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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 membersAnalyzing healthcare data including dashboards to inform decision-making, and addressing member concerns to improve satisfactionEnsuring compliance with AHCA regulations and enterprise policies while providing leadership and professional development opportunities to the team

Required Qualifications

Florida resident3 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 leadersAbility 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 servicesAbility 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 experienceClinical license – RN or BHFlorida LTSS experienceCertified Case Manager-CCMUnderstanding NCQA accreditation standardsExperience 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.