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Supervisor, Utilization Management

https://www.cvshealth.com/ Logo

CVS Health

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Location:
United States , Chicago

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Category:
Customer Service

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Contract Type:
Employment contract

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Salary:

43888.00 - 93574.00 USD / Year
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Job Description:

The Utilization Management Care Coordinator Supervisor helps meet the goal of ensuring patients receive the right care, in the right setting, at the right time. As a key leader on the Utilization Management team, this supervisor oversees a team of Utilization Management Care Coordinators tasked with supporting day-to-day operations of the UM department.

Job Responsibility:

  • Directly supervises a team of 3-10 Utilization Management Care Coordinators
  • Provides daily direction and communication to ensure efficient and effective utilization of healthcare resources
  • Ensures all coordinators have appropriate training, tools, and resources
  • Monitors productivity reports, MD queues, escalations inbox, Slack, and operational trackers
  • Responds to emails, questions, errors, and concerns from care teams and external partners
  • Provides support to UM physician reviewers
  • Creates and maintains a positive work environment
  • Delivers performance reviews, feedback, and coaching
  • Contributes to workflow development and process improvement
  • Evaluates processes and procedures
  • Works as member/leader of special or ongoing projects

Requirements:

  • Bachelor's degree in healthcare administration, nursing, or a related field
  • Minimum of 3 years of experience in utilization management, healthcare operations, or a similar role, with demonstrated leadership experience
  • Strong understanding of utilization management principles, healthcare regulations, and industry standards
  • Desire to lead and motivate a team
  • Excellent analytical, problem-solving, and decision-making skills
  • A flexible, positive attitude even within a rapidly changing environment
  • Ability to build and maintain positive relationships across all organizational levels
  • Strong communication and interpersonal skills, with the ability to collaborate effectively across multidisciplinary teams
  • A high level of integrity and alignment with our mission to provide high quality patient care
  • Proficiency in utilization management software systems and Microsoft Office applications
  • Ability to multitask, prioritize, and manage time effectively
  • US work authorization
What we offer:
  • Affordable medical plan options
  • 401(k) plan with matching company contributions
  • Employee stock purchase plan
  • No-cost wellness screenings
  • Tobacco cessation and weight management programs
  • Confidential counseling and financial coaching
  • Paid time off
  • Flexible work schedules
  • Family leave
  • Dependent care resources
  • Colleague assistance programs
  • Tuition assistance
  • Retiree medical access

Additional Information:

Job Posted:
August 23, 2025

Expiration:
January 31, 2026

Employment Type:
Fulltime
Work Type:
Remote work
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