Supervisor, Utilization Management, CVS Health

CVS Health

Location:
United States, Illinois

Category:
Customer Service

Contract Type:
Employment contract

Salary:

43888.00 - 93574.00 USD / Year

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Job 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.

Job Responsibility:

Directly supervises a team of 3-10 Utilization Management Care Coordinators, providing daily direction and communication to ensure efficient and effective utilization of healthcare resources while maintaining compliance with regulatory standards and organizational policies
Ensures all coordinators have the appropriate training, tools, and resources to perform their roles and identifies appropriate solutions when gaps arise
Meets productivity and quality expectations through the daily direction and delegation of work to coordinators
Monitors productivity reports, MD queues, escalations inbox, Slack, and operational trackers on a daily basis. Adjusts staff assignments to ensure work is appropriately prioritized
Responds to emails, questions, errors, and concerns posed by care teams and external partners in a manner that is timely, professional, and generates trust
Provides support to UM physician reviewers as needed for questions or escalated issues
Creates and maintains a positive work environment by routinely recognizing, engaging, and advocating for their team of coordinators
Delivers performance reviews, feedback, and coaching as needed to their team
Actively contributes to workflow development and process improvement in support of departmental standards and strategic directives
Continually evaluates processes and procedures. Responsible for suggesting methods to improve daily operations, efficiency, and service to both internal and external partners
Works as a member and/or leader of special or ongoing projects, as assigned
Other duties, as assigned

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, 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

Additional Information:

Job Posted:
August 15, 2025

Expiration:
January 31, 2026

Employment Type:

Fulltime

Work Type:

Remote work

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Supervisor, Utilization Management

CVS Health

Location:United States, Illinois

Category:Customer Service

Contract Type:Employment contract