Project Coordinator

Job Description
Aetna's Medicaid SKY Care Management is an initiative that provides comprehensive support and holistic care for enrollees who are either in Out of Home Care (foster care), youth who are dually committed in the Juvenile Justice system, youth under age 18 who receive adoption assistance, or young adults who are former foster care enrollees.
KY SKY focuses on prioritizing Medicaid member interaction, maximizing touchpoints and communication to solve members' needs and create behavioral change. We understand each unique enrollee in the context of their lives, while partnering with them to design a person-centered holistic model of supports and services that enhance their quality of life and assist them to reach their individual life goals. How we do this is through a dedicated and caring team of health care professionals who connect with passion, caring and behavioral interviewing techniques with a focus on the trauma and other life activities that impact their current health and wellness status. This team has a drive to exceed the delivery of Medicaid Health care services. Focus is on the SKY Teams efficiency and productivity efforts whereby the Care Management team interacts and engages either telephonically or in person with enrollees. Through the successful supports orchestrated by the SKY Care Management team, this comprehensive care coordination is a collaborative demonstration of innovative healthcare navigation and motivational health plan representation. This is an exciting time to join Aetna, a CVS Health Company, in our journey to change the way healthcare is delivered today. We are health care innovators.

The SKY Care Management Project Coordinator supports the development, implementation and ongoing management of project(s) associated to the healthcare services related to member outreach and engagement. The Project Coordinator has responsibility for supporting and leading the Prevention and Wellness level of CM Support. This leader ensures the end state of the project meets business objective(s) and that all deliverables and due dates are met. Highly collaborative process often requires managing relationships across the segments or multiple functional areas. The Project Coordinator may retain and managed a reduced caseload. The Project Coordinator 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, along with evaluation strategies to provide early identification of any rising risk needs and skills to support ongoing prevention and wellness self-care activities to ensure the team is producing at a successful level.

Adheres to Compliance with policies and procedure/regulatory standards. Maintains accurate and complete documentation of required information that meets risk management, regulatory, and accreditation requirements. Protects the confidentiality of member information and adheres to company policies regarding confidentiality.

Required Qualifications
- Serve as a mentor and resource to team members and support to Supervisor for coordination of projects, highly collaborative and astute to business needs and project oversight.
- Demonstrates effective communication, telephonic and organization skills with ability to be agile, managing multiple priorities at one time, and adapting to change with enthusiasm. Ability to meet project deadlines and ability to meet metrics and assist in productivity metric oversight with accuracy.
- Support a positive work environment that promotes the concept of teamwork.
- Strong customer service skills to coordinate service delivery including attention to customers, sensitivity to issues, proactive identification and resolution of issues to promote positive outcomes for members, adhering to care management processes (to include, but not limited to, privacy and confidentiality, quality management processes in compliance with regulatory, accreditation guidelines, company policies and procedures).
- Works independently and competently, meeting deliverables and deadlines while demonstrating an outgoing, enthusiastic and caring presence telephonically. The Project Coordinator may assist with team duties, workflow and project workflow during times of staff absence or as directed by leadership.
- Ability to effectively participate in a multi-disciplinary team including internal and external participants.

COVID Requirements
COVID-19 Vaccination Requirement
CVS Health requires its Colleagues in certain positions to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, pregnancy, or religious belief that prevents them from being vaccinated.
  • If you are vaccinated, you are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status within the first 10 days of your employment. For the two COVID-19 shot regimen, you will be required to provide proof of your second COVID-19 shot within the first 45 days of your employment. Failure to provide timely proof of your COVID-19 vaccination status will result in the termination of your employment with CVS Health.
  • If you are unable to be fully vaccinated due to disability, medical condition, pregnancy, or religious belief, you will be required to apply for a reasonable accommodation within the first 10 days of your employment in order to remain employed with CVS Health. As a part of this process, you will be required to provide information or documentation about the reason you cannot be vaccinated. If your request for an accommodation is not approved, then your employment may be terminated.

Preferred Qualifications
- 2 years related work experience.

- Proven track record meeting project dates.

- Proficiency with computers including knowledge of Microsoft Word, Outlook, and Excel - data entry and documentation within member records.

- Familiarity with basic medical terminology and concepts used in care management preferred.

- Strong organizational skills, including effective verbal and written communication skills.


Bachelor's degree or equivalent experience.

Business Overview
At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.

We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.