Manager, Behavioral Health Utilization Management - IL Medicaid

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. Position Summary This is a fulltime remote teleworker opportunity in Illinois. The Manager, Utilization Management, conducts oversight and management of clinical team processes including the organization and development of high performing teams. This is a fully remote position. Eligible candidates may live anywhere in the contiguous US; however, Illinois residence is preferred. Fundamental Components Reinforces clinical philosophy, programs, policies and procedures. Communicates strategic plan and specific tactics to meet plan. Ensures implementation of tactics to meet strategic direction for cost and quality outcomes. Creates direction and communicates a business case for change by focusing on and addressing key priorities to achieve business results. Identifies opportunities to implement best practice approaches and introduce innovations to better improve outcomes. Will be accountable for meeting the financial, operational and quality objectives of the department. Will be accountable for the day-to-day management of team(s) for appropriate implementation and adherence with established practices, policies and procedures. Works closely with other functional area managers to ensure consistency in clinical interventions supporting our plan sponsors. Develop, initiate, monitor and communicate performance expectations. May act as a single point of contact for the customer and the Account Team which includes participation in customer meetings, implementation and oversight of customer cultural requirements, and support implementation of ...