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Cvs Health Prior Authorization Remote Jobs (NOW HIRING)

CVS Health

Authorization Specialist

$17 - $31.30/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Authorization Specialist Coram/CVS Health is looking for a high-energy healthcare professional to ... In this dynamic and fast-paced role, you will be responsible to obtain prior authorization for both ...

CVS Health

Authorization Specialist

$17 - $31.30/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Authorization Specialist Coram/CVS Health is looking for a high-energy healthcare professional to ... In this dynamic and fast-paced role, you will be responsible to obtain prior authorization for both ...

Pacer Group

Prior Authorization Pharmacist (Remote)

$59.50 - $71.75/hr

Remote (Must be able to work EST hours) Duration: 3 months Schedule: Monday - Friday | 10:00 AM - 6 ... Engage with healthcare providers regarding prior authorization determinations. * Support Fraud ...

Pharmacy Careers

Remote Prior Authorization Pharmacist

$59.50 - $71.75/hr

Remote Prior Authorization Pharmacist - Work From Home | Flexible Schedule | High Clinical Impact ... Document all decisions in compliance with CMS, state, and health-plan requirements. * Support ...

Pharmacy Careers

Remote Prior Authorization Pharmacist

$59.50 - $71.75/hr

Remote Prior Authorization Pharmacist - Work From Home | Flexible Schedule | High Clinical Impact ... Document all decisions in compliance with CMS, state, and health-plan requirements. * Support ...

Pharmacy Careers

Remote Prior Authorization Pharmacist

$59.50 - $71.75/hr

Remote Prior Authorization Pharmacist - Work From Home | Flexible Schedule | High Clinical Impact ... Document all decisions in compliance with CMS, state, and health-plan requirements. * Support ...

Inspire Medical Systems I

Prior Authorization Specialist

$51K - $70K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Prior Authorization Specialist Minneapolis, MN Inspire is the first of its kind medical device ... Multiple health insurance plan options. * Employer contributions to Health Savings Account.

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Prior Authorization Pharmacist

Phoenix, AZ · Remote

$53/hr

  • Medical

  • Dental

  • Vision

We are seeking a Remote Clinical Pharmacist - Specialty Medical Prior Authorization to perform clinical assessments, review medical information, communicate with healthcare providers, and support ...

US Tech Solutions

$17 - $19/hr

Fully remote Duration: 12 months contract * Prior Authorization Specialist takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all ...

Pharmacy Careers

Remote Prior Authorization Pharmacist

$59.50 - $71.75/hr

Remote Prior Authorization Pharmacist - Work From Home in Managed Care A confidential managed care ... Document outcomes in compliance with health plan policies and CMS/state regulations. * Support ...

Pharmacy Careers

Remote Prior Authorization Pharmacist

$59.50 - $71.75/hr

Remote Prior Authorization Pharmacist - Work From Home in Managed Care A confidential managed care ... Document outcomes in compliance with health plan policies and CMS/state regulations. * Support ...

Pharmacy Careers

Remote Prior Authorization Pharmacist

$59.50 - $71.75/hr

Remote Prior Authorization Pharmacist - Work From Home in Managed Care A confidential managed care ... Document outcomes in compliance with health plan policies and CMS/state regulations. * Support ...

Pharmacy Careers

Remote Prior Authorization Pharmacist

$59.50 - $71.75/hr

Remote Prior Authorization Pharmacist - Work From Home | Flexible Schedule | High Clinical Impact ... Document all decisions in compliance with CMS, state, and health-plan requirements. * Support ...

Pharmacy Careers

Remote Prior Authorization Pharmacist

$59.50 - $71.75/hr

Remote Prior Authorization Pharmacist - Work From Home | Flexible Schedule | High Clinical Impact ... Document all decisions in compliance with CMS, state, and health-plan requirements. * Support ...

Pharmacy Careers

Remote Prior Authorization Pharmacist

$59.50 - $71.75/hr

Remote Prior Authorization Pharmacist - Work From Home | Flexible Schedule | High Clinical Impact ... Document all decisions in compliance with CMS, state, and health-plan requirements. * Support ...

US Tech Solutions

$17 - $19/hr

Fully remote Duration: 12 months contract * Prior Authorization Specialist takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all ...

Pharmacy Careers

Remote Prior Authorization Pharmacist

$59.50 - $71.75/hr

Remote Prior Authorization Pharmacist - Work From Home | Flexible Schedule | High Clinical Impact ... Document all decisions in compliance with CMS, state, and health-plan requirements. * Support ...

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Cvs Health Prior Authorization Remote information

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$32

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

As of Aug 15, 2026, the average hourly pay for cvs health prior authorization remote 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 as a CVS Health prior authorization remote specialist?

To thrive as a CVS Health Prior Authorization Specialist in a remote setting, you need a strong understanding of pharmacy benefit management, healthcare regulations, and medical terminology, typically supported by a pharmacy technician certification or relevant healthcare experience. Familiarity with prior authorization software, electronic health records (EHRs), and CVS Health’s proprietary systems is commonly required. Excellent communication, attention to detail, and problem-solving skills help in effectively collaborating with providers and ensuring accurate, timely authorization decisions. These competencies are crucial for minimizing medication delays, ensuring compliance, and delivering efficient patient care.

What is the difference between Cvs Health Prior Authorization Remote vs Cvs Health Claims Processor?

AspectCvs Health Prior Authorization RemoteCvs Health Claims Processor
CredentialsHigh school diploma or equivalent; healthcare knowledgeHigh school diploma or equivalent; healthcare or insurance knowledge
Work EnvironmentRemote, home-basedRemote or office-based, depending on location
Job FocusReviewing and approving prior authorization requests for medications and treatmentsProcessing insurance claims, verifying coverage, and coding
Industry UsageHealthcare, insuranceHealthcare, insurance

Both roles are essential in healthcare insurance, with the prior authorization remote role focusing on approving treatment requests, while the claims processor handles billing and claims verification. They share similar credentials and work environments but differ in their specific responsibilities within the insurance process.

What are the most common challenges faced by remote prior authorization specialists at CVS Health, and how can they be managed?

Remote Prior Authorization Specialists at CVS Health often encounter challenges such as managing high call volumes, staying updated on frequently changing insurance policies, and maintaining clear communication with both providers and internal teams. Effective time management, proactive learning, and utilizing CVS Health's communication platforms can help address these issues. Building strong relationships with team members through regular virtual meetings also fosters collaboration and support in a remote environment.

What is a CVS Health prior authorization remote position?

A CVS Health Prior Authorization Remote position typically involves reviewing and processing prior authorization requests for prescription medications from healthcare providers and patients. Employees in this role determine whether a medication is covered under a patient's pharmacy benefit plan by evaluating clinical information and plan guidelines. Working remotely, they communicate with prescribers, pharmacies, and insurance representatives to ensure timely and accurate decisions. This job requires strong attention to detail, good communication skills, and knowledge of pharmacy benefits or healthcare processes.
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The most popular types of Cvs Health Prior Authorization jobs are:

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Cvs Health Prior Authorization Remote jobs near you
Infographic showing various Cvs Health Prior Authorization Remote job openings in the United States as of August 2026, with employment types broken down into 79% Full Time, 18% Part Time, and 3% Temporary. Highlights an 3% In-person, and 97% Remote job distribution, with an average salary of $43,459 per year, or $20.9 per hour.

Authorization Specialist

CVS Health

Remote

$17 - $31.30/hr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 4 days ago

CVS Health rating

5.8

Company rating: 5.8 out of 10

Based on 4,335 frontline employees who took The Breakroom Quiz

89th of 112 rated pharmacies

Job description

Authorization Specialist

Coram/CVS Health is looking for a high-energy healthcare professional to join our National team as an Authorization Specialist! This rewarding opportunity allows you to work closely with our Patient Intake Coordinators and insurance providers to obtain authorization for in-home Specialty therapies for Coram's patients. We believe that Authorization Specialists are a key part of creating a positive experience for our patients. In this dynamic and fast-paced role, you will be responsible to obtain prior authorization for both new and existing patients in order to process patient prescription orders in a timely manner while demonstrating excellent customer service to patients, healthcare professionals and insurance carriers. This role will require an understanding of insurance carriers and concepts including pharmacy benefits, major medical benefits, and per diem coverage as well as knowledge of government and patient assistance programs.

Key Responsibilities:

  • Complete and document Authorizations
  • Provides information on specialty medications/ home infusion services.
  • Comply with and adhere to all regulatory compliance areas, policies, and procedures, and "best practices."
  • Coordinate with the Patient Intake Coordinators for new and existing accounts.
  • Investigate type and level of insurance coverage to assess Authorization processing
  • Communicate with medical professionals and insurance company personnel.
  • Provide input on self reviews
  • Assist less experienced peers
  • Perform other duties & responsibilities that are reasonable as assigned by your leaders

Required Qualifications:

  • Experience reading benefits from insurance companies
  • Experience with Authorization requests
  • Data entry experience.
  • Working knowledge in Microsoft Office, specifically Outlook and Word.

Preferred Qualifications:

  • Home infusion or durable medical equipment (DME) experience.
  • Experience work in a healthcare environment.
  • Experience working with healthcare ins Education

Verifiable High School diploma or GED is required

Anticipated Weekly Hours: 40

Time Type: Full time

Pay Range: The typical pay range for this role is: $17.00 - $31.30. 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. 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.

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

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