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Associate Cvs Health Prior Authorization Jobs (NOW HIRING)

Curant Health

Prior Authorization Specialist

Smyrna, GA

$18 - $24/hr

As a Curant Health employee, your role is to deliver on that vision every day by delivering ... The Prior Authorization specialist responsibilities includes: taking in-bound calls from providers ...

OneOncology LLC

Prior Authorization Specialist

Huntsville, AL · On-site

$17.75 - $23.75/hr

Must have knowledge of Health Insurance Plans * Experience in obtaining Health Plan Prior Authorizations thru online portals and/or by phone or fax. * Ability to navigate Health Plan websites for ...

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Associate Cvs Health Prior Authorization information

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

As of Sep 10, 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 September 2026, with employment types broken down into 2% As Needed, 77% Full Time, 16% Part Time, and 5% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $46,598 per year, or $22.4 per hour.

Prior Authorization Specialist

Hendersonville, NC • On-site

Blue Ridge Community Health Services
Health Care and Social Assistance • 51 - 200 employees
Learn more about Blue Ridge Community Health Servicesexternal

$16.50 - $22/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 8 days ago

Job description

Prior Authorization Specialist

Blue Ridge Health is currently seeking a Prior Authorization Specialist to be part of our Medical team in Hendersonville, NC.

What We Offer You:

  • A competitive benefits plan, including Medical, Dental and Vision
  • Company sponsored life insurance and short and long-term disability coverage
  • 403(b) retirement account with company matching
  • Supplemental accident insurance available
  • 9 paid holidays per year
  • PTO and Personal Day accrual, starting day 1 - (We value a work-life balance!)
  • Flexible Schedules Available

What You'll Do:

The Prior Authorization Specialist collaborates with patients, internal staff, other medical center representatives, and third-party payers to facilitate the smooth exchange of information related to obtaining timely prior authorizations for pharmaceutical and imaging patient needs. Responsibilities include:

  • Applies clinical and pharmaceutical criteria for processing prior authorization requests in a timely manner for pharmacy needs. Reviews notifications of patient prescription rejections via covermymeds.com, faxed document scanned directly to the desktop, or patient notification
  • Reviews received Medicaid prescription rejections in NCTracks
  • Applies clinical and pharmaceutical criteria for processing prior authorization requests in a timely manner for imaging needs.
  • Processes appeals and redeterminations as needed
  • Assists in provider training or updates on efficiencies related to the prescription or imaging process prior authorization process.
  • Communicates with appropriate parties in a timely and effective manner for completion of prior authorizations.

What We're Looking For:

  • High School Diploma or equivalent, required Current North Carolina Pharmacy Technician, required
  • Strong knowledge of pharmacy terminology
  • Experience working in an interdisciplinary and/or integrative health care model
  • Proficiency in MS Office programs required. Familiarity with Electronic Health Records (EHR) and other databases, preferred.
  • Proficiency in Spanish, preferred.

About Blue Ridge Health:

At Blue Ridge Health our mission is to improve Health, inspire Hope, and advance Healing through access to Compassionate, Affordable, and Quality Care. We are seeking individuals with a passion for creating an exceptional patient and client care experience to join our team! We are a nonprofit system of Federally Qualified Health Centers (FQHCs) that works closely with communities to meet the ever-changing medical and behavioral healthcare needs of individuals throughout WNC.

We provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

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