Job Description
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Position Summary The Manager, Intake Operations (Managed Long-Term Care) will oversee the day-to-day management and leadership of critical aspects of pre-enrollment operations. You will develop a team to manage MLTC (Managed Long-Term Care) referrals processing, eligibility verification, universal assessment system (UAS) and plan of care (POC) creation scheduling, enrollment documents verification, as well as customer service and issue resolution. The Manager will create processes to ensure efficient and accurate enrollment processes, compliance, and consistent customer service within the department.
Fundamental Job Components: - Responsible for overseeing the day-to-day pre-enrollment operations for the MLTC plan.
- Manage a team of intake representatives, oversee enrollment processes, and work with various stakeholders to ensure compliance and quality.
- Ensure accurate eligibility verifications processed through various databases such as epaces and HCS.
- Support in the development of daily and weekly data reflecting referral influx.
- Oversee dashboards to ensure intake team meets metrics on enrollments
- Oversee initial assessments and plan of care assignment with internal RN team and external vendors.
- Oversee delivery of services, such as home care, adult day care, and other long-term care services.
- Ensure the compliance with all relevant regulations and MLTC contract requirements; work to improve the quality of care provided to upcoming members.
- Present new strategies to improve team performance and monthly conversion.
- Quarterly review's enrollment trends and proposes new strategies to increase productivity.
Required Qualifications - 3 years of Medicaid and Managed Long-Term Care experience
- 3 years supervisory experience.
- Proficiency in Microsoft Office (Excel, Word, PowerPoint)
- Experience collaborating with internal and external stakeholders
- Work a hybrid work schedule in the NYC office location
Preferred Qualifications - Salesforce platform utilization
Education - Bachelor's degree or equivalent work experience
Anticipated Weekly Hours 40
Time Type Full time
Pay Range The typical pay range for this role is:
$72,360.00 - $159,120.00
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.
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We anticipate the application window for this opening will close on: 08/15/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Job Tags
Hourly pay, Full time, Contract work, Temporary work, Work experience placement, Work at office, Local area, Flexible hours,