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Cvs Health Prior Authorization Remote Jobs (NOW HIRING)

Ohm Systems, Inc

Be Seen First

Prior Authorization Technician - Remote

Philadelphia, PA · Remote

$26.50 - $28.50/hr

Reporting directly to the Supervisor, Prior Authorization Technicians, the Prior Authorization ... specializes in IT and Healthcare staffing services, dedicated to linking highly skilled ...

New

CVS Health

Prior Authorizations, Technician I

$17 - $28.46/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... the criteria based prior authorization process. Maintains complete, timely and accurate ...

Flagler Health

Prior Authorization Specialist (Contract)

$18.50 - $24.50/hr

Flagler Health Is Building The Clinical Operating System For Modern Musculoskeletal Care We partner ... Prior authorizations are a critical component of that success. We are seeking a Prior Authorization ...

CVS Health

Prior Authorizations, Technician I

$17 - $28.46/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... the criteria based prior authorization process. Maintains complete, timely and accurate ...

Humata Health

Prior Authorization Workflow Consultant

  • Medical

  • Life

  • Retirement

  • PTO

The Prior Authorization Workflow Consultant plays a critical role in Humata Health's customer ... Contribute to innovative solutions that improve healthcare efficiency and patient outcomes * Remote ...

CVS Health

Prior Authorizations, Technician I

$17 - $25.65/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... the criteria based prior authorization process. Maintains complete, timely and accurate ...

CVS Health

Prior Authorizations, Technician I

$17 - $31.30/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... the criteria based prior authorization process. Maintains complete, timely and accurate ...

Managed Staffing

Prior Authorization Representative

AL · Remote

$17.50 - $18.50/hr

Fully Remote (Work from Home - Anywhere in the U.S.) Pay Rate: $17.90/hour (W2) Schedule: Monday ... healthcare or social services sector. In this role, you will handle inbound calls from members ...

CVS Health

Prior Authorizations, Technician I

$17 - $28.46/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... the criteria based prior authorization process. Maintains complete, timely and accurate ...

MedImpact

Prior Authorization Coordinator I

San Diego, CA · On-site +1

$22.55 - $27.41/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

MedImpact Healthcare Systems, Inc. is looking for extraordinary people to join our team! Why join ... remote location with management approval based on business requirements). Must provide adequate ...

Moda Health

Prior Authorization Coordinator I

Portland, OR · On-site +1

$19.43 - $21.86/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda ... A reliable, high-speed, hard-wired internet connection required to support remote or hybrid work.

New

PainPoint Health

Prior Authorization Team Lead

Atlanta, GA · Remote

$23/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Prior Authorization Team Lead Full-Time | Remote | $23/hr Schedule: Monday-Friday 8:00 AM-4:30 PM ... Health Savings Account (HSA) * Health Management Tools * Paid Time Off (PTO) * Company Paid ...

MedImpact

Prior Authorization Coordinator I

$22.55 - $27.41/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

MedImpact Healthcare Systems, Inc. is looking for extraordinary people to join our team! Why join ... remote location with management approval based on business requirements). Must provide adequate ...

MedImpact

Prior Authorization Coordinator I

Tempe, AZ · On-site +1

$22.55 - $27.41/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

MedImpact Healthcare Systems, Inc. is looking for extraordinary people to join our team! Why join ... remote location with management approval based on business requirements). Must provide adequate ...

PainPoint

Prior Authorization Team Lead

$23/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Prior Authorization Team Lead Full-Time | Remote | $23/hr Schedule: Monday-Friday 8:00 AM-4:30 PM ... Health Savings Account (HSA) * Health Management Tools * Paid Time Off (PTO) * Company Paid ...

VITAS Healthcare

Prior Authorization Coordinator RCM

Miramar, FL · On-site +1

$17 - $21/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Prior Authorization Coordinator position is located in Miramar, Florida. Must be able to work ... At least two years of related healthcare Revenue Cycle experience, preferably within registration ...

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All JobsCvs Health Prior Authorization JobsCvs Health Prior Authorization Remote Jobs

Cvs Health Prior Authorization Remote information

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

As of Aug 16, 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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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.

Specialist I, Prior Authorization-Lumicera

Navitus Health Solutions, LLC

Remote

$18.67 - $21.96/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 28 days ago

Navitus Health Solutions rating

7.0

Company rating: 7.0 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

266th of 492 rated business services

Job description

Company
Lumicera
About Us
Lumicera - Lumicera Health Services Powered by Navitus - Innovative Specialty Pharmacy Solutions- Lumicera Health Services is defining the "new norm" in specialty pharmacy to optimize patient well-being through our core principles of transparency and stewardship. Here at Lumicera, our team members work in an environment that celebrates creativity and fosters diversity. .. Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities. We are committed to providing equal employment opportunity to all applicants and employees and comply with all applicable nondiscrimination regulations, including those related to protected veterans and individuals with disabilities. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or handicap.
Pay Range
USD $18.67 - USD $21.96 /Hr.
STAR Bonus % (At Risk Maximum)
0.00 - Ineligible
Work Schedule Description (e.g. M-F 8am to 5pm)
M-F 8 hr shift in between
Remote Work Notification
ATTENTION: Lumicera is unable to offer remote work to residents of Alaska, Connecticut, Delaware, Hawaii, Idaho, Kansas, Kentucky, Maine, Massachusetts, Mississippi, Montana, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, Vermont, Washington DC, West Virginia, and Wyoming.
Overview
Lumicera Health Services is seeking a Prior Authorization Specialist I to join our team!
Under direction from the Supervisor, Specialty Pharmacy Services, and pharmacists in the Specialty Pharmacy, the Prior Authorization Specialist I is primarily responsible for obtaining information and assisting providers and insurance companies in triaging prior authorizations for patients of the specialty pharmacy. The Prior Authorization Specialist's main objective is to answer phone calls and contact the doctors and patients via fax or phone or other communication means to facilitate and document prior authorization approval. The Prior Authorization Specialist may also be responsible for ensuring that all pertinent patient information is contained within the record. Patient information shall include demographics, allergies, medication history, comorbidities, and payer information. This position will function with and assist any other area in the facility as needed with regard to prior authorization type duties.
Is this you? Find out more below!
Responsibilities
How do I make an impact on my team?
  • Responsible for answering the inbound calls from patients, prescribers, and other healthcare professionals
  • Responsible for contacting doctors to obtain necessary information
  • Responsible for managing the assigned workflow queues
  • Responsible for accurate and thorough documentation of information and prescription order set up
  • The Employee will act in accordance with all applicable federal and state laws and with the highest ethical standards that we consistently strive to achieve. Thus, legal and ethical compliance is an essential duty of each employee
  • Other duties as assigned

Qualifications
What our team expects from you?
  • High school diploma or GED
  • Some college preferred
  • CPhT Preferred
  • Pharmacy technician license or pharmacy technician trainee license is strongly preferred in states requiring pharmacy technician licensure
  • Minimum two years pharmacy support experience or healthcare environment experience preferred
  • Ability to work scheduled hours, shifts may vary based on department needs. Hours of operation are 8am to 7pm Monday thru Thursday and 8am to 6pm on Friday
  • Participate in, adhere to, and support compliance program objectives
  • The ability to consistently interact cooperatively and respectfully with other employees

What can you expect from Navitus?
  • Top of the industry benefits for Health, Dental, and Vision insurance
  • 20 days paid time off
  • 4 weeks paid parental leave
  • 9 paid holidays
  • 401K company match of up to 5% - No vesting requirement
  • Adoption Assistance Program
  • Flexible Spending Account
  • Educational Assistance Plan and Professional Membership assistance
  • Referral Bonus Program - up to $750!

#LI-Remote
Location : Address
Remote
Location : Country
US

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