ZipRecruiter

Log In

1

Associate Cvs Health Prior Authorization Jobs in Indiana

Medix

Prior Authorization Specialist

South Bend, IN · On-site

$22 - $24/hr

Job Summary Our client is seeking a dedicated Prior Authorization Specialist responsible for ... Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 ...

next page

Showing results 1-20

All JobsAssociate Cvs Health Prior Authorization JobsAssociate Cvs Health Prior Authorization Jobs in Indiana

Associate Cvs Health Prior Authorization information

What is an Associate CVS Health Prior Authorization?

An Associate CVS Health Prior Authorization is a professional who assists in processing and reviewing prior authorization requests for prescription medications at CVS Health. They work closely with healthcare providers, insurance companies, and patients to ensure that medication requests meet insurance guidelines and are approved in a timely manner. Their responsibilities include gathering necessary documentation, verifying patient information, and communicating decisions regarding coverage. This role helps ensure patients receive the medications they need while adhering to insurance policies and regulations.

What are the key skills and qualifications needed to thrive as an Associate CVS Health Prior Authorization?

To thrive as an Associate CVS Health Prior Authorization, you need a solid understanding of pharmacy operations, healthcare regulations, and insurance processes, often supported by a high school diploma or equivalent and relevant work experience. Familiarity with pharmacy benefit management systems, prior authorization software, and electronic health record (EHR) platforms is typically required. Attention to detail, strong communication, and problem-solving skills help you efficiently coordinate with healthcare providers and insurance companies. These abilities ensure accurate and timely medication approvals, contributing to patient care continuity and regulatory compliance.

What are the typical challenges faced by an Associate CVS Health Prior Authorization, and how can they effectively overcome them?

Associates in CVS Health Prior Authorization often handle high volumes of requests and must navigate complex insurance policies and medication guidelines. Staying organized and maintaining up-to-date knowledge of changing formularies are key to success. Effective communication with providers, patients, and pharmacy teams is essential to resolve issues quickly and ensure timely approvals. Utilizing available training resources and collaborating with experienced colleagues can help new associates adapt and excel in this fast-paced environment.

What is the difference between Associate Cvs Health Prior Authorization vs Pharmacy Technician?

AspectAssociate Cvs Health Prior AuthorizationPharmacy Technician
CredentialsHigh school diploma or equivalent; some roles may require certificationHigh school diploma or equivalent; certification varies by state
Work EnvironmentOffice-based, administrative setting within healthcare or pharmacyPharmacy setting, assisting pharmacists with medication dispensing
Employer & Industry UsageCommonly employed by CVS Health and similar healthcare providersEmployed in retail and hospital pharmacies across the industry
Primary ResponsibilitiesManaging prior authorization requests, insurance verificationProcessing prescriptions, customer service, inventory management

In summary, Associate Cvs Health Prior Authorization roles focus on managing insurance approvals and administrative tasks within healthcare, while Pharmacy Technicians assist pharmacists with medication dispensing and customer service. Both roles require healthcare knowledge but differ in daily duties and work environments.

What are the most commonly searched types of Cvs Health Prior Authorization jobs in Indiana?

The most popular types of Cvs Health Prior Authorization jobs in Indiana are:

What are popular job titles related to Associate Cvs Health Prior Authorization jobs in Indiana?

For Associate Cvs Health Prior Authorization jobs in Indiana, the most frequently searched job titles are:

What job categories do people searching Associate Cvs Health Prior Authorization jobs in Indiana look for?

The top searched job categories for Associate Cvs Health Prior Authorization jobs in Indiana are:

What cities in Indiana are hiring for Associate Cvs Health Prior Authorization jobs?

Cities in Indiana with the most Associate Cvs Health Prior Authorization job openings:

Associate Cvs Health Prior Authorization jobs near you
Infographic showing various Associate Cvs Health Prior Authorization job openings in Indiana as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 14% Part Time, and 5% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution.

Prior Authorization Specialist

South Bend, IN • On-site

Medix
Recruiting and Staffing Services • 1 - 5K employees
Learn more about Medixexternal

$22 - $24/hr

Full-time

Medical, Dental, Vision, Retirement

Posted 12 days ago

Job description

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.
Job Summary
Our client is seeking a dedicated Prior Authorization Specialist responsible for obtaining prior authorizations and precertifications for various medical services such as radiology exams, oncology services, procedures, and chemotherapy drugs. This position will involve reviewing insurance requirements, liaising with insurance payers, and ensuring that all processes adhere to medical guidelines and regulations.
Key Responsibilities
  • Obtain prior authorizations/precertifications for radiology exams, radiation oncology services, and chemotherapy drugs.
  • Review insurance requirements and payer-specific authorization processes.
  • Analyze clinical information in the EMR to determine requested services.
  • Contact insurers via various means to submit and follow up on authorization requests.
  • Utilize national medical guideline tools to support authorization requests.
  • Verify and document all insurance requirements before approvals.
  • Navigate established workflows for pending authorization cases.
  • Communicate with providers and clinical staff regarding authorization issues.
  • Act as the primary contact for outside facility requests involving clients.
  • Respond to client emails and calls within set policy timeframes.
  • Accurately document authorization correspondence in PM and EMR systems.
  • Adhere to policies regarding treatment therapies and substitutions.
  • Maintain confidentiality, professionalism, quality, and service standards.
  • Comply with HIPAA requirements.
  • Perform additional duties as assigned.

Qualifications
  • 2-3+ years of prior authorization experience.
  • Experience in Radiation Oncology (RadOnc).
  • Understanding of Radiation Oncology treatment workflows and terminology.
  • Knowledge of insurance requirements and payer authorization processes.
  • Proficiency in operating standard office equipment and computer systems.

Experience
  • 2-3+ years in prior authorization

Skills
  • Technical skills: Proficiency with EMR and PM systems
  • Soft skills: Excellent communication, ability to collaborate with healthcare professionals

Additional Requirements
  • Contract to HIRE opportunity

Benefits
  • Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
  • Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
  • 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
  • Short Term Disability Insurance.
  • Term Life Insurance Plan.

* We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).
Medix Overview:
With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we're dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.
Any required state or Joint Commission training is compensated at the state or local minimum wage rate.
* As a job position within our Revenue Cycle division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, handling financial and other payment data, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.
Medix Staffing Solutions logo

About Medix Staffing Solutions

Sourced by ZipRecruiter

Since 2001, we’ve been dedicated to helping you achieve your goals. Medix was created to become a leading provider of workforce solutions for clients and candidates across the healthcare and life sciences industries. Today, we are that leader. Headquartered in Chicago, we have 23 offices across the United States, and staff talent around the world. Medix is committed to fulfilling our core purpose as an organization: to positively impact the lives of our talent, clients, and teammates through employment, philanthropy, and opportunity. The combination of purpose and values has nurtured our thriving culture that encourages our internal team to excel at work and in everyday life.

Industry

Recruiting and staffing services

Company size

1,001 - 5,000 Employees

Headquarters location

Chicago, IL, US

View All Medix Staffing Solutions Jobs

Apply