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Position Summary

The Manager, UM Clinical Services, conducts oversight and management of clinical team processes including the organization and development of high performing teams. Travel to the OK City office is required, based on business needs.

This is a fully remote position. Eligible candidates must reside in Oklahoma.

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 unit.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 new customers.Participate in the recruitment and hiring process for staff using clearly defined requirements in terms of education, experience, technical and performance skills.Assesses developmental needs and collaborates with others to identify and implement action plans that support the development of high performing teams.Consistently demonstrates the ability to serve as a model change agent and lead change efforts.Accountable for maintaining compliance with policies and procedures and implements them at the employee level.Ability to evaluate and interpret data, identify areas of improvement, and focuses on interventions to improve outcomes.

Required Qualifications

Must reside in OklahomaOklahoma-licensed RN or Mental Health Professional- Licensed Professional Counselor (LPC), Licensed Marriage & Family Therapist (LMFT), Licensed Behavioral Practitioner (LBP), or Licensed Clinical Social Worker (LCSW) with current unencumbered license5+ years of clinical practice experience in behavioral healthcare2+ years utilization management experience is required2+ years of experience with personal computer, keyboard navigation, and MS Office Suite applications2+ years of healthcare management experience required (preferably in a managed care setting)Must possess reliable transportation and be willing and able to travel in-state up to 10% of the time. Mileage is reimbursed per our company expense reimbursement policyAbility to work core business hours, Monday-Friday, 8am-5pm, with flexibility to work occasional weekend hours is requiredAbility to provide on-call UM coverage for nights and weekends on a rotational schedule as required by the State regulatory agency

Preferred Qualifications

Managed care experienceAbility to multitask, prioritize and effectively adapt to a fast-paced changing environmentMedicaid experienceIf RN, BSN degree preferred

Education

Master's Level of Education resulting in independent Behavioral Health licensure (LCSW, LPC, LMFT,) or if RN, Associate Degree or Nursing Diploma required with unrestricted state license in Oklahoma

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$78,331.00 - $168,714.00

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. 
 

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 our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.

No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 09/20/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.