#R0814559
delivery for new and existing business, while maintaining regulatory and compliance requirements per contract standards. You will achieve business objectives through organized processes, application of client collaboration strategies, identification of trends across Care and various lines of business, and proactive awareness of changing customer information requests. You will ensure new clients are set up to properly support the member experience and contract requirements. You'll oversee contractual performance measurements within operations and manage tracking and reporting to ensure minimal penalties are assessed. You will oversee on-going business needs, new requirements and educate clients on how CVS Health continues to focus on the member experience with improved tools, process and technology. You'll interpret trends, synthesize and recommend solutions to address Regulatory, Legal, Compliance requirements and ensure all contractual requirements are met. As a CLM you will anticipate and proactively identify and mitigate client, member, and compliance risk while working to streamline and simply processes.Areas of focus also include but are not limited to strategic growth, supporting a data-driven culture; tying business analytics to quality, regulatory requirements, training, client implementation and operational activities to drive positive client and member experiences. As the CLM you will lead client support and member experience initiatives such as Corrective Action Plan (CAP) project support, plan audits, monthly and/or quarterly presentations, training, communications, reporting, facility tours, and meetings.As a CLM you'll work independently without assistance to establish research topics and analyze data. You will hold meetings with Account Teams, Care Leadership, Training or other key stakeholders in order to explain information and data. Flexibility is required in this role to support aggressive timelines and turnarounds for data requests and client responses.Responsibilities:
To be a candidate for this role you will possess the following:
Required Qualifications
Preferred Qualifications
Education
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:$60,300.00 - $145,860.00This 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:
For more information, visit https://jobs.cvshealth.com/us/en/benefitsWe anticipate the application window for this opening will close on: 01/29/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.