Care Coordinator, Utilization Management

Job not on LinkedIn

🔥 12 hours ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $17 - $31 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

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

• Oversee 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 communicate with internal departments, external partners, and vendors • Navigate efficiently between multiple electronic platforms • Meet standard performance and quality metrics • Perform other duties as required and assigned • Interact with UM physician reviewers, external payer partners, and vendors • Report to and work alongside the Manager of Operations, Utilization Management

🎯 Requirements

• 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 • Radiating positive energy • Assuming good intentions • Creating an unmatched patient experience • Driving clinical excellence • Taking ownership and delivering results • Being relentlessly determined

🏖️ Benefits

• Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being • Comprehensive benefits package for eligible full-time colleagues