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Cvs Health Utilization Management Jobs in Raleigh, NC

CVS Health

Store Associate

Durham, NC

$15 - $19/hr

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... directed by store manager * Supporting opening and closing store activities, when needed

CVS Health

Store Associate

Oxford, NC

$15 - $19/hr

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... directed by store manager * Supporting opening and closing store activities, when needed

CVS Health

Store Associate

Raleigh, NC · On-site

$15 - $19/hr

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... directed by store manager * Supporting opening and closing store activities, when needed

CVS Health

Store Associate

Raleigh, NC · On-site

$15 - $19/hr

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... directed by store manager * Supporting opening and closing store activities, when needed

CVS Health

Store Associate

Durham, NC

$15 - $19/hr

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... directed by store manager * Supporting opening and closing store activities, when needed

CVS Health

Store Associate

Raleigh, NC

$15 - $19/hr

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... directed by store manager * Supporting opening and closing store activities, when needed

CVS Health

Operations Manager

Cary, NC

$19 - $29/hr

... Management team, and as such, fulfills the company purpose of helping people on their path to better health by driving store execution and performance while building consumer loyalty to CVS/pharmacy ...

New

CVS Health

Operations Manager

Cary, NC

$19 - $29/hr

... Management team, and as such, fulfills the company purpose of helping people on their path to better health by driving store execution and performance while building consumer loyalty to CVS/pharmacy ...

New

CVS Health

Staff Pharmacist Full Time

Louisburg, NC · On-site

$53.25 - $62.75/hr

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Living our purpose by helping to manage and improve patient health through safe and appropriate ...

CVS Health

Staff Pharmacist Full Time

Creedmoor, NC

$42.75 - $50.25/hr

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Living our purpose by helping to manage and improve patient health through safe and appropriate ...

CVS Health

Staff Pharmacist Full Time

Apex, NC

$45.25 - $53.25/hr

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Living our purpose by helping to manage and improve patient health through safe and appropriate ...

CVS Health

District Support Pharmacist Part time

Apex, NC

$44.50 - $53.25/hr

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Living our purpose by helping to manage and improve patient health through safe and appropriate ...

CVS Health

Pharmacy Intern

Chapel Hill, NC

$16 - $22/hr

Inventory Management A key component of the Pharmacy Intern's role is keeping your customers and ... CVS Health also offers numerous well-being programs, education assistance, free development courses ...

CVS Health

Staff Pharmacist Full Time

Raleigh, NC

$57.75 - $68/hr

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Living our purpose by helping to manage and improve patient health through safe and appropriate ...

CVS Health

Staff Pharmacist Part Time

Durham, NC

$57.50 - $67.75/hr

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Living our purpose by helping to manage and improve patient health through safe and appropriate ...

CVS Health

District Support Pharmacist Part Time

Apex, NC

$44.50 - $53.25/hr

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Living our purpose by helping to manage and improve patient health through safe and appropriate ...

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Cvs Health Utilization Management information

See Raleigh, NC salary details

$37.9K

$88.5K

$162.8K

How much do cvs health utilization management jobs pay per year?

As of Jul 15, 2026, the average yearly pay for cvs health utilization management in Raleigh, NC is $88,470.00, according to ZipRecruiter salary data. Most workers in this role earn between $57,800.00 and $106,400.00 per year, depending on experience, location, and employer.

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 Raleigh, NC? The most popular types of Cvs Health Utilization Management jobs in Raleigh, NC are:
What are popular job titles related to Cvs Health Utilization Management jobs in Raleigh, NC? For Cvs Health Utilization Management jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Cvs Health Utilization Management jobs in Raleigh, NC look for? The top searched job categories for Cvs Health Utilization Management jobs in Raleigh, NC are:
Cvs Health Utilization Management jobs near you
Store Associate

Store Associate

CVS Health

Durham, NC

$15 - $19/hr

Part-time

Dental, Vision

Re-posted 26 days ago

CVS Health rating

5.8

Company rating: 5.8 out of 10

Based on 4,281 frontline employees who took The Breakroom Quiz

81st of 104 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

Retail Store Associates play a meaningful role within the CVS Health family. At CVS Health, we're shaping the future of health care for people, businesses, and communities. With your talents and expertise, you can help us play a more active and supportive role in each person's unique healthcare needs. Join our team of thousands as we positively impact millions...one customer at a time.
The Retail Store Associate position provides an opportunity, in a leading retail setting, to excel in a growing, high impact, customer focused role, working both independently and as a member of a team, to positively impact the lives of others.
Essential Functions:

  • Providing differentiated customer service by anticipating customer needs, demonstrating compassion and care in all interactions, and actively identifying and resolving potential service issues
  • Focusing on the customer by giving a warm and friendly greeting, maintaining eye contact and offering help locating additional items, when needed
  • Accurately perform cashier duties - handling cash, checks and credit card transactions with precision while following company policies and procedures
  • Maintaining the sales floor by restocking shelves, checking in vendors, updating pricing information and completing inventory management tasks as directed by store manager
  • Supporting opening and closing store activities, when needed
  • Providing customer support to all departments, including photo and beauty, ensuring departments are fully stocked and operational while remaining current with all updated services and tools
  • Assisting pharmacy personnel when needed, including working regular shifts in the pharmacy as part of opportunities for growth and career development
  • Embracing and advocating for new CVS services and loyalty programs that support our purpose of helping people on their path to better health

  • Required Qualifications
    • At least 16 years of age
      Physical Requirements:
    • Remaining upright on the feet, particularly for sustained periods of time
    • Lifting and exerting up to 35 lbs of force occasionally, up to 10 lbs of force frequently, and a negligible amount of force regularly to move objects to and from, including overhead lifting
    • Visual Acuity - Having close visual acuity to perform activities such as: viewing a computer terminal, reading, visual inspection involving small parts/details

    Preferred Qualifications
    • Previous experience in a retail or customer service setting

    Education

    High School diploma or equivalent preferred but not required.

Anticipated Weekly Hours

20

Time Type

Part time

Pay Range

The typical pay range for this role is:

$15.00 - $19.00

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.

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: 09/13/2026

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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