Remote/Virtual (Using your own personal laptop/computer) Program Overview: * Unpaid Educational ... Risk Management/Insurance, Math, Statistics, Business Analytics, Economics (and related majors)
New
Remote/Virtual (Using your own personal laptop/computer) Program Overview: * Unpaid Educational ... Risk Management/Insurance, Math, Statistics, Business Analytics, Economics (and related majors)
New
Remote/Virtual (Using your own personal laptop/computer) Program Overview: * Unpaid Educational ... Risk Management/Insurance, Math, Statistics, Business Analytics, Economics (and related majors)
New
Remote/Virtual (Using your own personal laptop/computer) Program Overview: * Unpaid Educational ... Risk Management/Insurance, Math, Statistics, Business Analytics, Economics (and related majors)
New
Remote/Virtual (Using your own personal laptop/computer) Program Overview: * Unpaid Educational ... Risk Management/Insurance, Math, Statistics, Business Analytics, Economics (and related majors)
New
Remote/Virtual (Using your own personal laptop/computer) Program Overview: * Unpaid Educational ... Risk Management/Insurance, Math, Statistics, Business Analytics, Economics (and related majors)
New
Remote/Virtual (Using your own personal laptop/computer) Program Overview: * Unpaid Educational ... Risk Management/Insurance, Math, Statistics, Business Analytics, Economics (and related majors)
New
Remote/Virtual (Using your own personal laptop/computer) Program Overview: * Unpaid Educational ... Risk Management/Insurance, Math, Statistics, Business Analytics, Economics (and related majors)
New
Remote/Virtual (Using your own personal laptop/computer) Program Overview: * Unpaid Educational ... Risk Management/Insurance, Math, Statistics, Business Analytics, Economics (and related majors)
New
Remote/Virtual (Using your own personal laptop/computer) Program Overview: * Unpaid Educational ... Risk Management/Insurance, Math, Statistics, Business Analytics, Economics (and related majors)
New
Remote/Virtual (Using your own personal laptop/computer) Program Overview: * Unpaid Educational ... Risk Management/Insurance, Math, Statistics, Business Analytics, Economics (and related majors)
New
Remote/Virtual (Using your own personal laptop/computer) Program Overview: * Unpaid Educational ... Risk Management/Insurance, Math, Statistics, Business Analytics, Economics (and related majors)
New
Remote/Virtual (Using your own personal laptop/computer) Program Overview: * Unpaid Educational ... Risk Management/Insurance, Math, Statistics, Business Analytics, Economics (and related majors)
New
The Utilization Review Nurse is to assess the medical necessity and quality of healthcare services by conducting pre-service, concurrent, and retrospective utilization management reviews. The primary ...
The Utilization Review Nurse is to assess the medical necessity and quality of healthcare services by conducting pre-service, concurrent, and retrospective utilization management reviews. The primary ...
Franklin, TN · On-site +1
The Utilization Review Nurse is to assess the medical necessity and quality of healthcare services by conducting pre-service, concurrent, and retrospective utilization management reviews. The primary ...
Franklin, TN · On-site +1
The Utilization Review Nurse is to assess the medical necessity and quality of healthcare services by conducting pre-service, concurrent, and retrospective utilization management reviews. The primary ...
Franklin, TN · On-site +1
Serves as an organizational expert regarding payer requirements, medical necessity criteria, utilization management regulations, and behavioral health reimbursement practices. * Oversees recruitment ...
Franklin, TN · On-site +1
Serves as an organizational expert regarding payer requirements, medical necessity criteria, utilization management regulations, and behavioral health reimbursement practices. * Oversees recruitment ...
Memphis, TN · On-site +1
$54K - $116K/yr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... The purpose of a Behavioral Health Specialist at Oak Street Health is to provide care management ...
Memphis, TN · On-site +1
$54K - $116K/yr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... The purpose of a Behavioral Health Specialist at Oak Street Health is to provide care management ...
Nashville, TN · Remote
$60K - $145K/yr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Experience/proficiency with CRM systems, including SPICE and ThinkAgent, with experience training ...
Nashville, TN · Remote
$60K - $145K/yr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Experience/proficiency with CRM systems, including SPICE and ThinkAgent, with experience training ...
Nashville, TN · On-site +1
This is a remote position within our plan states, IL, TX, NM, OK, MT, TN Description: Nurse Case ... Provides clinical assessments, health education, and utilization management to members. Performs ...
Nashville, TN · On-site +1
This is a remote position within our plan states, IL, TX, NM, OK, MT, TN Description: Nurse Case ... Provides clinical assessments, health education, and utilization management to members. Performs ...
Nashville, TN · On-site +1
Provides clinical assessments, health education, and utilization management to members. Performs ... Remote in any state except, NY, CA, HI and AK VIVA is an equal opportunity employer. All qualified ...
Nashville, TN · On-site +1
Provides clinical assessments, health education, and utilization management to members. Performs ... Remote in any state except, NY, CA, HI and AK VIVA is an equal opportunity employer. All qualified ...
Franklin, TN · On-site +1
Maintains a strict level of confidentiality for all client, company, departmental, and healthcare ... Demonstrates excellent organizational and time management skills. * Demonstrates a high level of ...
Franklin, TN · On-site +1
Maintains a strict level of confidentiality for all client, company, departmental, and healthcare ... Demonstrates excellent organizational and time management skills. * Demonstrates a high level of ...
Experience with healthcare revenue cycle management systems and software. * Experience with healthcare revenue cycle management systems and software preferred. License(s)/Certification(s) Knowledge ...
Experience with healthcare revenue cycle management systems and software. * Experience with healthcare revenue cycle management systems and software preferred. License(s)/Certification(s) Knowledge ...
... utilization, pharmacological prescribing and therapy management, multi-specialty platform, and ... Provide clinical guidance and direction to Market teams to drive Population Health Management ...
... utilization, pharmacological prescribing and therapy management, multi-specialty platform, and ... Provide clinical guidance and direction to Market teams to drive Population Health Management ...
Old Hickory, TN · Remote
$100K - $135K/yr
Physician Assistant (PA) - Chronic Care Management & Remote Patient Monitoring Position Summary AtTeleMateHealth, we are dedicated to transforming healthcare delivery through innovative solutions.
Old Hickory, TN · Remote
$100K - $135K/yr
Physician Assistant (PA) - Chronic Care Management & Remote Patient Monitoring Position Summary AtTeleMateHealth, we are dedicated to transforming healthcare delivery through innovative solutions.
Lynchburg, TN · On-site +1
$75K/yr
Participates in interdisciplinary team meetings and utilization management rounds and provides ... Remote Work Experience. Come be part of the solution!
Lynchburg, TN · On-site +1
$75K/yr
Participates in interdisciplinary team meetings and utilization management rounds and provides ... Remote Work Experience. Come be part of the solution!
Memphis, TN · On-site +1
$75K/yr
Participates in interdisciplinary team meetings and utilization management rounds and provides ... Remote Work Experience. Come be part of the solution!
Memphis, TN · On-site +1
$75K/yr
Participates in interdisciplinary team meetings and utilization management rounds and provides ... Remote Work Experience. Come be part of the solution!
Hendersonville, TN · On-site +1
$75K/yr
Participate in interdisciplinary team meetings and utilization management rounds and provide ... Remote Work Experience. Come be part of the solution!
Hendersonville, TN · On-site +1
$75K/yr
Participate in interdisciplinary team meetings and utilization management rounds and provide ... Remote Work Experience. Come be part of the solution!
| 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.
Full-time
Posted 3 days ago
New
5.8
Based on 4,323 frontline employees who took The Breakroom Quiz
88th of 110 rated pharmacies
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:
Location: Remote/Virtual (Using your own personal laptop/computer)
Program Overview:
Required Qualifications:
Preferred Qualifications:
Program Highlights:
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.
Get the full story on Breakroom
Sourced by ZipRecruiter
Health care and social assistance and retail
10,000+ Employees
Woonsocket, RI, US