Associate Manager - Community Health Worker

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.

Associate Manager of Community Health Worker's

Location:

Work at Home (anywhere USA)

Schedule:

Mon-Fri 08:00-05:00

MUST WORK EST HOURS)

The Associate Manager will lead the implementation, oversight, and ongoing management of the Community Health Worker (CHW) Pilot focused on addressing health disparities and improving outcomes among Medicaid members with Type 2 diabetes or other chronic diagnoses. This role is critical in responding to identified program needs, including high disease prevalence, elevated social determinants of health (SDoH) risk, and disproportionate concentration of high-risk members in targeted counties.

The Associate Manager will ensure the CHW program effectively improves member engagement, reduces avoidable utilization (ED visits and hospitalizations), and increases connection to primary care and community-based resources. The Associate Manager will oversee CHW staff, ensure alignment with interdisciplinary care teams, and drive achievement of pilot goals, including improved self-management, enhanced member experience, and measurable improvements in quality and utilization metrics.

• Oversee implementation and day-to-day operations of the CHW pilot, ensuring alignment with program design, goals, and timelines.
• Supervise CHWs, including caseload assignment (up to ~30 members per CHW), geographic alignment, and performance oversight.
• Ensure timely member outreach, engagement, and completion of required assessments (e.g., screening within 30 days, outreach attempts).
• Drive CHW activities focused on closing gaps in care, improving diabetes management, and increasing primary care utilization.
• Ensure CHWs effectively connect members to SDoH resources (housing, food, transportation) and manage closed-loop referrals.
• Partner with interdisciplinary care teams (care management, behavioral health, pharmacy, providers) to coordinate member care plans.
• Lead case reviews, interdisciplinary rounds, and performance discussions to ensure member needs are addressed.
• Monitor pilot performance metrics including ED utilization, inpatient admissions, primary care utilization, and HEDIS/CMS quality measures.
• Identify risks, barriers to engagement, and operational gaps; implement corrective action plans.
• Oversee documentation quality and compliance within care management systems (e.g., Dynamo).
• Support pilot evaluation activities, including data reporting, analysis, and collaboration with internal and external stakeholders.
• Promote CHW workforce development through coaching, training, and retention strategies.
• Ensure adherence to Medicaid, contractual (DMAHS), and regulatory requirements.

• 3–5 years of experience in care management, population health, community health, or Medicaid program operations.
• Prior supervisory or team leadership experience.
• Demonstrated experience managing programs targeting high-risk or underserved populations.
• Strong understanding of SDoH, care coordination, and community-based interventions.
• Experience managing performance metrics and driving quality and utilization outcomes.
• Strong communication, collaboration, and analytical skills.

• Registered Nurse in state of residence or Independently licensed social worker/therapist in state of residence.