Care Coordinator, Utilization Management

atCVS HealthRemoteUS flagIllinoisFull-timeUncategorizedJuniorMid-level$17 – $31/hour

Posted 15 hours ago

This is a fully remote position, open to applicants in Illinois.

📋 Description

• Manage the operational elements of the Utilization Management team’s functions.

• Identify chances to enhance and refine utilization management processes.

• Enhance productivity and lessen administrative tasks.

• Collaborate and engage with internal departments, external partners, and vendors.

• Efficiently navigate across various electronic platforms.

• Achieve standard performance and quality benchmarks.

• Execute additional responsibilities as required and assigned.

• Interact with UM physician reviewers, external payer partners, and vendors.

• Report to and collaborate with the Manager of Operations, Utilization Management.


⛳️ Requirements

• High School diploma or equivalent is mandatory.

• At least 2 years of experience in utilization management, healthcare operations, or a similar field.

• Exceptional analytical, problem-solving, and decision-making abilities.

• Strong communication and interpersonal skills, capable of effective collaboration within multidisciplinary teams.

• Proficient in utilization management software systems and Microsoft Office applications.

• Demonstrated organizational skills and attention to detail.

• Valid US work authorization.

• A person who embodies the Oaky spirit.

• Exuding positive energy.

• Assuming good intentions in all interactions.

• Committed to creating an unparalleled patient experience.

• Fostering clinical excellence.

• Taking ownership and ensuring results.

• Displaying relentless determination.


🏝️ Benefits

• Medical coverage.

• Dental coverage.

• Vision coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.

• Additional resources that support physical, emotional, and financial well-being.

• Comprehensive benefits package for eligible full-time colleagues.

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