Care Coordinator, Utilization Management

CVS Health

. Oversee operational aspects of the Utilization Management team’s activities .

Posted 9/28/2026full-timeRemote • Illinois • United StatesJuniorMid-Level💰 $17 - $31 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in Utilization Management and Healthcare Operations, with a strong focus on optimizing workflows and improving efficiency. Proven ability to collaborate across multidisciplinary teams while maintaining high standards of performance and quality metrics.

Highest-signal resume keywords

Utilization ManagementHealthcare OperationsUtilization Management Software SystemsMicrosoft Office ApplicationsAnalytical Problem-Solving

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Utilization ManagementHealthcare OperationsUtilization Management Software SystemsMicrosoft Office Applications

Soft Skills

Analytical SkillsProblem-Solving SkillsDecision-Making SkillsCommunication SkillsInterpersonal Skills

Industry Keywords

Operational AspectsWorkflow OptimizationPerformance MetricsPatient ExperienceClinical Excellence

About the role

Key responsibilities & impact

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

What you’ll need

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

Comp & perks

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