Care Management Associate (Remote - Illinois)

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.

About the role

In this role, you will support the coordination of medical and social services for members by assisting with care team intake, task triage, outreach, and care plan implementation. The CMA plays a key role in promoting effective utilization of healthcare services, supporting quality outcomes, and ensuring compliance with regulatory and accreditation standards.

Responsibilities

• Review, prioritize, and triage incoming Care Team tasks to ensure timely follow-up and resolution
• Screen members using established guidelines and business rules to identify care needs and required services
• Initiate referrals to Case Management, Disease Management, LTSS, and other specialty programs as appropriate
• Conduct outreach to members, providers, and care team partners to support care coordination efforts
• Utilize internal systems to document member information, outreach, and case activity accurately and timely
• Support the development and implementation of member care plans under the direction of clinical staff
• Coordinate healthcare services and assist in identifying in-network, cost-effective care options
• Perform non-clinical research to support case development, maintenance, and closure
• Communicate effectively with internal teams, providers, and members to facilitate care delivery
• Provide administrative and operational support, including call handling, issue resolution, and task follow-up
• Maintain accurate, complete, and audit-ready documentation in compliance with company policies and regulatory requirements
• Adhere to all compliance standards, including CMS, NCQA, URAC, and internal quality guidelines

Requirements

• 2–4 years of experience in a healthcare setting (e.g., medical assistant, office assistant, care coordination support)
• Strong computer proficiency, including Microsoft Word and Excel
• Ability to navigate multiple systems and manage tasks efficiently in a fast-paced environment
• High School Diploma or GED required

Preferred Qualifications

• Strong verbal and written communication skills, including telephonic outreach
• Knowledge of basic medical terminology and care management concepts
• Excellent organizational and time management skills with attention to detail
• Customer-focused approach with the ability to resolve issues proactively
• Ability to collaborate effectively within a multidisciplinary team

Work Environment & Expectations

• 100% remote position
• Must maintain a dedicated, distraction-free workspace
• Candidates must have reliable childcare or dependent care arrangements during working hours
• Ability to manage a high-volume workload and meet productivity and documentation requirements

Schedule

Full time, 40 hours per week.

Pay

The typical pay range for this role is $18.50 - $38.82 per hour. 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

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, including:

• Medical, dental, and vision coverage
• Paid time off
• Retirement savings options
• Wellness programs and other resources

Additional details about available benefits are provided during the application process and on Benefits Moments.