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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 Team Lead is accountable to leadership to support the day to day operations of the team. This position has no supervisory oversight of staff, but requires a solid understanding of the workflows, policies and procedures to ensure the team is producing at a successful level. The Team Lead supports the onboarding of new staff as well as quality monitoring and assignment triage. The Team Lead is a single point and first line of contact for staff for clinical issues. They may lead projects as assigned. The Team Lead provides ongoing communication and updates to leadership and contributes and participates in team meetings. The role requires promoting cooperation and team-building between all department members.

The Team Lead will:

- Serve as expert in contractual regulations.

- Serve as a content model expert and mentor to the team regarding practice standard, quality of interventions, problem resolution and critical thinking.

- Ensure adherence to plan sponsor performance targets.

- Implement and support program policies and procedures.

- Utilize critical thinking skills to raise the level of team performance.

- Training

- Mentor the team, monitoring and providing feedback regarding performance relative to best practices;

- New-hires: Request access, plan orientation, schedule CORE training, train new-hires, perform quality audits on work completed, orient to UM, state contract requirements, Desktops/Job Aids, TAT, productivity goals, and serve as mentor after training completed

- Act as a role model for the Aetna values, particularly regarding company policies on confidentiality.

- Communicate effectively with a variety of audiences.

- Well organized and able to prioritize tasks.

- Support a positive work environment that promotes the concept of teamwork.

- Support to Supervisors as directed.

- May have responsibility for their own caseload work.

- Respond to issues and inquiries as needed.

- Collaborate with other market Team Leads on shared projects

- Complete quality audits on new hires per policy and quarterly as assigned

- Assist manager with other tasks as assigned including PTO calendar and holiday schedule

- Be on leadership on-call schedule for weekends

- Assists with High Dollar Case reporting and presentation

- Attend meetings when the manager is unable to attend

- Coordinates assistance with other states and departments as needed

Required Qualifications

Active unrestricted RN licensure in Louisiana.

2 or more years clinical and managed care experience required

Requires proficiency with computer skills which includes navigating multiple systems and keyboarding

Preferred Qualifications

Ability to mentor and support staff to meet business needs

Exceptional communication skills

Time efficient and highly organized

2 or more years experience with performance improvement projects

Performance Improvement and Quality Improvement (PIP/QIP) experience required

Education

Bachelor’s degree preferred, Associates in Nursing required.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$54,095.00 - $116,760.00

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.

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 people

We 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.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 01/04/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.