Manager, Behavioral Health Utilization Management

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🕒 May 19

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $95.7k - $206.2k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

⚕️ Healthcare Insurance

🛒 Retail

🧘 Wellness

Healthcare Insurance • Retail • Wellness

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• conducts oversight and management of clinical team processes • communicates strategic plan and specific tactics to meet plan • ensures implementation of tactics to meet strategic direction for cost and quality outcomes • creates direction and communicates a business case for change • identifies opportunities to implement best practice approaches and introduce innovations • accountable for meeting the financial, operational and quality objectives of the department • manages team(s) for adherence with established practices, policies and procedures • collaborates with other functional area managers

🎯 Requirements

• Active, unrestricted clinical licensure (RN or Behavioral Health as outlined below) • 5+ years of clinical practice in behavioral healthcare • 2+ years of utilization management experience (managed care setting preferred) • 2+ years of healthcare leadership experience (managed care setting preferred) • 2+ years of proficiency with personal computers, keyboard navigation, and MS Office Suite • 1+ year of experience with electronic medical records • Ability to travel up to 10% for in-state meetings • Ability to work core business hours (Mon–Fri, 8 AM–5 PM CT) with occasional weekend flexibility • High-speed internet access

🏖️ Benefits

• medical, dental, and vision coverage • paid time off • retirement savings options • wellness programs • comprehensive benefits package