Manager, Behavioral Health Utilization Management

CVS Health

Manager overseeing clinical team processes for CVS Health's behavioral health care. Conducts oversight, manages the team, and implements clinical strategies.

Posted 5/19/2026full-timeRemote • Illinois • 🇺🇸 United StatesMid-LevelSenior💰 $95,738 - $206,206 per yearWebsite

About the role

Key responsibilities & impact

conducts oversight and management of clinical team processes
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
identifies opportunities to implement best practice approaches and introduce innovations
accountable for meeting the financial, operational and quality objectives of the department
manages team(s) for adherence with established practices, policies and procedures
collaborates with other functional area managers

Requirements

What you’ll need

Active, unrestricted clinical licensure (RN or Behavioral Health as outlined below)
5+ years of clinical practice in behavioral healthcare
2+ years of utilization management experience (managed care setting preferred)
2+ years of healthcare leadership experience (managed care setting preferred)
2+ years of proficiency with personal computers, keyboard navigation, and MS Office Suite
1+ year of experience with electronic medical records
Ability to travel up to 10% for in-state meetings
Ability to work core business hours (Mon–Fri, 8 AM–5 PM CT) with occasional weekend flexibility
High-speed internet access

Benefits

Comp & perks

medical, dental, and vision coverage
paid time off
retirement savings options
wellness programs
comprehensive benefits package

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

clinical practiceutilization managementbehavioral healthcareelectronic medical recordsfinancial managementoperational managementquality managementbest practice approachesinnovations implementation

Soft Skills

communicationleadershipcollaborationstrategic planningtactical executionteam managementchange management

Certifications

active clinical licensureRNBehavioral Health