Utilization Management Physician Reviewer

CVS Health • Work at Home, IL, United States • Posted June 29, 2026

Location Work at Home, IL
Job Type Full-time
Category other-general
Posted June 29, 2026
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.

**Company:** Oak Street Health

**Title:** Full-Time Utilization Management Physician Reviewer

**Location:** Remote/ Treehouse

**Role Description:**

This full-time role is responsible for provisioning accurate and timely coverage determinations for inpatient and outpatient services by applying utilization management (UM) criteria, clinical judgment, and internal policies and procedures. Regardless of the final determination, the Physician Reviewer is responsible for ensuring medically appropriate care is ...

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