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Senior Cvs Health Utilization Management Jobs in Arizona

Sky Mavis

Manager Utilization Management

Tucson, AZ · On-site

$100 - $140/hr

P3 Health Partners is seeking a Utilization Management Manager to oversee the daily operations of our Utilization Management (UM) department and help drive quality, efficiency, and compliance across ...

CVS Health

Legal Counsel

Scottsdale, AZ · On-site

$144K - $288K/yr

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... and senior/executive management regarding federal/state regulations in the healthcare industry.

University of Kentucky

Utilization Management Reviewer Requisition Number: R-000002878 Department Name: Supervisor ... health services, compliance with payer requirements, and accuracy of admission status ...

CVS Health

Senior Medical Director

Apache Junction, AZ · On-site

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Utilization Management Network Management Health Plan Management Documentation/Risk Adjustment ...

CVS Health

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose ... Risk Management/Insurance, Math, Statistics, Business Analytics, Economics (and related majors)

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Senior Cvs Health Utilization Management information

What is the difference between Senior Cvs Health Utilization Management vs Utilization Review Nurse?

AspectSenior Cvs Health Utilization ManagementUtilization Review Nurse
CredentialsRN license, certifications in case management or utilization reviewRN license, certifications in utilization review or case management
Work EnvironmentCorporate healthcare setting, insurance plans, managed careHospitals, clinics, insurance companies, managed care organizations
Employer & Industry UsageMajor healthcare providers, insurance companies, pharmacy benefit managersHospitals, insurance companies, healthcare facilities

Both roles involve reviewing patient cases to determine appropriate care and resource utilization. The Senior Cvs Health Utilization Management position typically involves more strategic oversight and coordination within CVS Health's managed care programs, while Utilization Review Nurses focus on direct case assessments and clinical reviews. Understanding these differences helps candidates align their skills with the right role in healthcare management.

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Senior Cvs Health Utilization Management jobs near you
Infographic showing various Senior Cvs Health Utilization Management job openings in Arizona as of August 2026, with employment types broken down into 100% Full Time. Highlights an 60% In-person, and 40% Remote job distribution.

Senior Manager, Financial Planning and Analysis Aetna Clinical Services (Utilization Management)

CVS Health

Scottsdale, AZ

$75K - $182K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 14 days ago

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.

Position Summary
The Senior Manager will lead a team supporting the Utilization Management function within Clinical Services. Responsibilities will include FP&A functions (Budgeting & Forecasting, Expense Management, Month Close & Reporting), Operations support (membership-based and metrics driven staffing models), and managing business partnerships. Proficiency with Microsoft Excel and PowerPoint is needed along with experience with Aetna Finance systems and processes.


Fundamental Components:

  • Develops and executes the annual financial planning and analysis (FP&A) budgeting process, working closely with key stakeholders to establish financial targets and allocate resources effectively.

  • Oversees the analysis of financial performance, including variance analysis, trend analysis, and profitability analysis by providing insights and recommendations to senior leadership based on financial data and trends.

  • Conducts scenario analysis and sensitivity analysis to evaluate the financial impact of various business scenarios and help guide strategic decisions.

  • Creates sophisticated financial models to support strategic decision-making and long-term financial planning.

  • Analyzes the financial performance of business units, product lines, or projects, identifying areas of improvement and growth opportunities.

  • Establishes financial planning and analysis processes, systems, and tools to increase efficiency and accuracy.

  • Creates budgeting and forecasting processes, ensuring accuracy and alignment with strategic objectives.

  • Conducts performance evaluations, sets performance goals, provides guidance, and fosters a collaborative and high-performing team environment.

Required Qualifications:

  • 7+ years of relevant financial planning and analysis experience.

  • 7+ years of experience with Microsoft Excel and PowerPoint are needed along with experience with financial systems.

Preferred Qualifications:

  • Proficiency with Anaplan, Hyperion, and S4 Hana.

  • Healthcare, managed care, or financial services experience.

  • Advanced degree in finance, accounting, or related field.

Education:

  • Bachelor's Degree in finance, accounting, or related field required or equivalent years of relevant experience.

Pay Range

The typical pay range for this role is:

$75,400.00 - $182,549.00


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. This position also includes an award target in the company's equity award program.

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: 09/28/2026

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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