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 OhioRISE Compliance Liaison ensures compliance actions are timely and complete for the Care Management and Behavioral Health teams. Collaborates with leadership across the program and health plan to support efforts to respond to compliance requests from state regulator. Coordinates efforts with Aetna compliance team.
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Work with OhioRISE Plan's leadership team in Aetna Care Coordination and Behavioral to ensure compliance requests are fully addressed, on time and high quality.
Assist to establish and maintain the compliance process guidelines, including Job Aids as needed.
Serve as the dedicated compliance point of contact for OhioRISE CM/BH for compliance requests from OhioRISE compliance team and Aetna CAPI team.
Oversee the process of compliance request completion and submission. Coordinate across plan to ensure holistic responses to compliance requests. Ensure culturally competent, family and youth driven principles are woven within the process.
Support quality improvement objectives to perform data collection, analysis of trends, and opportunities for performance improvement.
Develop and complete regular reporting.
Required QualificationsBackground/Experience Desired:
- At least two years' experience in a setting that includes services or management of multi-system youth, work with local/community systems of care, and knowledge of Ohio's child-serving systems.
- Knowledgeable of key resources for children, youth, and families in the State of Ohio.
- Demonstrated knowledge and understanding of Ohio's overall behavioral health system that includes mental health, alcohol and drug addiction, developmental disabilities services, child welfare system, juvenile justice system, as well as Family and Children First Councils.
- Demonstrated relationship management skills at the senior level; capacity to quickly build and maintain credible relationships at varying levels of organizations simultaneously.
- Demonstrated experience successfully implementing change in complex organizations.
- Experience with large-scale initiatives with high degree of complexity.
- Exceptional verbal, written and presentation communication skills.
- Proven facilitation and project management skills, including meeting project milestones and negotiating for resources.
- Proven ability to satisfy customers' needs and develop alternatives to resolve issues.
- Critical thinking skills.
- Ability to travel, mostly in-state with personal vehicle. Qualified candidates must have reliable transportation, valid/active driver's license, and proof of vehicle insurance.
- Demonstrated proficiency with personal computer, keyboard navigation skill, and MS Office Suite applications.
- Must reside in Ohio.
- Knowledge and experience with high fidelity wraparound and care coordination preferred.
- Team leadership and team building skills.
- Bachelor's degree required
40Time Type
Full timePay Range
The typical pay range for this role is:$46,988.00 - $91,800.00This 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 peopleWe 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.