Remote/Virtual (Using your own personal laptop/computer) Program Overview: * Unpaid Educational ... Risk Management/Insurance, Math, Statistics, Business Analytics, Economics (and related majors)
Remote/Virtual (Using your own personal laptop/computer) Program Overview: * Unpaid Educational ... Risk Management/Insurance, Math, Statistics, Business Analytics, Economics (and related majors)
Remote/Virtual (Using your own personal laptop/computer) Program Overview: * Unpaid Educational ... Risk Management/Insurance, Math, Statistics, Business Analytics, Economics (and related majors)
Remote/Virtual (Using your own personal laptop/computer) Program Overview: * Unpaid Educational ... Risk Management/Insurance, Math, Statistics, Business Analytics, Economics (and related majors)
Remote/Virtual (Using your own personal laptop/computer) Program Overview: * Unpaid Educational ... Risk Management/Insurance, Math, Statistics, Business Analytics, Economics (and related majors)
Remote/Virtual (Using your own personal laptop/computer) Program Overview: * Unpaid Educational ... Risk Management/Insurance, Math, Statistics, Business Analytics, Economics (and related majors)
Remote/Virtual (Using your own personal laptop/computer) Program Overview: * Unpaid Educational ... Risk Management/Insurance, Math, Statistics, Business Analytics, Economics (and related majors)
Remote/Virtual (Using your own personal laptop/computer) Program Overview: * Unpaid Educational ... Risk Management/Insurance, Math, Statistics, Business Analytics, Economics (and related majors)
... and 30% remote. The patient members that they will be assessing are dual eligible Medicare ... staff, utilization management staff, health plan partners and contracted providers. RN Field ...
... and 30% remote. The patient members that they will be assessing are dual eligible Medicare ... staff, utilization management staff, health plan partners and contracted providers. RN Field ...
REMOTE - Vice President Medical Director of Clinical Programs
New Hampshire, OH · Remote
$286K - $353K/yr
Provide clinical leadership across utilization management, care management, population health, quality, pharmacy, medical policy, payment policy, and clinical program development. * Lead cross ...
REMOTE - Vice President Medical Director of Clinical Programs
New Hampshire, OH · Remote
$286K - $353K/yr
Provide clinical leadership across utilization management, care management, population health, quality, pharmacy, medical policy, payment policy, and clinical program development. * Lead cross ...
Director, Trade Client Relations
New Hampshire, OH · Remote
$155K - $175K/yr
... in healthcare, pharmacy benefit management (PBM), utilization management, pharmaceutical ... Work is generally performed in a remote setting. #LI-Remote $155,000.00 - $175,000.00 This is the ...
Director, Trade Client Relations
New Hampshire, OH · Remote
$155K - $175K/yr
... in healthcare, pharmacy benefit management (PBM), utilization management, pharmaceutical ... Work is generally performed in a remote setting. #LI-Remote $155,000.00 - $175,000.00 This is the ...
Director, Trade Client Relations
Delaware, OH · Remote
$155K - $175K/yr
... in healthcare, pharmacy benefit management (PBM), utilization management, pharmaceutical ... Work is generally performed in a remote setting. #LI-Remote $155,000.00 - $175,000.00 This is the ...
Director, Trade Client Relations
Delaware, OH · Remote
$155K - $175K/yr
... in healthcare, pharmacy benefit management (PBM), utilization management, pharmaceutical ... Work is generally performed in a remote setting. #LI-Remote $155,000.00 - $175,000.00 This is the ...
Behavioral Health Medical Director
Dayton, OH · On-site +1
$195K - $341K/yr
The Market Behavioral Health Medical Director is responsible for the overall safety of patients ... Oversee BH coverage determination for utilization management, ensuring members receive appropriate ...
Behavioral Health Medical Director
Dayton, OH · On-site +1
$195K - $341K/yr
The Market Behavioral Health Medical Director is responsible for the overall safety of patients ... Oversee BH coverage determination for utilization management, ensuring members receive appropriate ...
Behavioral Health Medical Director
Dayton, OH · On-site +1
$195K - $341K/yr
BH coverage determination for utilization management to ensure members receive appropriate and ... Previous Institute for Healthcare Improvement (IHI) or equivalent training participation is ...
Behavioral Health Medical Director
Dayton, OH · On-site +1
$195K - $341K/yr
BH coverage determination for utilization management to ensure members receive appropriate and ... Previous Institute for Healthcare Improvement (IHI) or equivalent training participation is ...
Operations Manager - Cincinnati, Ohio
Cincinnati, OH · On-site +1
... remote or distributed operational teams is preferred * Strong negotiation, communication, and partner management skills * Ability to analyze performance data and drive continuous improvement
Operations Manager - Cincinnati, Ohio
Cincinnati, OH · On-site +1
... remote or distributed operational teams is preferred * Strong negotiation, communication, and partner management skills * Ability to analyze performance data and drive continuous improvement
Pharmacist I
Dayton, OH · Remote
$94K - $164K/yr
Formulary Management guidelines, Utilization Management programs, CareSource Administrative and ... General office or Remote work environment; may be required to sit or stand for extended periods of ...
Pharmacist I
Dayton, OH · Remote
$94K - $164K/yr
Formulary Management guidelines, Utilization Management programs, CareSource Administrative and ... General office or Remote work environment; may be required to sit or stand for extended periods of ...
Corporate Counsel
Dublin, OH · Remote
... utilization management programs, wellness program incentive management, claim and appeal ... Health's values, ethics, and data privacy requirements. -- #LI-AT1 #LI-Remote
Quick apply
Corporate Counsel
Dublin, OH · Remote
... utilization management programs, wellness program incentive management, claim and appeal ... Health's values, ethics, and data privacy requirements. -- #LI-AT1 #LI-Remote
Corporate Counsel
Dublin, OH · Remote
... utilization management programs, wellness program incentive management, claim and appeal ... Health's values, ethics, and data privacy requirements. -- #LI-AT1 #LI-Remote
Corporate Counsel
Dublin, OH · Remote
... utilization management programs, wellness program incentive management, claim and appeal ... Health's values, ethics, and data privacy requirements. -- #LI-AT1 #LI-Remote
Sr. Product Manager, Edge Infrastructure Solutions
Westerville, OH · Remote
$121K - $161K/yr
This role focuses on integrating racks, power distribution, UPS, thermal management, and remote ... health, without discrimination as to age, race, color, religion, creed, sex, pregnancy status ...
Sr. Product Manager, Edge Infrastructure Solutions
Westerville, OH · Remote
$121K - $161K/yr
This role focuses on integrating racks, power distribution, UPS, thermal management, and remote ... health, without discrimination as to age, race, color, religion, creed, sex, pregnancy status ...
Deep understanding of the pharmacy benefit landscape, drug utilization management, formulary design ... Resumes or CVs submitted to this email box will not be accepted. Join us at McKesson!
Deep understanding of the pharmacy benefit landscape, drug utilization management, formulary design ... Resumes or CVs submitted to this email box will not be accepted. Join us at McKesson!
Deep understanding of the pharmacy benefit landscape, drug utilization management, formulary design ... Resumes or CVs submitted to this email box will not be accepted. Join us at McKesson!
Deep understanding of the pharmacy benefit landscape, drug utilization management, formulary design ... Resumes or CVs submitted to this email box will not be accepted. Join us at McKesson!
Deep understanding of the pharmacy benefit landscape, drug utilization management, formulary design ... Resumes or CVs submitted to this email box will not be accepted. Join us at McKesson!
Deep understanding of the pharmacy benefit landscape, drug utilization management, formulary design ... Resumes or CVs submitted to this email box will not be accepted. Join us at McKesson!
Optometrist - Remote
Columbus, OH · On-site +1
Staying abreast of changing healthcare landscape and opportunities for utilization of technologies ... Participate in Performance Improvement/Risk Management Program. * Utilize supplies cost-effectively ...
Optometrist - Remote
Columbus, OH · On-site +1
Staying abreast of changing healthcare landscape and opportunities for utilization of technologies ... Participate in Performance Improvement/Risk Management Program. * Utilize supplies cost-effectively ...
Optometrist - Remote
Cleveland, OH · On-site +1
Staying abreast of changing healthcare landscape and opportunities for utilization of technologies ... Participate in Performance Improvement/Risk Management Program. * Utilize supplies cost-effectively ...
Optometrist - Remote
Cleveland, OH · On-site +1
Staying abreast of changing healthcare landscape and opportunities for utilization of technologies ... Participate in Performance Improvement/Risk Management Program. * Utilize supplies cost-effectively ...
Cvs Health Utilization Management Remote information
What is the difference between Cvs Health Utilization Management Remote vs Cvs Health Medical Reviewer?
| Aspect | Cvs Health Utilization Management Remote | Cvs Health Medical Reviewer |
|---|---|---|
| Credentials | RN, LPN, or other healthcare licenses | RN, MD, or DO licenses |
| Work Environment | Remote, home-based | Remote or onsite, depending on role |
| Employer & Industry Usage | Utilization management for insurance approvals | Medical review for claims and authorizations |
Both roles involve healthcare assessments, often requiring similar licenses. Utilization Management Remote focuses on reviewing medical necessity for insurance purposes, while Medical Reviewers may handle detailed case evaluations. Both are remote-friendly and integral to healthcare insurance processes, but differ slightly in scope and responsibilities.
- Flex Schedule Remote Utilization Review Nurse
- Non Exempt No Experience Utilization Management Nurse
- Remote Medical Record Review Nurse
- Remote Utilization Management Nurse
- Remote Utilization Management Pharmacist
- Remote Utilization Management
- Utilization Management Nurse
- Night Utilization Review Nurse
- Per Diem Utilization Review Nurse
- Freelance Utilization Review Nurse
- Chart Utilization Review
- Night Shift Optum Utilization Review
- Assistant Remote Utilization Review
- Freelance International Utilization Review Nurse
- Insurance Nurse Reviewer
- Weekend Utilization Review
- Remote Utilization Review Manager
- Interqual
- Utilization Review Case Manager
- Fulltime Cigna Utilization Review Nurse
Full-time
Posted 12 days ago
CVS Health rating
5.8
Based on 4,329 frontline employees who took The Breakroom Quiz
88th of 111 rated pharmacies
Job description
Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
Our Values in Action support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient, and affordable.
Position Summary:
Are you a current college student eager to explore the dynamic world of insurance and underwriting? Join us for a transformative 3-week virtual externship program designed to introduce you to the fundamentals of underwriting and risk analysis and offer professional development sessions to build your professional skill set. This program is ideal for individuals looking to learn more about the underwriting field and jump start their career with an industry leader.
The Underwriting Externship Program looks to provide externs with immersive, hands-on underwriting experience that helps them understand the role of a full-time underwriter and Aetna’s underwriting organization. This program serves as one of the primary pipelines for the Underwriting Internship Program and the full-time Underwriting Leadership Development Program.
You will also have the opportunity to apply and interview for a position in our 2028 Summer Corporate Underwriting Internship Program (UIP). This program is intended to take place at our Hartford, CT office location following a hybrid work model.
Position: Underwriting Extern
Duration: Three Week Program; Tuesday, Wednesday, Thursday from 3:00pm-4:30pm ET
Program Dates:
- Week 1: September 29th, 30th and October 1st
- Week 2: October 6th, 7th, 8th
- Week 3: October 13th, 14th, 15th
Location: Remote/Virtual (Using your own personal laptop/computer)
Program Overview:
- Unpaid Educational Experience: Participants who complete the program will receive priority during the following internship recruiting season.
- Introduction to Underwriting: Learn the basics of underwriting, risk analysis, and pricing strategies.
- Virtual Training Sessions: Engage in interactive virtual sessions led by industry experts to deepen your understanding of underwriting concepts and practices.
- Case Studies: Apply your knowledge to real-world scenarios and collaborate with peers to analyze risks, make underwriting decisions, and present recommendations.
- Professional Development: Gain insights into career paths within the insurance industry, receive mentorship from seasoned professionals, and build foundational skills in communication, problem solving, and decision-making.
- Networking Opportunities: Connect with company leaders, underwriters, and other industry professionals to expand your network and gain valuable insights into the industry.
Required Qualifications:
- Currently enrolled in an undergraduate program; Sophomore students preferred (12/2028 – 5/2029 Graduation date).
- Access to a computer with reliable internet connection for virtual sessions.
- Available for ALL Externship Dates (listed above)
Preferred Qualifications:
- Majors in: Risk Management/Insurance, Math, Statistics, Business Analytics, Economics (and related majors)
- Strong analytical skills and attention to detail.
- Excellent communication and interpersonal skills.
- Curiosity about the insurance industry and eagerness to learn about underwriting and risk analysis.
Program Highlights:
- Gain a comprehensive understanding of underwriting and risk analysis from industry leaders.
- Develop foundational skills essential for a successful career in the insurance industry.
- Build a professional network and establish connections with insurance professionals.
- Receive a certificate of completion at the end of the externship.
- Receive priority in the following underwriting internship recruiting process.
Recruiting Process:
To be considered, please submit a resume with your application. We will be reviewing applications on a rolling basis with the opportunity tentatively closing on Sunday, September 6th, at 11:59 p.m. (ET) or if externship spots are filled sooner. The recruiting process consists of an On-Demand Virtual Interview. We will inform you of an interview decision two weeks after your interview submission.
Embark on a journey of exploration and discovery in the world of underwriting with one of the top insurance companies. Apply now and take the first step towards a rewarding career in insurance!
This role is part of an unpaid program and is not eligible for pay or benefits.
This job does not have an application deadline, as CVS Health accepts applications on an ongoing basis.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
What CVS Health employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About CVS Health
Sourced by ZipRecruiter
Industry
Health care and social assistance and retail
Company size
10,000+ Employees
Headquarters location
Woonsocket, RI, US