[Hiring] Care Coordinator, Utilization Management @CVS Health

Role Description

The Care Coordinator, Utilization Management (UMCC III) plays a pivotal role in overseeing the day-to-day operations of the Utilization Management (UM) department. Operational expertise will drive process improvements, optimize workflows, and enhance the quality of care delivery within the Utilization Management Team. This role interacts with the UM physician reviewers, external payer partners, and vendors. The UMCC III will report to, and work alongside the Manager of Operations, Utilization Management.

• Provide support overseeing 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 effectively communicate with internal departments, external partners, and vendors.
• Efficiently navigate between multiple electronic platforms.
• Meet standard performance and quality metrics.
• Other duties, as required and assigned.

Qualifications

• 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.

Requirements

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

Benefits

• Medical, dental, and vision coverage.
• Paid time off.
• Retirement savings options.
• Wellness programs.
• Other resources, based on eligibility.

Company Description

Oak Street Health is on a mission to rebuild healthcare as it should be, providing personalized primary care for older adults on Medicare, with the goal of keeping patients healthy and living life to the fullest. Our innovative care model is centered right in our patient’s communities, and focused on the quality of care over volume of services. We’re an organization on the move! With over 150 locations and an ambitious growth trajectory, Oak Street Health is attracting and cultivating team members who embody “Oaky” values and passion for our mission. Oak Street Health is an equal opportunity employer. We embrace diversity and encourage all interested readers to apply.