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.
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 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.
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.
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
Job Details
Anticipated Weekly Hours : 40
Time Type : Full time
Pay Range : $17.00 - $31.30 per hour
Benefits
Affordable medical plan options, 401(k) plan (including matching company contributions), and 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.
For more information, visit https://jobs.cvshealth.com/us/en/benefits
We anticipate the application window for this opening will close on: 02/28/2026.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.