Assist in developing and implementing care plans under the direction of clinical staff.
- Encourage in‑network provider use and promote cost‑effective care options.
- Coordinate communication among providers, internal teams, and members to keep care aligned.
- Conduct non‑clinical research to support case management activities.
- Provide administrative support including call handling, issue resolution, and documentation.
- Ensure compliance with regulatory requirements and organizational policies.
- Uphold strict confidentiality standards to protect member information.
- Support claims research and contribute to continuous improvement of quality and case management processes.
- Thrive in a fast‑paced, dynamic environment while meeting performance expectations for accuracy, productivity, and service.
Required Qualifications:
Strong knowledge of medical terminology and multitasking abilities.
2–4 years of experience as a medical assistant or in a medical office setting.
Experience with call centers (inbound/outbound) and prior authorizations.
Comfortable working in a fast-paced environment.
Must reside in New Jersey or Pennsylvania
Education:
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$18.50 - $38.82
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.
For more information, visit https://jobs.cvshealth.com/us/en/benefits
We anticipate the application window for this opening will close on: 01/30/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
