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Aetna Work From Home Prior Authorization Jobs (NOW HIRING)

CVS Health

Prior Authorization UM Nurse Consultant

Review prior authorization requests and medical records to determine medical necessity * Apply ... Work from Home Requirements: * You must have or be able to obtain a direct/hardwired internet ...

Labcorp

Prior Authorization Specialist

Burlington, NC · Remote

$17.75 - $19.50/hr

Monitor prior authorization request status, track pending cases, and perform follow-up activities ... Work remotely from a private, quiet workspace. * Maintain a reliable high-speed internet connection ...

IVX Health

Prior Authorization Coordinator

$19 - $23.50/hr

Work Options : Fully Remote, Hybrid, or In-office (Brentwood, TN) * Schedule : Monday - Friday ... from Level 1 to Level 2 and Level 3 based on performance and expertise.. * Be Part of a Supportive ...

IVX Health

Prior Authorization Coordinator

$19 - $23.50/hr

Work Options : Fully Remote, Hybrid, or In-office (Brentwood, TN) * Schedule : Monday - Friday ... from Level 1 to Level 2 and Level 3 based on performance and expertise.. * Be Part of a Supportive ...

Labcorp

Prior Authorization Specialist

$17.75 - $19.50/hr

Monitor prior authorization request status, track pending cases, and perform follow-up activities ... Work remotely from a private, quiet workspace. * Maintain a reliable high-speed internet connection ...

IVX Health

Prior Authorization Coordinator

Brentwood, TN · On-site +1

$17.50 - $21.75/hr

Work Options : Fully Remote, Hybrid, or In-office (Brentwood, TN) * Schedule : Monday - Friday ... from Level 1 to Level 2 and Level 3 based on performance and expertise.. * Be Part of a Supportive ...

CVS Health

Prior Authorization UM Nurse Consultant

Review prior authorization requests across a broad range of medical specialties * Evaluate medical ... Work-from-Home colleagues are required to work within the state and city where they have confirmed ...

PharMerica

Prior Authorization Specialist

Louisville, KY · On-site

$16.50 - $22/hr

The Prior Authorization Coordinator is responsible for striving to complete either approval for ... Operating long-term care, home infusion, and specialty pharmacies across the nation, we combine the ...

OU Health

Prior Authorization Specialist

$18.50 - $24.50/hr

Prior Authorization Specialist Department: Pre-visit Services New to OU Health? Ask your recruiter ... Candidates must reside and work full-time in OK before their first day of employment. SHIFT: M-F ...

PharMerica

Prior Authorization Specialist

Louisville, KY · On-site +1

$16.50 - $22/hr

The Prior Authorization Coordinator is responsible for striving to complete either approval for ... Operating long-term care, home infusion, and specialty pharmacies across the nation, we combine the ...

PainPoint

Prior Authorization Coordinator

$19 - $21/hr

... the flexibility of remote work and the satisfaction of meaningful impact. Ready to Make a ... love to hear from you. Apply today and help patients access the care they deserve. An Equal ...

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Aetna Work From Home Prior Authorization information

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$87K

$134.7K

$189K

How much do aetna work from home prior authorization jobs pay per year?

As of Sep 3, 2026, the average yearly pay for aetna work from home prior authorization in the United States is $134,701.00, according to ZipRecruiter salary data. Most workers in this role earn between $104,000.00 and $163,500.00 per year, depending on experience, location, and employer.

What is an Aetna Work From Home Prior Authorization?

An Aetna Work From Home Prior Authorization job typically involves reviewing medical requests submitted by healthcare providers to determine if certain procedures, medications, or services are medically necessary and covered by a patient's insurance plan. Employees in this role work remotely, using Aetna's systems to evaluate clinical information against established guidelines and policies. They may communicate directly with providers, members, and other Aetna staff to gather information, clarify requirements, and ensure timely processing of prior authorization requests. Strong organizational, communication, and computer skills are essential for success in this position.

What does an Aetna Work From Home Prior Authorization do?

In a Work From Home Prior Authorization role at Aetna, your day typically involves reviewing medical requests from providers or members to determine if they meet the criteria for coverage. You will communicate frequently with healthcare professionals, document decisions in internal systems, and ensure compliance with company and regulatory guidelines. Collaboration with other team members and departments is common, especially when complex cases arise or additional information is needed. Time management and attention to detail are crucial, as the volume of requests can vary and deadlines are often tight.

What skills and qualifications are needed for an Aetna Work From Home Prior Authorization?

To thrive as an Aetna Work From Home Prior Authorization Specialist, you need a background in healthcare administration, knowledge of medical terminology, and familiarity with insurance guidelines, often supported by a relevant degree or experience in medical claims. Proficiency with medical management software, electronic health records (EHRs), and prior authorization platforms is typically required. Excellent attention to detail, strong organizational skills, and effective communication are essential soft skills for interacting with providers and ensuring accurate documentation. These competencies are critical to efficiently processing authorizations, minimizing errors, and delivering high-quality service in a remote healthcare environment.

What is the difference between Aetna Work From Home Prior Authorization vs Aetna Medical Reviewer?

AspectAetna Work From Home Prior AuthorizationAetna Medical Reviewer
CredentialsLicenses or certifications in healthcare or insuranceMedical degrees and clinical licenses
Work EnvironmentRemote, administrative settingClinical, often in healthcare facilities or remote
Employer & Industry UsageInsurance companies, healthcare plansHealthcare providers, insurance companies
Job FocusReviewing prior authorization requests for coverageAssessing medical records for claims and care decisions

While both roles involve healthcare and insurance, Aetna Work From Home Prior Authorization focuses on reviewing coverage requests remotely, whereas Aetna Medical Reviewer involves clinical assessment of medical records. Both require healthcare credentials but differ in daily tasks and work environment.

More about Aetna Work From Home Prior Authorization jobs

What cities are hiring for Aetna Work From Home Prior Authorization jobs?

Cities with the most Aetna Work From Home Prior Authorization job openings:

What states have the most Aetna Work From Home Prior Authorization jobs?

States with the most job openings for Aetna Work From Home Prior Authorization jobs include:

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Aetna Work From Home Prior Authorization jobs near you
Infographic showing various Aetna Work From Home Prior Authorization job openings in the United States as of August 2026, with employment types broken down into 81% Full Time, 14% Part Time, and 5% Contract. Highlights an 5% In-person, and 95% Remote job distribution, with an average salary of $134,701 per year, or $64.8 per hour.

REGISTERED Pharmacist - Prior Authorization - Work from Home! {168034}

A-Line Staffing Solutions

Atlanta, GA • Remote

$53 - $58/hr

Full-time

Medical, Dental, Vision, Life, Retirement

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

A-Line Staffing is now hiring Remote / Work from Home Pharmacists. The Pharmacist would be working for a Fortune 500 company and has career growth potential. This would be full time / 40+ hours per week.

If you are interested in this Remote / Work from Home Pharmacist position, please apply today for immediate consideration!

***MUST HAVE PREVIOUS PBM PRIOR AUTHORIZATION EXPERIENCE***

Remote / Work from Home Pharmacist Compensation

  • The pay for this position is $53.00 - $58.00 per hour
  • Benefits are available to full-time employees after 90 days of employment
  • A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates

Remote / Work from Home Pharmacist Highlights

  • This position is a contract assignment with potential to hire on permanently based upon attendance, performance, and business needs
  • The required availability for this position is Monday-Friday, any 8 hour shift between 7:00am - 8:00pm EST, with rotating weekends 7:00am-4:00pm

Remote / Work from Home Pharmacist Responsibilities

  • This individual must have excellent interpersonal skills.
  • Will be responsible for: Reviewing and completing criteria based on prior authorization as per policy and procedure.

Remote / Work from Home Pharmacist Requirements

  • Registered Pharmacist in State of Residence
  • MUST HAVE PREVIOUS PBM PRIOR AUTHORIZATION EXPERIENCE
  • Bachelor’s Degree or PharmD
  • Attendance is mandatory for the first 90 days

Remote / Work from Home Pharmacist Preferred Qualifications

  • Prior Authorization experience in a PBM environment

If you think this Remote / Work from Home Pharmacist position is a good fit for you, please reach out to me - feel free to call, e-mail, or apply to this posting!

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About A-Line Staffing Solutions

Sourced by ZipRecruiter

A-Line Staffing Solutions is an established full-service recruiting and staffing provider that operates in the industry of human resources and recruitment. Based in Utica, Michigan, A-Line Staffing Solutions has been committed to its mission of providing innovative and effective workforce solutions since its foundation. The company specializes in providing high-quality staffing solutions for a range of disciplines, including Information Technology, Professional, Administrative, Healthcare, and more. A-Line prides itself on its ability to offer comprehensive and tailored staffing solutions in line with the varying needs of different businesses, which has played a crucial role in the company's growth and success.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Utica, MI, US

Year founded

2004

Social media

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