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Cvs Health Utilization Management Remote Jobs in Chicago, IL

CVS Health

Senior Manager, Field Success

Chicago, IL · Remote

... Management Operations Location: Remote Role Summary Oak Street Health, a part of CVS Health, helps older adults stay healthier and live fuller lives through our 230 centers across 27 states. Our ...

CVS Health

Staff Software Engineer (myPBM)

Buffalo Grove, IL · On-site +1

$118K - $260K/yr

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... This role requires someone to work a hybrid (remote + office) schedule from one of our technical ...

Med-Metrix

Physician Advisor - Remote

Chicago, IL · On-site +1

... and utilization management to recommend methods to optimize use of hospital services for all ... Describes ways to provide improved health record documentation that specifically affect ICD code ...

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All JobsCvs Health Utilization Management JobsCvs Health Utilization Management Remote JobsCvs Health Utilization Management Remote Jobs in Chicago, IL

Cvs Health Utilization Management Remote information

See Chicago, IL salary details

$22

$43

$71

How much do cvs health utilization management remote jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for cvs health utilization management remote in Chicago, IL is $43.56, according to ZipRecruiter salary data. Most workers in this role earn between $34.42 and $50.00 per hour, depending on experience, location, and employer.

What is the difference between Cvs Health Utilization Management Remote vs Cvs Health Medical Reviewer?

AspectCvs Health Utilization Management RemoteCvs Health Medical Reviewer
CredentialsRN, LPN, or other healthcare licensesRN, MD, or DO licenses
Work EnvironmentRemote, home-basedRemote or onsite, depending on role
Employer & Industry UsageUtilization management for insurance approvalsMedical 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.

What are the most commonly searched types of Cvs Health Utilization Management jobs in Chicago, IL?

The most popular types of Cvs Health Utilization Management jobs in Chicago, IL are:

What are popular job titles related to Cvs Health Utilization Management Remote jobs in Chicago, IL?

For Cvs Health Utilization Management Remote jobs in Chicago, IL, the most frequently searched job titles are:

What job categories do people searching Cvs Health Utilization Management Remote jobs in Chicago, IL look for?

The top searched job categories for Cvs Health Utilization Management Remote jobs in Chicago, IL are:

Cvs Health Utilization Management Remote jobs near you
Infographic showing various Cvs Health Utilization Management Remote job openings in Chicago, IL as of August 2026, with employment types broken down into 7% Internship, and 93% Full Time. Highlights an 4% In-person, and 96% Remote job distribution, with an average salary of $90,598 per year, or $43.6 per hour.

Quality Manager, Data & Insights Analytics

CVS Health

Chicago, IL • Remote

$60K - $159K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 6 days ago

CVS Health rating

5.8

Company rating: 5.8 out of 10

Based on 4,366 frontline employees who took The Breakroom Quiz

92nd of 113 rated pharmacies

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 ourselvesaccountable 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.

Position Summary

As a Quality Manager, Data & Insights Analytics for Aetna, you will be responsible for transforming raw data into actionable insights that support strategic decision-making across all Direct-to-Consumer (DTC) channels, including Telesales, field service representatives and member experience. You'll lead the development and delivery of reporting solutions, quality performance dashboards, and analytics tied to agent behavior, quality trends and process opportunities.

You will collaborate cross-functionally with Quality Assurance, Compliance, Operations and Vendor Management teams to ensure the integrity of quality data and the effective use of metrics to drive performance improvement. You'll plan a key role in supporting vendor oversight, internal reporting and the evolution of quality monitoring by integrating data tools and innovation into quality operations. For this role you'll need strong analytical expertise, system fluency and a deep understanding of Medicare sales processes.


Required Qualifications

  • 3+ years of experience

  • Strong data and technical skills, including proficiency in Microsoft Excel (advanced functions such as Power Query, with working knowledge of SQL.

  • Experience with NICE CXone platform including reporting, interaction analytics, and quality management modules.

  • Strong analytical skills


Preferred Qualifications

  • Experience in Medicare sales, including Medicare Advantage, Medicare Supplement and Part D plans.

  • Active and current health insurance license.

  • Telesales/call center experience.

  • Experience designing and launching applications or tools using platforms like QuickBase.

  • Strong understanding of Medicare compliance requirements and quality assurance processes.

  • Proven ability to work independently in a remote environment while collaborating across multiple teams.

  • Experience/proficiency with CRM systems, including SPICE and ThinkAgent


Education

Bachelor's degree in Communications, Business, Data Analytics or equivalent experience.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$60,300.00 - $159,120.00

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. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

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.

This fulltime position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial wellbeing 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: 09/05/2026

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

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