Bilingual Care Management Associate

CVS Health

Bilingual Care Management Associate managing enrollment for Aetna Better Health of Florida at CVS Health. Supports quality effectiveness of healthcare services with strong customer service skills.

Posted 5/5/2026full-timeRemote • Florida • 🇺🇸 United StatesJuniorMid-Level💰 $19 - $35 per hourWebsite

About the role

Key responsibilities & impact

Responsible for initial review and outreach of new monthly LTC enrollees.
Outreach and promoting active connection through management of persistent outreach.
Manages LTC Medicaid Redetermination and Eligibility concerns.
Receives and compose Service Decision Review tasks for submission to MD.
Ensures timeliness and efficiency of associated tasks and responsibilities.
Completes outbound calls to members to obtain confirmation of enrollment and member’s demographics.
Utilizes Aetna systems to build, research and enter member information, as needed.
Supports the development and implementation of FL LTC plan.
Coordinates and arranges Service Decision Reviews for MD review.
Provides delivery of decision under the direction of MD accordingly.
Promotes communication to enhance effectiveness of care management services.
Performs non-medical research pertinent to the establishment, maintenance, and closure of open cases.
Provides support services to team members by answering telephone calls, researching information, and assisting in solving problems.
Adheres to compliance with policies and regulatory standards.
Maintains accurate and complete documentation of required information that meets contractual, regulatory, and accreditation requirements.
Protects the confidentiality of member information and adheres to company policies regarding confidentiality.

Requirements

What you’ll need

Must be fluent in English and Spanish
Must reside in Miami Florida
2+ Years of Strong customer service skills to coordinate service delivery including attention to customers, sensitivity to issues, proactive identification, and resolution of issues to promote positive outcomes for members.
2+ years’ demonstrated proficiency with personal computers, keyboard and multi-system navigation, and MS Office Suite application (Teams, Outlook, Word, Excel, etc.)
Strong and effective communication, telephonic and organization skills with ability to be agile, managing multiple priorities at one time, and adapting to change with enthusiasm.

Benefits

Comp & perks

medical
dental
vision coverage
paid time off
retirement savings options
wellness programs

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

customer serviceoutreach managementLTC Medicaid Redeterminationeligibility managementservice decision reviewnon-medical researchdocumentation management

Soft Skills

communicationorganizationproblem-solvingattention to detailproactive identificationresolution of issuesagilityadaptability