Join our innovative team at Workwarp, a proud part of CVS Health, and help shape the future of healthcare! We’re seeking a passionate and driven Healthcare Program Specialist to play a vital role in our Medicaid program. In this remote position, you’ll be instrumental in driving successful program initiatives, ensuring quality care, and improving health outcomes for our members. This is a fantastic opportunity to make a real difference while earning a competitive salary of $35/hour.
Position Summary:
As a Healthcare Program Specialist, you will be a key contributor to CVS Health’s mission of transforming total health. You’ll be responsible for providing insightful reporting, developing strategic approaches, and supporting the implementation of programs and initiatives within our Medicaid program. This role requires strong analytical skills, excellent communication, and a proven ability to collaborate effectively with diverse teams.
Key Responsibilities:
- Provide accurate and comprehensive reporting on program performance and trends.
- Develop and implement strategies to support program goals across assigned regions.
- Collaborate with program leadership to develop and execute successful program methodologies and processes.
- Lead the implementation of new programs, services, and grant proposals.
- Partner with the program leadership team to develop and execute operational plans for systems, processes, and staffing.
- Contribute to the development and execution of marketing and outreach strategies within state guidelines.
- Assist with budget planning and variance reporting for assigned regions.
- Work closely with the Organization Development team to enhance the provider network.
- Serve as a liaison with state agencies and communicate program updates to leadership.
Qualifications:
- Demonstrated experience with Medicaid, Medicare, or other taxpayer-supported healthcare initiatives.
- Deep understanding of claims systems, value-based arrangements, TP/COB, pharmacy claims, network contracting, and provider data.
- Familiarity with quality and performance improvement programs (NQA and HEDIS).
- Knowledge of credentialing, provider relations, and network development strategies.
- Strong understanding of Medicaid outreach, member and provider communications, and community engagement.
- Understanding of the connection between physical and social well-being, particularly within the Medicaid population.
- Ability to work collaboratively across teams, analyze data, and develop actionable insights.
Hybrid work model required (Tuesday/Wednesday/Thursday in office).
Ready to make a difference? Apply now and join our team!
