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Senior Cvs Health Utilization Management Jobs in Raleigh, NC

Duke Health

Utilization Manager

Durham, NC · On-site

Complies with current rules and regulatory requirements pertaining to utilization management. Initiates actions to obtain appropriate determinations. Collaborates with members of the healthcare team ...

Duke University

Utilization Manager

Durham, NC · On-site

Complies with current rules and regulatory requirements pertaining to utilization management. Initiates actions to obtain appropriate determinations. Collaborates with members of the healthcare team ...

CVS

CVS Health - Pharmacy Technician $16-$22/hr

Cary, NC · On-site

$16 - $22/hr

CVS Health is seeking Pharmacy Technicians to assist pharmacists with filling prescriptions ... Manager, or Pharmacist training programs. CVS may also assist employees with Pharmacy Technician ...

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Senior Cvs Health Utilization Management information

See Raleigh, NC salary details

$30.1K

$77.5K

$113.7K

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

As of Aug 15, 2026, the average yearly pay for senior cvs health utilization management in Raleigh, NC is $77,544.00, according to ZipRecruiter salary data. Most workers in this role earn between $48,600.00 and $113,200.00 per year, depending on experience, location, and employer.

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.

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:

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

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What cities near Raleigh, NC are hiring for Senior Cvs Health Utilization Management jobs?

Cities near Raleigh, NC with the most Senior Cvs Health Utilization Management job openings:

Senior Cvs Health Utilization Management jobs near you
Infographic showing various Senior Cvs Health Utilization Management job openings in Raleigh, NC as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 18% Part Time, and 5% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $77,544 per year, or $37.3 per hour.

Director - Utilization Management, Physical Health

Jobtailor

Morrisville, NC • On-site

$110 - $150/hr

Other

Posted 9 days ago

Job description

Responsibilities
  • Administer and coordinate physical health utilization management activities
  • Ensure the UM Department operates as an integrated department
  • Oversee the correct level and intensity of services for individuals
  • Manage and develop staff to maintain a qualified workforce
  • Collaborate with the Director of Behavioral Health Utilization Management
Requirements
  • Bachelors in Nursing with 7 years' post-degree experience
  • At least 2 years of supervisory experience
  • At least 2 years Utilization Management experience or substantially equivalent experience
  • Master's degree in Nursing and 5 years' experience including 2 years of supervisory experience and UM experience or equivalent experience
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