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CVS Health
Work at Home, Illinois, United States
(on-site)
Posted
3 days ago
CVS Health
Work at Home, Illinois, United States
(on-site)
Job Type
Full-Time
Industry
Other
Job Function
Other
Care Coordinator, Utilization Management
The insights provided are generated by AI and may contain inaccuracies. Please independently verify any critical information before relying on it.
Care Coordinator, Utilization Management
The insights provided are generated by AI and may contain inaccuracies. Please independently verify any critical information before relying on it.
Description
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.
Company: Oak Street Health
Title: Care Coordinator, Utilization Management
Location: Remote/ Treehouse
Role Description:
The Care Coordinator, Utilization Management (UMCC III) plays a pivotal role in
overseeing the day-to-day operations of the Utilization Management (UM) department.
Operational expertise will drive process improvements, optimize workflows, and enhance the
quality of care delivery within the Utilization Management Team. This role interacts with the
UM physician reviewers, external payer partners, and vendors. The UMCC III will report to,
and work alongside the Manager of Operations, Utilization Management.
Core Responsibilities:
● Provide support overseeing operational aspects of the Utilization Management team's
activities.
● Identify opportunities to streamline and optimize utilization management workflows,
improve efficiency and reduce administrative burden.
● Collaborate and effectively communicate with internal departments, external
partners, and vendors
● Efficiently navigate between multiple electronic platforms
● Meet standard performance and quality metrics
● Other duties, as required and assigned
What are we looking for?
● High School diploma or equivalent required
● Minimum of 2 years of experience in utilization management, healthcare operations,
or a similar role.
● Excellent analytical, problem-solving, and decision-making skills.
● Strong communication and interpersonal skills, with the ability to collaborate
effectively across multidisciplinary teams.
● Proficiency in utilization management software systems and Microsoft Office
applications.
● Proven organizational and detail-orientation skills
● US work authorization
● Someone who embodies being Oaky
What does being Oaky look like?
● Radiating positive energy
● Assuming good intentions
● Creating an unmatched patient experience
● Driving clinical excellence
● Taking ownership and delivering results
● Being relentlessly determined
Why Oak Street Health?
Oak Street Health is on a mission to Rebuild healthcare as it should be, providing
personalized primary care for older adults on Medicare, with the goal of keeping patients
healthy and living life to the fullest. Our innovative care model is centered right in our
patient's communities, and focused on the quality of care over volume of services. We're an
organization on the move! With over 150 locations and an ambitious growth trajectory, Oak
Street Health is attracting and cultivating team members who embody "Oaky" values and
passion for our mission.
Oak Street Health is an equal opportunity employer. We embrace diversity and encourage all
interested readers to apply.
Learn more at www.oakstreethealth.com/diversity-equity-and-inclusion-at-oak-street-health
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$17.00 - $31.30
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.
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: 02/28/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Job ID: 80926599
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