Utilization Management Nurse Jobs

You’ve invested a lot of time and energy in your education. Now you want the chance to make your mark. We offer challenging opportunities for you to learn and grow professionally. In our programs, you’ll be immersed in a culture of continuous improvement, with the goal of changing health care for the better. Position Summary: At CVS Health, we are focused on transforming health care for our customers and making our company a great place to work. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. Within our Retail locations, we bring this promise to life with heart every day and our Graduate Pharmacy Interns play a critical role in supporting our pharmacy teams to consistently deliver on our brand promise, while developing their own skills in preparation for increasing responsibility. As a Graduate Pharmacy Intern, you will apply your didactic learning from pharmacy school and pharmacy practice into real-world practice to become ready for a Pharmacist role. Under the direction of your preceptor and District Leader, you will complete a comprehensive training roadmap within 120 days of graduation designed to further your knowledge of store, district, and regional operations. Through your hands-on experience, training roadmap, and time spent with leaders in your district you will deepen your understanding of patient safety and error prevention, quality assurance drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that pharmacy operations run smoothly, our patients’ prescriptions are filled promptly, safely, and accurately, and we are providing caring service that exceeds

You’ve invested a lot of time and energy in your education. Now you want the chance to make your mark. We offer challenging opportunities for you to learn and grow professionally. In our programs, you’ll be immersed in a culture of continuous improvement, with the goal of changing health care for the better. Position Summary: At CVS Health, we are focused on transforming health care for our customers and making our company a great place to work. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. Within our Retail locations, we bring this promise to life with heart every day and our Graduate Pharmacy Interns play a critical role in supporting our pharmacy teams to consistently deliver on our brand promise, while developing their own skills in preparation for increasing responsibility. As a Graduate Pharmacy Intern, you will apply your didactic learning from pharmacy school and pharmacy practice into real-world practice to become ready for a Pharmacist role. Under the direction of your preceptor and District Leader, you will complete a comprehensive training roadmap within 120 days of graduation designed to further your knowledge of store, district, and regional operations. Through your hands-on experience, training roadmap, and time spent with leaders in your district you will deepen your understanding of patient safety and error prevention, quality assurance drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that pharmacy operations run smoothly, our patients’ prescriptions are filled promptly, safely, and accurately, and we are providing caring service that exceeds

You’ve invested a lot of time and energy in your education. Now you want the chance to make your mark. We offer challenging opportunities for you to learn and grow professionally. In our programs, you’ll be immersed in a culture of continuous improvement, with the goal of changing health care for the better. Position Summary: At CVS Health, we are focused on transforming health care for our customers and making our company a great place to work. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. Within our Retail locations, we bring this promise to life with heart every day and our Graduate Pharmacy Interns play a critical role in supporting our pharmacy teams to consistently deliver on our brand promise, while developing their own skills in preparation for increasing responsibility. As a Graduate Pharmacy Intern, you will apply your didactic learning from pharmacy school and pharmacy practice into real-world practice to become ready for a Pharmacist role. Under the direction of your preceptor and District Leader, you will complete a comprehensive training roadmap within 120 days of graduation designed to further your knowledge of store, district, and regional operations. Through your hands-on experience, training roadmap, and time spent with leaders in your district you will deepen your understanding of patient safety and error prevention, quality assurance drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that pharmacy operations run smoothly, our patients’ prescriptions are filled promptly, safely, and accurately, and we are providing caring service that exceeds

You’ve invested a lot of time and energy in your education. Now you want the chance to make your mark. We offer challenging opportunities for you to learn and grow professionally. In our programs, you’ll be immersed in a culture of continuous improvement, with the goal of changing health care for the better. Position Summary: At CVS Health, we are focused on transforming health care for our customers and making our company a great place to work. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. Within our Retail locations, we bring this promise to life with heart every day and our Graduate Pharmacy Interns play a critical role in supporting our pharmacy teams to consistently deliver on our brand promise, while developing their own skills in preparation for increasing responsibility. As a Graduate Pharmacy Intern, you will apply your didactic learning from pharmacy school and pharmacy practice into real-world practice to become ready for a Pharmacist role. Under the direction of your preceptor and District Leader, you will complete a comprehensive training roadmap within 120 days of graduation designed to further your knowledge of store, district, and regional operations. Through your hands-on experience, training roadmap, and time spent with leaders in your district you will deepen your understanding of patient safety and error prevention, quality assurance drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that pharmacy operations run smoothly, our patients’ prescriptions are filled promptly, safely, and accurately, and we are providing caring service that exceeds

You’ve invested a lot of time and energy in your education. Now you want the chance to make your mark. We offer challenging opportunities for you to learn and grow professionally. In our programs, you’ll be immersed in a culture of continuous improvement, with the goal of changing health care for the better. Position Summary: At CVS Health, we are focused on transforming health care for our customers and making our company a great place to work. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. Within our Retail locations, we bring this promise to life with heart every day and our Graduate Pharmacy Interns play a critical role in supporting our pharmacy teams to consistently deliver on our brand promise, while developing their own skills in preparation for increasing responsibility. As a Graduate Pharmacy Intern, you will apply your didactic learning from pharmacy school and pharmacy practice into real-world practice to become ready for a Pharmacist role. Under the direction of your preceptor and District Leader, you will complete a comprehensive training roadmap within 120 days of graduation designed to further your knowledge of store, district, and regional operations. Through your hands-on experience, training roadmap, and time spent with leaders in your district you will deepen your understanding of patient safety and error prevention, quality assurance drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that pharmacy operations run smoothly, our patients’ prescriptions are filled promptly, safely, and accurately, and we are providing caring service that exceeds

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. Title: Medical Social Worker Company: Oak Street Health Role Description: The Medical Social Worker is a key member of Oak Street Health Centers, contributing a unique and valuable perspective to care teams to support the psychosocial needs of our patients. In collaboration with the interdisciplinary care team, they will provide assessments, advocacy, and comprehensive care coordination services to our highest-risk patients and their caregivers to help them improve their health status and avoid hospitalizations. Core Responsibilities: Proactively support our highest-need patients by providing comprehensive assessments, telephonic check-ins, and in-person visits. Partner with the patient and their support persons (if necessary) to identify goals, increase engagement in their healthcare, address barriers, and drive the execution of their care plan. Maintain extensive knowledge of community resources and make referrals, as appropriate, to help ensure the patient's healthcare and psychosocial needs are met. Navigate patient insurance benefits in collaboration with the Patient Relations Manager (PRM) to ensure mindful utilization and maximization of plan benefits Provide both longitudinal and episodic comprehensive care coordination with the ultimate goal of empowering patients to independently manage

You’ve invested a lot of time and energy in your education. Now you want the chance to make your mark. We offer challenging opportunities for you to learn and grow professionally. In our programs, you’ll be immersed in a culture of continuous improvement, with the goal of changing health care for the better. Position Summary: At CVS Health, we are focused on transforming health care for our customers and making our company a great place to work. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. Within our Retail locations, we bring this promise to life with heart every day and our Graduate Pharmacy Interns play a critical role in supporting our pharmacy teams to consistently deliver on our brand promise, while developing their own skills in preparation for increasing responsibility. As a Graduate Pharmacy Intern, you will apply your didactic learning from pharmacy school and pharmacy practice into real-world practice to become ready for a Pharmacist role. Under the direction of your preceptor and District Leader, you will complete a comprehensive training roadmap within 120 days of graduation designed to further your knowledge of store, district, and regional operations. Through your hands-on experience, training roadmap, and time spent with leaders in your district you will deepen your understanding of patient safety and error prevention, quality assurance drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that pharmacy operations run smoothly, our patients’ prescriptions are filled promptly, safely, and accurately, and we are providing caring service that exceeds

You’ve invested a lot of time and energy in your education. Now you want the chance to make your mark. We offer challenging opportunities for you to learn and grow professionally. In our programs, you’ll be immersed in a culture of continuous improvement, with the goal of changing health care for the better. Position Summary: At CVS Health, we are focused on transforming health care for our customers and making our company a great place to work. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. Within our Retail locations, we bring this promise to life with heart every day and our Graduate Pharmacy Interns play a critical role in supporting our pharmacy teams to consistently deliver on our brand promise, while developing their own skills in preparation for increasing responsibility. As a Graduate Pharmacy Intern, you will apply your didactic learning from pharmacy school and pharmacy practice into real-world practice to become ready for a Pharmacist role. Under the direction of your preceptor and District Leader, you will complete a comprehensive training roadmap within 120 days of graduation designed to further your knowledge of store, district, and regional operations. Through your hands-on experience, training roadmap, and time spent with leaders in your district you will deepen your understanding of patient safety and error prevention, quality assurance drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that pharmacy operations run smoothly, our patients’ prescriptions are filled promptly, safely, and accurately, and we are providing caring service that exceeds

You’ve invested a lot of time and energy in your education. Now you want the chance to make your mark. We offer challenging opportunities for you to learn and grow professionally. In our programs, you’ll be immersed in a culture of continuous improvement, with the goal of changing health care for the better. Position Summary: At CVS Health, we are focused on transforming health care for our customers and making our company a great place to work. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. Within our Retail locations, we bring this promise to life with heart every day and our Graduate Pharmacy Interns play a critical role in supporting our pharmacy teams to consistently deliver on our brand promise, while developing their own skills in preparation for increasing responsibility. As a Graduate Pharmacy Intern, you will apply your didactic learning from pharmacy school and pharmacy practice into real-world practice to become ready for a Pharmacist role. Under the direction of your preceptor and District Leader, you will complete a comprehensive training roadmap within 120 days of graduation designed to further your knowledge of store, district, and regional operations. Through your hands-on experience, training roadmap, and time spent with leaders in your district you will deepen your understanding of patient safety and error prevention, quality assurance drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that pharmacy operations run smoothly, our patients’ prescriptions are filled promptly, safely, and accurately, and we are providing caring service that exceeds

Logistics Analyst Description - Location: Fulltime onsite Litchfield Park/Phoenix Arizona Role Summary The Logistics Analyst is the on-site expert who orchestrates all shipping activities- picking, packing, staging, loading, and system transactions within HP’s distribution operations. Blending shop-floor coordination with advanced analytics, the role ensures that every order departs safely, on time, and in full. Working side-by-side with 3PL partners, Transportation, Customer Support, and IT teams, this individual contributor drives day-to-day execution while uncovering process improvements that elevate customer experience, cost efficiency, and compliance. This position will work onsite at our central DC in Litchfield Park/Phoenix Arizona. Key Responsibilities Oversee daily inbound or outbound operations, ensuring accurate and timely order fulfillment, packing, and shipping in line with HP’s quality and service standards. Lead and support process improvement initiatives focused on optimizing outbound flow, reducing order cycle times, minimizing shipping errors, and enhancing on-time delivery performance. Collaborate with Supply Chain, Customer Service, Warehouse, IT, and Transportation teams to coordinate outbound shipments, resolve exceptions, and ensure alignment with customer requirements. Track real-time metrics such as pick accuracy, order fill rate, on-time ship, trailer utilization, and dock-to-door cycle time; initiate immediate countermeasures when performance drifts. Serve as the primary point of contact for order expedites, configuration changes, embargo checks, and any customer-facing shipment issues. Develop and maintain SOPs for outbound operations, ensuring compliance with company policies and regulatory requirements.

Work Flexibility: Onsite Schedule: Monday – Friday 6:00am - 2:30pm, OT as needed What you will do: In this role, you will support the Materials Manager in coordinating daily material operations on the production floor, ensuring accurate material flow, inventory integrity, and timely delivery of components to support production schedules and operational needs. This role focuses on maintaining efficient material movement, supporting quality standards, and enabling production teams to meet safety, delivery, and cost objectives. Coordinate material availability, staging, and delivery to support uninterrupted production and minimize production downtime. Promote inventory accuracy by supporting material movements, ERP transactions, and work order processes (backflushing, transfers, scrap, and completions). Assist in identifying and resolving inventory discrepancies through root cause analysis while supporting cycle counts, physical inventories, and audit activities. Leverage material usage trends and production demand insights to help optimize stocking strategies and align inventory levels with production plans. Reinforce proper material handling, storage practices, FIFO practices, and compliance with GMP, GDP, and traceability requirements. Serve as a cross-functional point of coordination between materials, production, planning, warehouse, and quality teams to ensure alignment and material readiness. Support the training and development of the Materials team, fostering accountability, accuracy, and continuous improvement. Contribute to process improvement and Lean initiatives to enhance material flow, reduce inventory levels, improve space utilization, and enhance line-side efficiency. What you need: Required Qualifications: High School Diploma

Work Flexibility: Hybrid or Onsite In this role, you will help shape how customers pay Stryker, ensuring payment processes are accurate, efficient, and easy to navigate. As a key partner across Finance, Customer Service, Sales, Accounts Receivable, and external payment providers, you will remove barriers to payment, improve cash collection outcomes, and enhance the overall customer payment experience while leading a team that drives operational excellence. What You Will Do Lead customer payment enablement activities, ensuring payment requests, onboarding requirements, and escalations are resolved accurately and efficiently. Manage customer onboarding documentation, including ACH enrollment forms, tax documentation, and legal entity information. Oversee customer payment portal administration and monitor effectiveness to support timely payments and positive customer experiences. Implement and manage customer adoption of payment solutions, including cost analysis, business approvals, and ongoing performance tracking. Own relationships with third-party payment providers and ensure payment solutions support operational, contractual, and system integration requirements. Partner with Accounts Receivable, Finance, Sales, Customer Service, and other stakeholders to resolve payment-related issues and improve collection performance. Develop reporting and insights on payment program costs, utilization, and effectiveness to support business decision-making. Lead continuous improvement initiatives that reduce payment friction, standardize processes, accelerate cash collection, and improve end-to-end payment effectiveness. What You Will Need Required Qualifications Bachelor’s degree required. Minimum 6 years of professional experience in a related field. Experience working wi

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 The Fraud, Waste, and Abuse (FWA) Analyst II identifies and develops potential healthcare fraud leads through data mining, claims analysis, and investigative research. As a key contributor to the SIU lead development process, this role evaluates provider, member, pharmacy, and ancillary healthcare billing patterns for signs of fraud, waste, abuse, and other anomalies. The Analyst II uses internal claims data, analytical tools, business rule results, and industry intelligence to assess potential FWA concerns and determine whether they warrant formal investigation. This role requires strong analytical skills, healthcare claims expertise, and the ability to translate complex data into actionable investigative leads and recommendations. Essential Responsibilities Lead Development & Fraud Detection Develop proactive and reactive leads to identify potential fraud, waste, and abuse. Generate FWA leads by mining claims databases, reporting tools, and investigative systems. Validate and refine leads generated by business rules to assess their credibility and investigative value. Examine spike analyses, utilization trends, payment anomalies, and outlier reports for unusual billing patterns. Evaluate provider, member, pharmacy, DME, transportation, and facility billing for indicators of fraud or abuse. Moni

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 The Fraud, Waste, and Abuse (FWA) Analyst II identifies and develops potential healthcare fraud leads through data mining, claims analysis, and investigative research. As a key contributor to the SIU lead development process, this role evaluates provider, member, pharmacy, and ancillary healthcare billing patterns for signs of fraud, waste, abuse, and other anomalies. The Analyst II uses internal claims data, analytical tools, business rule results, and industry intelligence to assess potential FWA concerns and determine whether they warrant formal investigation. This role requires strong analytical skills, healthcare claims expertise, and the ability to translate complex data into actionable investigative leads and recommendations. Essential Responsibilities Lead Development & Fraud Detection Develop proactive and reactive leads to identify potential fraud, waste, and abuse. Generate FWA leads by mining claims databases, reporting tools, and investigative systems. Validate and refine leads generated by business rules to assess their credibility and investigative value. Examine spike analyses, utilization trends, payment anomalies, and outlier reports for unusual billing patterns. Evaluate provider, member, pharmacy, DME, transportation, and facility billing for indicators of fraud or abuse. Moni

You’ve invested a lot of time and energy in your education. Now you want the chance to make your mark. We offer challenging opportunities for you to learn and grow professionally. In our programs, you’ll be immersed in a culture of continuous improvement, with the goal of changing health care for the better. Position Summary: At CVS Health, we are focused on transforming health care for our customers and making our company a great place to work. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. Within our Retail locations, we bring this promise to life with heart every day and our Graduate Pharmacy Interns play a critical role in supporting our pharmacy teams to consistently deliver on our brand promise, while developing their own skills in preparation for increasing responsibility. As a Graduate Pharmacy Intern, you will apply your didactic learning from pharmacy school and pharmacy practice into real-world practice to become ready for a Pharmacist role. Under the direction of your preceptor and District Leader, you will complete a comprehensive training roadmap within 120 days of graduation designed to further your knowledge of store, district, and regional operations. Through your hands-on experience, training roadmap, and time spent with leaders in your district you will deepen your understanding of patient safety and error prevention, quality assurance drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that pharmacy operations run smoothly, our patients’ prescriptions are filled promptly, safely, and accurately, and we are providing caring service that exceeds