CVS Health is hiring a Senior Manager, Clinical Health Services to play a vital leadership role at Aetna Better Health of Virginia. In this position, you will oversee the Maternal Health Team, managing clinical team operations and ensuring the effective delivery of care management and coordination across the continuum of care.
What You'll Do
- Oversee managers of multiple teams, ensuring alignment with strategic goals. Mentor managers and assist in succession planning.
- Oversee operational efficiency across teams, identify process improvements, and ensure compliance with state and federal guidelines.
- Act as a subject matter expert for clinical knowledge to key internal and external constituents in the coordination and administration of benefits management initiatives.
- Develop and enforce policies to maintain regulatory compliance. Lead audit preparation and corrective action plans.
- Implement quality improvement initiatives to enhance the member experience and drive key performance metrics.
- Collaborate with executive leadership, state agencies, and external partners to align care management strategies with organizational goals.
- Analyze performance trends, identify gaps, and develop strategies for improvement.
- Develop training programs to enhance clinical and operational competencies across teams.
- Lead organization-wide initiatives to improve service delivery, regulatory adherence, and cost-effectiveness.
What We're Looking For
- Reside in Virginia.
- Active and unrestricted Virginia RN or Clinical BH Licensure (LPC, LCSW, LMFT).
- Willing and able to travel up to 35% anywhere in the state of Virginia.
- 2+ years of experience working directly with individuals who meet the Cardinal Care Priority Population criteria.
- 2+ years of leadership experience.
- Experience working in health care delivery systems.
- Demonstrated ability to communicate with Members who have complex medical or social needs and who may have communication barriers.
Nice to Have
- 2+ years experience managing multiple direct reports.
- 3+ years managed care experience with Aetna.
Team & Environment
Reports directly to the Senior Principal Clinical Leader. Oversees managers of multiple teams.
Benefits & Compensation
- Salary range: $100,425.00 - $216,300.00
- Affordable medical plan options
- 401(k) plan with matching company contributions
- Employee stock purchase plan
- No-cost wellness screenings, tobacco cessation and weight management programs
- No-cost confidential counseling and financial coaching
- Paid time off
- Flexible work schedules
- Family leave
- Dependent care resources
- Colleague assistance programs
- Tuition assistance
- Retiree medical access
Work Mode
This is a remote position. Candidates must reside in Virginia.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
