Case Management Analyst Jobs
Case Management Analyst jobs are open across healthcare, insurance, and government agencies, with specializations in utilization review, population health, and benefits coordination, from entry-level to senior analyst roles. Scan the live roles below and apply to whichever ones fit.
Find Case Management Analyst JobsLooking for remote work? View remote case management analyst jobs →Overview
Showing 5 of 36+ Case Management Analyst jobs
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
Position Summary – Case Manager Analyst - Field
Location: Lake or DuPage County Illinois
This Case Management Analyst Field position is with Aetna’s Long-Term Services & Supports (LTSS) team and is a field-based position out of the Lake County Illinois. The requirement is for candidates to travel 50-75% of the time to meet with members face to face. This position holds a full caseload to manage waiver members. This position requires in person quarterly visits with members. This position is critical to meeting contractual requirements. Facilitate appropriate healthcare outcomes for waiver/LTSS members by providing care coordination, support and education for members through the use of care management tools and resources.
Evaluation of Members:
Through the use of care management tools and information/data review, conducts comprehensive evaluation of referred member’s needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating member’s benefit plan and available internal and external programs/services.
Identifies high risk factors and service needs that may impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate.
Coordinates and implements assigned care plan activities and monitors care plan progress.
Enhancement of Medical Appropriateness and Quality of Care:
Using holistic approach consults with case managers, supervisors, Medical Directors and/or other health programs to overcome barriers to meeting goals and objectives; presents cases at case conferences to obtain multidisciplinary review in order to achieve optimal outcomes.
Identifies and escalates quality of care issues through established channels.
Utilizes negotiation skills to secure appropriate options and services necessary to meet the member’s benefits and/or healthcare needs.
Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health.
Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.
Helps member actively and knowledgeably participate with their provider in healthcare decision-making.
Monitoring, Evaluation and Documentation of Care:
- Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.
Required Qualifications:
- Must reside in the state of Illinois in Lake or DuPage County Illinois
- Valid Illinois Driver’s license
- Must possess reliable transportation and be willing and able to travel up to 75% of the time. Mileage is reimbursed per our company expense reimbursement policy
- Minimum of two (2) years of case management experience
- Microsoft Office and electronic health record experience
Preferred Qualifications:
- Discharge planning experience
- Managed Care experience
- Multi-lingual language proficiency
Required Education:
- Individual with a bachelor’s degree or a non-licensed individual with a master’s degree, with either degree being in a human-services field (including, but not limited to sociology, special education, rehabilitation counseling)
Work from Home Requirements:
- You must have or be able to obtain a direct/hardwired internet connection to a modem/router within 7 feet of your computer and
- A minimum download speed of 25 mbs download and 3 mbs upload. Wi-Fi and satellite internet are not permitted.
- A quiet, secure and private designated home virtual work location, free from distractions, tidy and organized, compliant with CVS
- Health and HIPAA guidelines and allowing for uninterrupted work during work hours.
- Work-from-Home colleagues are required to work within the state and city where they have confirmed they currently live.
- The company will provide equipment (keyboard, monitor, computer, headset, etc.). All new hires should provide their own
- workspace furniture (desk or standing desk, as this position would require you to be at your desk for extended periods of time).
- If hired, you will commit to obtaining required internet speeds and adhere to all Work from Home requirements.
Technical and Logistical Requirements:
- Device & System Navigation: Comfortable setting up and using multiple monitors and navigating multiple applications
- simultaneously to streamline tasks and improve efficiency.
- Communication Tools: Ability to communicate on digital channels such as via email, calendar invites, Teams messaging, and
- virtual meetings.
- Collaboration & Scheduling: Experience with Microsoft Office 365 (Teams, Outlook, Word, Excel, PowerPoint) applications or
- similar (Google Workspace).
- Systems Access & Security: Ability to Log in to secure systems (e.g., VPN, EHR portal), lock a computer screen when
- unattended, manage strong passwords, and recognize suspicious emails or links.
- Troubleshooting & Support: Ability to resolve common technical issues independently, such as restarting an application when
- frozen, resolving internet connection issues, and contacting IT for unresolved technical issues.
- Future Growth: Openness to learning new skills in the future as the workplace environment evolves
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$21.10 - $44.99This 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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
Additional details about available benefits are provided during the application process and on Benefits Moments.
We anticipate the application window for this opening will close on: 12/11/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
Position Summary – Case Manager Analyst - Field
Location: Lake or DuPage County Illinois
This Case Management Analyst Field position is with Aetna’s Long-Term Services & Supports (LTSS) team and is a field-based position out of the Lake County Illinois. The requirement is for candidates to travel 50-75% of the time to meet with members face to face. This position holds a full caseload to manage waiver members. This position requires in person quarterly visits with members. This position is critical to meeting contractual requirements. Facilitate appropriate healthcare outcomes for waiver/LTSS members by providing care coordination, support and education for members through the use of care management tools and resources.
Evaluation of Members:
Through the use of care management tools and information/data review, conducts comprehensive evaluation of referred member’s needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating member’s benefit plan and available internal and external programs/services.
Identifies high risk factors and service needs that may impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate.
Coordinates and implements assigned care plan activities and monitors care plan progress.
Enhancement of Medical Appropriateness and Quality of Care:
Using holistic approach consults with case managers, supervisors, Medical Directors and/or other health programs to overcome barriers to meeting goals and objectives; presents cases at case conferences to obtain multidisciplinary review in order to achieve optimal outcomes.
Identifies and escalates quality of care issues through established channels.
Utilizes negotiation skills to secure appropriate options and services necessary to meet the member’s benefits and/or healthcare needs.
Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health.
Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.
Helps member actively and knowledgeably participate with their provider in healthcare decision-making.
Monitoring, Evaluation and Documentation of Care:
- Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.
Required Qualifications:
- Must reside in the state of Illinois in Lake or DuPage County Illinois
- Valid Illinois Driver’s license
- Must possess reliable transportation and be willing and able to travel up to 75% of the time. Mileage is reimbursed per our company expense reimbursement policy
- Minimum of two (2) years of case management experience
- Microsoft Office and electronic health record experience
Preferred Qualifications:
- Discharge planning experience
- Managed Care experience
- Multi-lingual language proficiency
Required Education:
- Individual with a bachelor’s degree or a non-licensed individual with a master’s degree, with either degree being in a human-services field (including, but not limited to sociology, special education, rehabilitation counseling)
Work from Home Requirements:
- You must have or be able to obtain a direct/hardwired internet connection to a modem/router within 7 feet of your computer and
- A minimum download speed of 25 mbs download and 3 mbs upload. Wi-Fi and satellite internet are not permitted.
- A quiet, secure and private designated home virtual work location, free from distractions, tidy and organized, compliant with CVS
- Health and HIPAA guidelines and allowing for uninterrupted work during work hours.
- Work-from-Home colleagues are required to work within the state and city where they have confirmed they currently live.
- The company will provide equipment (keyboard, monitor, computer, headset, etc.). All new hires should provide their own
- workspace furniture (desk or standing desk, as this position would require you to be at your desk for extended periods of time).
- If hired, you will commit to obtaining required internet speeds and adhere to all Work from Home requirements.
Technical and Logistical Requirements:
- Device & System Navigation: Comfortable setting up and using multiple monitors and navigating multiple applications
- simultaneously to streamline tasks and improve efficiency.
- Communication Tools: Ability to communicate on digital channels such as via email, calendar invites, Teams messaging, and
- virtual meetings.
- Collaboration & Scheduling: Experience with Microsoft Office 365 (Teams, Outlook, Word, Excel, PowerPoint) applications or
- similar (Google Workspace).
- Systems Access & Security: Ability to Log in to secure systems (e.g., VPN, EHR portal), lock a computer screen when
- unattended, manage strong passwords, and recognize suspicious emails or links.
- Troubleshooting & Support: Ability to resolve common technical issues independently, such as restarting an application when
- frozen, resolving internet connection issues, and contacting IT for unresolved technical issues.
- Future Growth: Openness to learning new skills in the future as the workplace environment evolves
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$21.10 - $44.99This 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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
Additional details about available benefits are provided during the application process and on Benefits Moments.
We anticipate the application window for this opening will close on: 12/11/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Case Management Analyst Jobs by Experience Level
See All 36 Case Management Analyst Jobs
Find roles that match your experience and apply in just a few clicks.
Find Case Management Analyst JobsCase Management Analyst Job Market
Who's Hiring
- CVS Health24
- VIVA2
- Peraton1
- BCVS1
- Guidehouse1
Top Industries Hiring
- Consulting & Professional Services
What Employers Look For
The qualifications that appear most often in case management analyst jobs.
- Bachelor's degree in health sciences, social work, nursing, or a related field
- Experience with utilization review, care coordination, or medical case management
- Proficiency in case management software such as Facets, InterQual, or similar platforms
- Certified Case Manager (CCM) credential or eligibility to sit for the exam
- Knowledge of ICD-10 coding, medical terminology, and insurance claims processes
- Strong written communication skills for documenting care plans and clinical notes
Tips for Your Case Management Analyst Job Search
Tailor your resume to each sector
Healthcare case management analyst roles emphasize clinical documentation and care coordination, while insurance roles prioritize claims processing and utilization management. Swap in the right terminology for each application so your resume mirrors the language in the posting.
Highlight your case management software experience
Employers routinely screen for proficiency in platforms like Facets, InterQual, or HealthEdge. List every system you've used by name in your skills section, not buried in job descriptions, so automated screening tools surface your application.
Get a CCM or ACM certification before applying
The Certified Case Manager credential and the Accredited Case Manager designation appear in a large share of mid-level and senior postings. Even being enrolled in the certification program signals commitment and can tip a close decision in your favor.
Apply early to roles that fit
Migrate Mate lists case management analyst openings from across the United States in one place, so you can find roles that match and apply directly to each listing.
Prepare for scenario-based interview questions
Interviewers for case management analyst roles frequently ask how you handle a member who refuses a care plan or how you prioritize a high-volume caseload. Prepare two or three specific examples from past work that show your decision-making process under those conditions.
Negotiate total compensation, not just base pay
Case management analyst offers often include productivity bonuses, continuing education reimbursements, and remote-work stipends that vary widely by employer. Ask about each component before accepting, since these extras can meaningfully shift the value of two offers that look identical on paper.
Case Management Analyst Jobs: Frequently Asked Questions
Which companies are hiring the most case management analysts?
The most active employers for case management analysts right now are CVS Health, VIVA, and Peraton, and the most openings are in Illinois, Virginia, and Louisiana, based on current listings on Migrate Mate as of November 2026. Health insurance carriers, managed care organizations, and large hospital systems consistently post the highest volumes of these roles.
How many case management analyst jobs are remote?
About 93% of case management analyst openings are fully remote or hybrid as of November 2026, reflecting strong employer demand for phone and telehealth-based care coordination. Utilization review and insurance-side case management roles tend to offer the most remote flexibility, while hospital and clinic-based positions more often require on-site presence.
How do you become a case management analyst?
Start with a bachelor's degree in nursing, social work, health administration, or a related health sciences field. Build hands-on experience in clinical settings, insurance claims, or care coordination roles. Pursue a Certified Case Manager credential once you meet the eligibility requirements. Develop fluency in case management software and medical documentation to meet the technical expectations most employers require.
Can you get hired as a case management analyst with no direct experience?
Entry-level case management analyst roles are realistic if you have adjacent experience in medical billing, patient services, social work, or health insurance claims. Employers hiring at the entry level typically value familiarity with medical terminology and documentation over prior case management titles. A strong cover letter that connects your background to care coordination or utilization management tasks helps close the gap.
What does the case management analyst interview process look like?
Most hiring processes include an initial phone screen focused on your clinical or insurance background, followed by one or two video or in-person interviews with a hiring manager and sometimes a clinical supervisor. Expect scenario questions about handling complex cases, managing caseload volume, and working with resistant members or providers. Some employers add a written exercise involving a mock case review or care plan summary.
Where can I find and apply to case management analyst jobs?
You can find and apply to case management analyst jobs on Migrate Mate, which lists current openings from across the United States. Search the roles available, find the ones that match your background and preferences, and apply directly to each listing that fits.
See All 36 Case Management Analyst Jobs
Find roles that match your experience and apply in just a few clicks.
Find Case Management Analyst Jobs