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Cvs Health Utilization Management Jobs in Indiana

Pharmacist

New Albany, IN · On-site

$60 - $76/hr

At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... Inventory Management * Financial Profitability * Loss Prevention * Workflow ManagementA key ...

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Inventory Management * Financial Profitability * Loss Prevention Workflow Management A key ...

Pharmacist

Indianapolis, IN · On-site

$60 - $76/hr

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Inventory Management * Financial Profitability * Loss Prevention * Workflow Management A key ...

Pharmacist

Evansville, IN · On-site

$60 - $76/hr

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Inventory Management * Financial Profitability * Loss Prevention * Workflow Management A key ...

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Inventory Management * Financial Profitability * Loss Prevention * Workflow Management A key ...

Pharmacist

New Albany, IN · On-site

$60 - $76/hr

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Inventory Management * Financial Profitability * Loss Prevention * Workflow Management A key ...

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Inventory Management * Financial Profitability * Loss Prevention * Workflow Management A key ...

Pharmacist

Corydon, IN · On-site

$60 - $76/hr

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Inventory Management * Financial Profitability * Loss Prevention * Workflow Management A key ...

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Inventory Management * Financial Profitability * Loss Prevention * Workflow Management A key ...

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Inventory Management * Financial Profitability * Loss Prevention * Workflow Management A key ...

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Inventory Management * Financial Profitability * Loss Prevention * Workflow Management A key ...

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Inventory Management * Financial Profitability * Loss Prevention * Workflow Management A key ...

Pharmacist

Bloomington, IN · On-site

$60 - $76/hr

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Inventory Management * Financial Profitability * Loss Prevention * Workflow Management A key ...

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Inventory Management * Financial Profitability * Loss Prevention * Workflow Management A key ...

Staff Pharmacist

Marion, IN · On-site

$60 - $76/hr

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Inventory Management * Financial Profitability * Loss Prevention * Workflow Management A key ...

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Inventory Management * Financial Profitability * Loss Prevention * Workflow Management A key ...

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Inventory Management * Financial Profitability * Loss Prevention * Workflow Management A key ...

Manager, Account Management

Munster, IN · On-site

$54K - $145K/yr

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Implements proactive account management and customer support, addressing client inquiries ...

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Inventory Management * Financial Profitability * Loss Prevention * Workflow Management A key ...

Showing results 41-60

Cvs Health Utilization Management information

What is CVS Health Utilization Management?

CVS Health Utilization Management refers to a set of services and processes used to ensure that patients receive appropriate, effective, and efficient health care. This involves reviewing medical necessity, appropriateness, and efficiency of health care services, procedures, and facilities under the provisions of a health benefits plan. At CVS Health, Utilization Management professionals work with healthcare providers, payers, and patients to optimize care outcomes while controlling costs. They help determine coverage decisions, coordinate care, and assist in managing complex cases.

What is the difference between Cvs Health Utilization Management vs Cvs Health Case Management?

AspectCvs Health Utilization ManagementCvs Health Case Management
Primary FocusReviewing and authorizing healthcare services to ensure appropriate utilizationCoordinating patient care and connecting patients with resources
Work EnvironmentUtilization review teams, insurance settingsPatient homes, healthcare facilities, community settings
CredentialsRN, LPN, or other healthcare certificationsRN, social worker, or case management certifications
Employer & Industry UsageHealth insurance companies, managed care organizationsHospitals, insurance companies, healthcare providers

While both roles involve healthcare professionals, Utilization Management focuses on reviewing services for appropriateness, whereas Case Management emphasizes coordinating comprehensive patient care. Understanding these differences helps in choosing the right career path or job search focus within the healthcare industry.

What are some typical challenges faced by Utilization Management professionals at CVS Health, and how can they be addressed?

Utilization Management professionals at CVS Health often encounter challenges such as balancing clinical decision-making with cost-effectiveness, managing high caseloads, and navigating complex insurance policies. Staying updated on healthcare regulations, maintaining clear communication with providers, and leveraging the company's decision-support tools can help address these challenges. Regular collaboration with interdisciplinary teams also ensures that patient care remains the top priority while meeting organizational guidelines.

What are the key skills and qualifications needed to thrive as a CVS Health Utilization Management Nurse, and why are they important?

To thrive as a CVS Health Utilization Management Nurse, you need a current RN license, strong clinical judgment, and experience in case management or utilization review. Familiarity with utilization review software, electronic health records (EHRs), and knowledge of insurance guidelines and regulatory requirements is typically expected. Excellent communication, attention to detail, and critical thinking skills help in advocating for patients and collaborating with healthcare providers. These skills ensure effective care coordination, compliance with policies, and optimized patient outcomes in a managed care environment.
What are the most commonly searched types of Cvs Health Utilization Management jobs in Indiana? The most popular types of Cvs Health Utilization Management jobs in Indiana are:
What cities in Indiana are hiring for Cvs Health Utilization Management jobs? Cities in Indiana with the most Cvs Health Utilization Management job openings:
Infographic showing various Cvs Health Utilization Management job openings in Indiana as of July 2026, with employment types broken down into 55% Full Time, 40% Part Time, 4% Contract, and 1% Summer. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution.

Pharmacist

CVS Health

New Albany, IN • On-site

$60 - $76/hr

Other

Medical, Dental, Vision, Retirement, PTO

Re-posted 3 days ago


CVS Health rating

5.8

Company rating: 5.8 out of 10

Based on 4,326 frontline employees who took The Breakroom Quiz

88th of 110 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 ourselves accountable 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.

Summary:

Health is everything. At CVS Health, colleagues are committed to increasing access, lowering costs and improving quality of care. Millions of times a day, we help people on their path to better health-from advising on prescriptions to helping manage chronic and specialty conditions.

As a Staff Pharmacist, you have a critical role at the forefront of delivering our purpose, modeling our values, and demonstrating genuine, authentic care for our patients. In addition to supporting the Pharmacy Manager in leading and directing your Pharmacy Technician Support Staff, you are accountable for supporting the management, oversight and operation of all aspects within your pharmacy. This includes:

  • Patient Safety

  • Pharmacy Professional Practice

  • Regulatory Requirements

  • Quality Assurance

  • Customer Service

  • Personnel Management

  • Inventory Management

  • Financial Profitability

  • Loss Prevention

  • Workflow ManagementA key component of the Staff Pharmacist role is keeping your customers and patients healthy through adoption and management of patient care programs. Additionally, you will:

  • Lead with Heart GÇô display empathy and compassion for your patients, customers, caregivers and colleagues on your team

  • Motivate, inspire and develop your Pharmacy Support Staff by balancing assignments that maximize colleagues' strengths, address development opportunities and decrease knowledge gaps

  • Identify critical business opportunities and contribute to the development of meaningful solutions to drive growth and improve performance in your pharmacy

  • Successfully implement those solutions by leading your team to achieve specified goals

  • Adapt to change and adjust plans to thrive in a dynamic community healthcare setting

  • Seek new ways to grow, collaborate with others and deliver better outcomes

  • Align others around purpose to gain support and commitment

  • Actively contribute to a GÇÿteam' culture that promotes caring, energy, enthusiasm and pride

  • Apply acquired knowledge to help drive healthy outcomes and differentiate CVS from competitors

  • The above represents a summary of the functions of a Staff Pharmacist. Additional functions and physical requirements are available on the full job description.Minimum Required Qualifications

  • Active Pharmacy License in the state in which you are employed

  • Not on the DEA Excluded Parties List

  • Immunization Certification through an accredited organization (e.g., APhA)

  • No pending felony charges or convictions for criminal offenses involving controlled substances.Bachelor of Science in Pharmacy or Pharm. D. degree

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$60.00 - $76.00

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 full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being 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 (https://learn.bswift.com/cvshealth-mainland) .

We anticipate the application window for this opening will close on: 09/23/2026

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

CVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran - committed to diversity in the workplace.


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