ZipRecruiter

Log In

1

Cvs Health Prior Authorization Jobs (NOW HIRING)

3Y

Prior Authorization Lead

New York, NY · On-site

$100K - $140K/yr

About Us At 3Y Health, we are building AI-driven software to empower healthcare providers and solve ... About the Role We are seeking a Prior Authorizations Lead to design, manage, and scale 3Y Health ...

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 ...

Curant Health

Prior Authorization Specialist

Smyrna, GA · On-site

$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 ...

Curant Health

Prior Authorization Specialist

Smyrna, GA · On-site

$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 ...

Brown University Health

Prior Authorization Coord

Boston, MA · On-site

$19.03 - $31.39/hr

... and prior authorization processes for outpatient radiological services within Brown University ... Brown University Health employees are expected to successfully role model the organization's values ...

Anchor Health CT

Prior Authorization Specialist

Hamden, CT · On-site

$48K - $62K/yr

About Anchor Health Anchor Health is Connecticut's leading center for inclusive, person-centered ... The Role This role is responsible for prior authorization workflows, patient-specific electronic ...

Brown University Health

Prior Authorization Coord

Boston, MA · On-site

$19.03 - $31.39/hr

... and prior authorization processes for outpatient radiological services within Brown University ... Brown University Health employees are expected to successfully role model the organization's values ...

next page

Showing results 1-20

All JobsCvs Health Prior Authorization Jobs

Cvs Health Prior Authorization information

See salary details

$13

$20

$32

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

As of Jun 9, 2026, the average hourly pay for cvs health prior authorization in the United States is $20.89, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $23.08 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in the Cvs Health Prior Authorization position, and why are they important?

To thrive as a CVS Health Prior Authorization specialist, you need a thorough understanding of insurance processes, medical terminology, and healthcare regulations, often backed by experience in pharmacy, nursing, or healthcare administration. Familiarity with pharmacy benefit management (PBM) systems, electronic prior authorization platforms, and relevant software such as Microsoft Office is critical. Excellent attention to detail, communication skills, and the ability to multitask under pressure are key soft skills for this role. These competencies ensure timely and accurate processing of medication authorizations, directly impacting patient care and satisfaction.

What is a CVS Health Prior Authorization job?

A CVS Health Prior Authorization job involves reviewing medication requests from healthcare providers to determine if they meet insurance coverage criteria. Employees in this role assess prior authorization requests, verify patient information, and apply clinical guidelines to ensure appropriate medication use. They may also communicate with healthcare professionals and patients regarding approvals or denials. This position requires attention to detail, knowledge of insurance policies, and strong customer service skills.

What are the typical daily responsibilities of a CVS Health Prior Authorization specialist?

As a CVS Health Prior Authorization specialist, your daily tasks usually involve reviewing prescription requests, verifying insurance coverage, and working with healthcare providers to ensure that required documentation is complete. You will communicate regularly with physicians' offices, insurance companies, and patients to clarify information and expedite approvals or denials. The role often requires managing multiple cases at once and adhering to tight deadlines, making strong organizational skills essential. Collaboration with pharmacists and claims teams is also common, ensuring that patients receive medications promptly and in line with compliance standards.

More about Cvs Health Prior Authorization jobs
What cities are hiring for Cvs Health Prior Authorization jobs? Cities with the most Cvs Health Prior Authorization job openings:
What are the most commonly searched types of Cvs Health Prior Authorization jobs? The most popular types of Cvs Health Prior Authorization jobs are:
What states have the most Cvs Health Prior Authorization jobs? States with the most job openings for Cvs Health Prior Authorization jobs include:
What job categories do people searching Cvs Health Prior Authorization jobs look for? The top searched job categories for Cvs Health Prior Authorization jobs are:
Cvs Health Prior Authorization jobs near you
Home Health Prior Authorization Specialist

Home Health Prior Authorization Specialist

Alternate Solutions Health Network

Kettering, OH • On-site

$16 - $21.50/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 24 days ago

Job description

Our culture and people are what set us apart from other post-acute care providers. We're dedicated to the growth and development of our team to set them up for success. We CARE for our patients like they are our own FAMILY.
Monday - Friday, 8:15am - 5pm
*This position is located in our Kettering office*
HOW YOU'LL MAKE A DIFFERENCE:
At Alternate Solutions Health Network, we care for patients where they spend the majority of their time - in their homes. Today we care for patients who need skilled home care and hospice services. You won't find our brand in many places because we partner with health systems, jointly running home health and hospice agencies that use their brand. This is part of our strategy. By being part of the health system team, we can ensure each patient has a well-coordinated care plan that remains consistent whether the patient is seeing their primary care physician, receiving treatment in a hospital, or under our care in the home.
As an Authorization Specialist, you will take the lead in securing medical authorizations from third party payers (commercial and government) for post-acute services. The Authorization Specialist will be instrumental in obtaining written documentation, tracking, prioritizing and reporting outcomes of each authorization request.
WHAT WE OFFER:
We provide medical, dental, and vision insurance with flexibility for you to select what works best for you. Eligible teammates receive paid time off and may participate in the 401K, if they choose. Historically the company has matched 401K contributions which helps build your nest egg even faster. Finally, our benefit program includes company paid life, disability insurance, and a robust Employee Assistance Program.
HOW YOU'LL WORK:
You will interface directly with clinical staff, medical offices and insurance payors to ensure a seamless process to the patients receiving post-acute health care services.
MAJOR AREAS OF RESPONSIBILITY:
  • Customer Service: Communicates with patients, employees and vendors regarding services. Assists patients, their families and co-workers in understanding authorizations and eligibility
  • Operations: Checks eligibility for all payor types, assumes responsibility for all patient authorizations. Collects and records accurate patient information.
  • Compliance: Understands and practices agency policies and procedures and continually improves practices. Able to follow all legal rules and regulations

HARD & SOFT SKILLS:
  • Excellent communicator with a positive attitude.
  • Patience is a virtue when working with patients, families, physicians, and coworkers.
  • Attention to detail is critical, as is being observant and following directions.
  • Proficiency in Microsoft Excel, Word, and Outlook. Experience with Peachtree, HCHB and EPIC is preferred. Ability to learn new systems.
  • Problem solving and create solutions to drive to a course of action.

REQUIREMENTS:
  • High-School graduate or equivalent. Associates Degree preferred.
  • 1 year of billing insurance experience in a health care environment preferred.
  • Capable of all physical demands.

City: Kettering, OH
#INDASHN3
We'll help you put your passion for patient care to work. Apply today!
This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.
We are an Equal Opportunity Employer.

Apply