Manager Long Term Services and Support - Aetna Better Health of Florida

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Job Summary The Manager of Long Term Services and Support (LTSS) is a key member of the Aetna Better Health of Florida leadership team and is responsible for overseeing healthcare service delivery, ensuring compliance with quality and safety standards, and managing staff, budgets, and resources to support operational efficiency. This role involves developing and implementing strategies to improve member outcomes and organizational performance, as well as leading quality improvement initiatives with their direct and indirect reports. The LTSS Manager reports to the Director of LTSS. This is a fully remote role. Eligible candidates must live in Florida. Key responsibilities include: Collaborating with Director, internal departments and external stakeholders to enhance coordination of care for LTSS members Analyzing healthcare data including dashboards to inform decision-making, and addressing member concerns to improve satisfaction Ensuring compliance with AHCA regulations and enterprise policies while providing leadership and professional development opportunities to the team Required Qualifications Florida resident 3 years' LTSS experience in a managed care organization to include understanding of contract, compliance measures, case management and utilization management processes, and strategies to improve member outcomes. 2 years’ experience managing multiple direct reports including other leaders Ability to lead and develop teams fostering a collaborative and high performing team. Experience in managing daily operations, staffing, budgets and resource allocation. Experience working with internal teams, external providers, and community organizations that enhance care coordination. Strong ability to address challenges, develop solutions, and implement effective strategies. Commitment to improving member experience, addressing concerns, and ensuring access to necessary services Ability to deliver clear, engaging presentations and effectively communicate to team. Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook) and use of TEAMS. Ability to travel up to 25% for meetings. Preferred Qualifications 5 years leadership experience Clinical license – RN or BH Florida LTSS experience Certified Case Manager-CCM Understanding NCQA accreditation standards Experience in process improvement implementation Education Bachelor's degree – health related field preferred Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $54,300.00 - $119,340.00 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. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit Benefits | CVS Health We anticipate the application window for this opening will close on: 04/07/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area. Apply Job!