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. Position Summary CVS Health Aetna has an opportunity for a full-time Care Management Associate (CMA). 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.

Key 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 Required Qualifications 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

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 Education High School Diploma or GED required 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 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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. 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. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will close on: 06/05/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. Apply To This Job