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Associate Cvs Health Prior Authorization Jobs (NOW HIRING)

Grace Health

Prior Authorization Specialist

Battle Creek, MI · On-site

$16.25 - $21.50/hr

Job Title Grace Health is currently seeking an individual that will obtain prior authorizations for patients and assist with the managed care process. We offer competitive wages based on experience ...

Equitas Health

Prior Authorization Specialist

Columbus, OH · On-site

$18.13 - $21.78/hr

Prior Authorization Specialist Established in 1984, Equitas Health is a regional not-for-profit community-based healthcare system and federally qualified community health center look-alike. Its ...

Grace Health

Prior Authorization Specialist

Battle Creek, MI · On-site

$17 - $22.75/hr

Grace Health is currently seeking an individual that will obtain prior authorizations for patients and assist with the managed care process. We offer competitive wages based on experience and up to 3 ...

Grace Health

Prior Authorization Specialist

Battle Creek, MI · On-site

$17 - $22.75/hr

Grace Health is currently seeking an individual that will obtain prior authorizations for patients and assist with the managed care process. We offer competitive wages based on experience and up to 3 ...

Equitas Health

Prior Authorization Specialist

Columbus, OH · On-site

$18.13 - $21.78/hr

Health * 401k * Sick time POSITION SUMMARY: The Prior Authorization Specialist handles all prior authorizations, third party appeals, and pending third party payer issues across all Equitas Health ...

Independent Health Association

$22/hr

Associates degree preferred. * Two (2) years of experience in pharmacy or health insurance operations required OR one (1) year of experience as a temporary associate in the Prior Authorization ...

Grace Health

Prior Authorization Specialist

Battle Creek, MI · On-site

$17 - $22.75/hr

Grace Health is currently seeking an individual that will obtain prior authorizations for patients and assist with the managed care process. We offer competitive wages based on experience and up to 3 ...

CVS Health

Authorization Specialist

Saint Paul, MN · On-site

$17 - $31.30/hr

At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... In this dynamic and fast-paced role, you will be responsible to obtain prior authorization ...

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How much do associate cvs health prior authorization jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for associate cvs health prior authorization in the United States is $22.40, according to ZipRecruiter salary data. Most workers in this role earn between $17.07 and $25.00 per hour, depending on experience, location, and employer.

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.

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Associate Cvs Health Prior Authorization jobs near you
Infographic showing various Associate Cvs Health Prior Authorization job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 76% Full Time, 16% Part Time, and 6% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $46,598 per year, or $22.4 per hour.

Clinical Pharmacist - Aetna Medicaid Prior Authorization (AZ or TX Licensed)

CVS Health

Home, KS • On-site

$94K - $176K/yr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 5 days ago

CVS Health rating

5.8

Company rating: 5.8 out of 10

Based on 4,339 frontline employees who took The Breakroom Quiz

91st of 113 rated pharmacies

Job description

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

Ready to take your clinical skills to the next level? Check out this outstanding opportunity for a Medicaid Prior Authorization Pharmacist with Aetna!

This is a Clinical Pharmacist Position supporting Medicaid Prior Authorization.

An active AZ or TX pharmacist license that is in good standing is required. New hire is required to obtain AZ or TX pharmacist license (whichever they currently do not have) within 90 days of hire.

We are hiring for the 10:00 am - 6:30 pm shift AZ time (post training). The training schedule is: 8:00 am - 4:30 pm AZT (8 weeks).

You are required to work one Saturday every 6 weeks and occasional holidays.

This is a fully remote position open to qualified candidates within the United States.

Required Qualifications

  • Active and unrestricted AZ and/or TX pharmacist license required. Candidate must currently hold one of these licenses.

  • New hire is required to obtain additional AZ or TX pharmacist license (whichever they do not currently hold) within 90 days of hire.

  • Experience with clinical decision-making while applying evidence based clinical guidelines/criteria; utilizing formularies/preferred drug lists.

  • Experience working in a high production managed care team environment

  • 3+ years experience working as a pharmacist.

  • Demonstrated understanding of clinical program components, formulary designs, and prescription benefit trends.

Preferred Qualifications

  • Medicaid or Medicare experience

  • Prior authorization experience.

  • Experience reviewing medical records, clinical literature, and composing SOAP notes.

Education

BS in Pharmacy or PharmD

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$94,500.00 - $176,000.00

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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments (https://learn.bswift.com/cvshealth-mainland) .

We anticipate the application window for this opening will close on: 08/24/2026

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

CVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran — committed to diversity in the workplace.

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