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Cvs Health Utilization Management Jobs in Ohio (NOW HIRING)

Pharmacy Technician

Hinckley, OH

$15.50 - $18.75/hr

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Success for incumbents in this role includes being able to manage all assigned pharmacy ...

CVS Health Retail Store Associate We're building a world of health around every individual shaping ... directed by store manager * Supporting opening and closing store activities, when needed

Store Manager In Training

New Albany, OH · On-site

$18.50 - $23.88/hr

... health care one person, one family and one community at a time. Position Summary Successful candidates can move from the CVS/pharmacy Retail Management Development Program as a Store Management ...

... health care one person, one family and one community at a time. Position Summary Successful candidates can move from the CVS/pharmacy Retail Management Development Program as a Store Management ...

Store Manager In Training

Pataskala, OH · On-site

$18.50 - $23.88/hr

... health care one person, one family and one community at a time. Position Summary Successful candidates can move from the CVS/pharmacy Retail Management Development Program as a Store Management ...

Pharmacy Technician

Hinckley, OH · On-site

$15.50 - $18.75/hr

At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... Success for incumbents in this role includes being able to manage all assigned pharmacy ...

... utilization management activities aimed at providing Healthcare members with the right care at the right place at the right time. Provides daily review and evaluation of members that require ...

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

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

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

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

Staff Pharmacist Full Time

Avon, OH · 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 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 are the key skills and qualifications needed to thrive in CVS Health Utilization Management?

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 some typical challenges faced by CVS Health Utilization Management professionals, 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 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 the most commonly searched types of Cvs Health Utilization Management jobs in Ohio?

The most popular types of Cvs Health Utilization Management jobs in Ohio are:

What are popular job titles related to Cvs Health Utilization Management jobs in Ohio?

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

What job categories do people searching Cvs Health Utilization Management jobs in Ohio look for?

The top searched job categories for Cvs Health Utilization Management jobs in Ohio are:

What cities in Ohio are hiring for Cvs Health Utilization Management jobs?

Cities in Ohio with the most Cvs Health Utilization Management job openings:

Infographic showing various Cvs Health Utilization Management job openings in Ohio as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 16% Part Time, 1% Temporary, and 6% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution.

$15.50 - $18.75/hr

Part-time

Dental, Vision

Re-posted 18 days ago


Key responsibilities

  • Support the team in accurately filling patient prescriptions and managing pharmacy workstations.

  • Ensure all medication needs and regulatory compliance standards are met for patients.

  • Complete required training and satisfy licensing and certification requirements to expand responsibilities.


CVS Health rating

5.8

Company rating: 5.8 out of 10

Based on 4,359 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.

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 Heart At Work Behaviors 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

Health is everything. At CVS Health, we are committed to increasing patient access to care, lowering costs and improving the quality of care. Millions of times a day, we're helping people on their path to better health- from advising patients on their prescriptions to helping them manage their chronic and specialty conditions. Because we're present in so many moments, big and small, we have an active, supportive role in shaping the future of health care. Pharmacy Technicians are at the forefront of our purpose as they deliver compassionate care to our millions of patients every day.

Come join our team of dedicated and caring Pharmacy Technicians who demonstrate our core values of Accountability, Caring, Collaboration,Innovation and Integrity in everything they do in our pharmacies every day. Whether you are new to working in pharmacies or are an experienced Pharmacy Technician, we have a place for you on our team to use your skills and talents to serve and care for our patients and customers.

The Pharmacy Technician position provides individuals with an opportunity to work in a leading retail pharmacy company and in a role that positively impacts the lives and health of others. You will work in an environment where the highest professional and ethical standards are maintained as well as full compliance with all Federal, State and Local laws and regulations. Pharmacy Technicians take important steps to ensure all medication needs and regulatory compliance standards are met for our patients and they demonstrate ethical conduct and maintain patient confidentiality at all times.

Success for incumbents in this role includes being able to manage all assigned pharmacy workstations and tasks to support the team's ability to promptly, safely and accurately fill patient prescriptions all while providing caring service that exceeds customer expectations. If you like working in fast-paced environments and demonstrating compassionate, genuine care for patients and customers, this job is for you!

As a new Pharmacy Technician, you are required to complete an extensive CVS Pharmacy Technician Training Program as well as satisfy all registration, licensing and certification requirements according to your State's Board of Pharmacy guidelines. Your Pharmacy Technician duties will be restricted by your manager at first until you complete all necessary requirements. Once you satisfy all requirements and expand your Pharmacy Technician duties, you have the opportunity to continue to build your clinical, technical and insurance knowledge and expertise by leveraging available tools and training to build your pharmacy career.

Are you ready to help people on their path to better health? We are ready to have you join our team and help you on your career path to achieve your goals!

Please note in select markets the collective bargaining agreement rules regarding the Pharmacy Technician would apply.

DISCLAIMER:

The above information on this description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job.

Based on the role and location, this position may require you to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless you are approved for a reasonable accommodation based on disability, medical condition, pregnancy, or religious belief that prevents them from being vaccinated. Proof of vaccination will be required on your first day of employment or within the first few months in the position, depending on the role and location. If you are considered for a role, more information will be provided during the hiring process.

Required Qualifications

  • Must be at least 16 years of age
  • Licensure requirements vary by state
  • Attention and Focus
    o The ability to concentrate on a task over a period of time without being distracted
  • Customer Service Orientation
    o Actively look for ways to help people, and do so in a friendly manner
    o Notice and understand customers' reactions, and respond appropriately
  • Communication Skills
    o Use and understand verbal and written communication to interact with customers and colleagues
    o Actively listening by giving full attention to what others are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times
  • Mathematical Reasoning
    o The ability to use math to solve a problem, such as calculating day's supply of a prescription
  • Problem Resolution
    o Is able to judge when something is wrong or is likely to go wrong; recognizing there is a problem
    o Choosing the best course of action when faced with a complex situation with several available options

    PHYSICAL DEMANDS:

  • Remaining upright on the feet, particularly for sustained periods of time
  • Moving about on foot to accomplish tasks, particularly for moving from one work area to another
  • Picking, pinching, typing or otherwise working primarily with fingers rather than whole hand or arm
  • Extending hand(s) and arm(s) in any direction
  • Bending body downward and forward by bending spine at the waist
  • Stooping to a considerable degree and requiring full use of the lower extremities and back muscles
  • Expressing or exchanging ideas by means of spoken word; those activities where detailed or important spoken instructions must be conveyed accurately
  • Perceiving the nature of sounds at normal speaking levels with or without correction, and having the ability to receive detailed information through oral communication
  • Visual Acuity:
    o The worker is required to have close visual acuity to perform activities such as: transcribing, viewing a computer terminal, reading, visual inspection involving small parts
  • Occasional lifting of up to 30 lbs; exerting up to 30 lbs of force occasionally and/or up to 10 lbs of force frequently, and/or a negligible amount of force constantly to move objects

Anticipated Weekly Hours

20

Time Type

Part time

Pay Range

The typical pay range for this role is:

$17.00 - $17.00

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 parttime position is eligible for a range of benefits and programs that support the physical, emotional, and financial wellbeing of colleagues. Depending on hours worked and eligibility, the benefits for this position include dental, vision, wellness resources, employee discounts, access to certain voluntary benefits, and other programs.


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: 10/17/2026

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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