Care Coordinator, Utilization Management

CVS Health Corporation; United States; Remote; USD 48,712,000 - 89,687,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

Oak Street Health is hiring a Care Coordinator for Utilization Management to oversee UM operations, optimize workflows, and ensure efficient patient care delivery. The role involves collaborating with UM physicians, payers, and vendors in a remote setting.

Requires 2+ years in UM/healthcare ops, strong analytical and communication skills, and proficiency in UM software and MS Office. US work authorization is required, and the team emphasizes an Oaky culture and patient-centered care.

Qualifications

• High School diploma or equivalent required.
• Minimum of 2 years of experience in utilization management or healthcare operations.
• Excellent analytical, problem-solving, and decision-making skills.
• Strong communication and interpersonal skills for cross-disciplinary collaboration.
• Proficiency in utilization management software systems and Microsoft Office.

Responsibilities

• Oversee day-to-day operations of the Utilization Management department.
• Identify opportunities to streamline UM workflows and reduce administrative burden.
• Collaborate with internal departments, external partners, and vendors.
• Navigate multiple electronic platforms efficiently.
• Meet standard performance and quality metrics.
• Perform other duties as required.

Skills

Analytical skills

Problem-solving

Decision-making

Communication

Interpersonal skills

Organizational skills

Team collaboration

US work authorization

Education

High School diploma or equivalent

Tools

Utilization management software

Microsoft Office

Job description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Company: Oak Street Health

Title: Care Coordinator, Utilization Management

Location: Remote/Treehouse

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.

Core Responsibilities

• 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.

What are we looking for?

• 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

What does being Oaky look like?

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

Why Oak Street Health?

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.

Learn more at www.oakstreethealth.com/diversity-equity-and-inclusion-at-oak-street-health

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$17.00 - $31.30

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. We anticipate this full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 11/27/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.