Description

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.

Join our Aetna Better Health Managed Long-Term Care (MLTC) Team!

This Associate Manager is responsible for leading the plan's reassessment program, overseeing clinical quality workflows, and managing external assessment vendors to ensure compliance, accuracy, and timely completion of UAS assessments. This leader serves as the operational and clinical liaison across internal teams, vendors, IT platforms (Lenavi, Field2Base), and external partners. The role requires strong clinical operations expertise, excellent communication skills, and the ability to manage large‑scale, time‑sensitive processes in a high‑volume environment.

Key Responsibilities:

• Reassessment Program Leadership: Oversees daily operations of the Reassessment Team, including case assignment, tracking, and high‑volume follow‑up to ensure timely completion of routine, CIC, and CMCA assessments.
• Vendor Management: Manages performance and workflows for six assessment vendors, conducts six weekly vendor calls, monitors quality and turnaround times, oversees Lenavi/F2B access and compliance, and reviews vendor invoices and exceptions
• Serves as a content model expert and mentor to the team regarding practice standards, quality of interventions, problem resolution and critical thinking.
• Ensures implementation and monitoring of best practice approaches and innovations to better address the member's needs across the continuum of care.
• May act as a liaison with other key business areas.
• May develop/assist in development and/review new training content.
• May collaborate/deliver inter and intra-departmental training sessions.
• Protects the confidentiality of member information and adheres to company policies regarding confidentiality.
• Develop, initiate, monitor and communicate performance expectations.
• Ensures the team's understanding and use of information system capability and functionality.
• May have responsibility for their own case load work.
• Participates in the recruitment and hiring process for staff using clearly defined requirements in terms of education, experience, technical and performance skills.
• Assesses developmental needs and collaborates with others to identify and implement action plans that support the development of high performing teams.
• Establish an environment and work style that promotes the concept of teamwork, cross product integration, and continuum of care thinking that results in strong performance.
• Consistently demonstrates the ability to serve as an model change agent and lead change efforts.
• Create a positive work environment by acknowledging team contributions, soliciting input, and offering personal assistance, when needed.
• Accountable for maintaining compliance with policies and procedures and implements them at the employee level.

Required Qualifications:

• Active and unrestricted RN license in the state of NY
• Strong Preference to UAS Certified Candidates
• 3+ years of clinical experience required.
• 2+ years of leadership, management or supervisory experience required
• 1+ years of Managed care experience
• 1+ year of experience Microsoft Office Suite applications (Word, Excel, Teams, PowerPoint)
• Hours for this position are Monday - Friday, 8:30am - 5:00pm EST

Education

• Bachelors required

Anticipated Weekly Hours
40

Time Type
Full time

Pay Range

The typical pay range for this role is:

$88,374.00 - $190,344.00

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.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 03/02/2026

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