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Cvs Health Prior Authorization Jobs in Indiana (NOW HIRING)

Prior Authorization Specialist

Indianapolis, IN · On-site

$17.25 - $23/hr

PurposeCare is Bringing Healthcare Home, and we want you to join our family! PurposeCare and its affiliate companies are looking for a qualified, dependable, honest, reliable, Prior Authorization ...

Prior Authorization Specialist

Indianapolis, IN · On-site

$17.25 - $23/hr

PurposeCare is Bringing Healthcare Home, and we want you to join our family! PurposeCare and its affiliate companies are looking for a qualified, dependable, honest, reliable, Prior Authorization ...

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Cvs Health Prior Authorization information

See Indiana salary details

$13

$19

$30

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

As of Aug 9, 2026, the average hourly pay for cvs health prior authorization in Indiana is $19.88, according to ZipRecruiter salary data. Most workers in this role earn between $16.49 and $21.97 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?

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.

What are the most commonly searched types of Cvs Health Prior Authorization jobs in Indiana? The most popular types of Cvs Health Prior Authorization jobs in Indiana are:
What job categories do people searching Cvs Health Prior Authorization jobs in Indiana look for? The top searched job categories for Cvs Health Prior Authorization jobs in Indiana are:
Infographic showing various Cvs Health Prior Authorization job openings in Indiana as of July 2026, with employment types broken down into 1% As Needed, 76% Full Time, 19% Part Time, and 4% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $41,354 per year, or $19.9 per hour.

Prior Authorization Specialist

Franciscan Alliance

Munster, IN • On-site

$17.50 - $23.50/hr

Other

This job post has expired today. Applications are no longer accepted.


Franciscan Health rating

6.8

Company rating: 6.8 out of 10

Based on 268 frontline employees who took The Breakroom Quiz

452nd of 887 rated healthcare providers


Job description

Prior Authorization Specialist

The Prior Authorization Specialist is responsible for obtaining prior authorization for provider practices, which may include outpatient services, specialty care and other ancillary services. The Prior Authorization Specialist verifies insurance coverage and gathers clinical information to ensure that all reimbursement requirements are met.

Who We Are

Franciscan Health is a leading healthcare organization dedicated to providing exceptional patient care and promoting health and wellness in our community. Our mission is to ensure that every patient receives the highest quality of care through innovation, compassion, and excellence. With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers who provide compassionate, comprehensive care for our patients and the communities we serve.

What You Can Expect
  • Flexible position, work from home 2 days, in person (Munster, IN) 3 days.
  • Monday through Friday 8:00am to 5:00pm.
  • Training will be 1 month on site (Munster, IN).
  • Serve as primary contact, educator, and resource for all ambulatory department prior authorization requirements and processes.
  • Collect clinical and coding information regarding services to be rendered.
  • Contact payer to obtain prior authorization.
  • Provide standardized documentation within EPIC to identify prior authorization and the criteria surrounding such authorization; stay informed and research information regarding insurance criteria for prior authorization.
  • Verify standard documentation and requirements have been met, and advise providers and their clinical staff when issues arise relating to obtaining prior authorization.
Qualifications
  • Required High School Diploma/GED
  • 1 year Prior Authorizations and Revenue Cycle Required

Travel is required: Never or Rarely

Equal Opportunity Employer

It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity.


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