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Cvs Health Prior Authorization Jobs (NOW HIRING)

Aquent

Prior Authorization Specialist

Palo Alto, CA · On-site

$35.81 - $38.96/hr

Jul 6, 2026 Aquent is proud to partner with a leading healthcare organization dedicated to ... Initiate, submit, and track medication prior authorizations and renewals within the Electronic ...

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 ...

MC-Rx

Prior Authorization Coordinator

Miramar, FL

$21 - $23/hr

Manage the full lifecycle of prior authorization (PA) requests in support of manufacturer-sponsored ... Ensure adherence to all regulatory and privacy requirements, including the Health Insurance ...

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

$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 ...

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

As of Jun 10, 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.

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Cvs Health Prior Authorization jobs near you
Prior Authorization Specialist

Prior Authorization Specialist

Affinity Health Center

Rock Hill, SC • On-site

$16 - $20/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 19 days ago

Job description

About the Organization
Affinity Health Center's mission is to serve the healthcare needs of our community by providing access to high-quality, comprehensive care with compassion, dignity and respect.
Affinity Health Center's vision is for a healthy and vibrant community where all people have access to exceptional and comprehensive healthcare.
Description
Join Our Mission to Transform Community Healthcare
Are you passionate about removing barriers to care and making a real difference in patients' lives? Affinity Health Center is seeking a dedicated Prior Authorization Specialist to join our dynamic team and help ensure our patients get the medications and treatments they need, when they need them.
Why This Role Matters
As a Prior Authorization Specialist, you'll be the problem-solver who turns "maybe" into "yes" for our patients. You'll navigate the complex world of insurance approvals while supporting our referral and medical records teams to create a seamless care experience. Every authorization you secure, every patient assistance application you complete, and every barrier you remove directly impacts the health and wellbeing of the community we serve.
What You'll Do
  • Process and manage prior authorizations for medications, procedures, and services with efficiency and attention to detail
  • Provide critical backend support to our referral and medical records specialists, ensuring smooth care coordination
  • Navigate EMR systems and online prior authorization portals like a pro
  • Support patients through the patient assistance application process, connecting them with resources that make care affordable
  • Communicate clearly and compassionately with patients, insurance companies, and clinical staff
  • Manage competing priorities with excellent time management and organizational skills
  • Serve as a patient advocate, always keeping their needs at the center of everything you do

Pay Range: $16.00 - $20.00 per hour based on experience and qualifications.
Benefits:
  • Fully funded health insurance
  • Paid-Time Off
  • Group Health /Life/Dental/Vision/Disability
  • 403B Retirement Plan with 3% match
  • 12 Paid Holidays
  • Training and continuing education opportunities provided, including leadership development

What Makes This Opportunity Special
This isn't just a job-it's a chance to be part of a mission-driven team that serves our community's most vulnerable populations. You'll work alongside passionate healthcare professionals who value collaboration, innovation, and compassionate care. Every day, you'll see the direct impact of your work in the lives of real people.
Ready to Make a Difference?
If you're looking for a role where your skills directly translate into better health outcomes for your community, we want to hear from you. Join us in breaking down barriers to care and supporting both our patients and our incredible care team.
Position Requirements
What We're Looking For
  • Strong knowledge of medical terminology
  • Familiarity with health insurance eligibility, benefits, and authorization processes
  • Experience in healthcare settings (preferred)
  • Comfort navigating electronic medical records (EMR) and online authorization systems
  • Excellent communication skills-you can explain complex insurance issues in plain language
  • Outstanding time management and organizational abilities
  • A patient-centered approach to service delivery
  • Bilingual skills (a plus!)

EOE Statement
Disclaimer: This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at management's discretion.
Condition of Employment: Per policy, vaccination against the Seasonal Flu is an Employee Health Standard and Condition of Employment for all new employees of Affinity Health Center. New employees must have initiated the vaccination process prior to their start date or initiate vaccination upon onboarding.
EEO: It is the policy of Affinity Health Center to ensure equal employment opportunity without discrimination because of race, religion, color, sexual orientation, political affiliation, physical disability, national origin, sex, gender identity, gender expression, military status, age, pregnancy, or any pregnancy-related medical conditions, including, but not limited to, lactation, except when the basis is a bona fide occupational qualification.
ADA: It is Affinity Health Center's (AHC) policy to comply with all relevant and applicable provisions of the Americans with Disabilities Act (ADA) and related state and local laws. Affinity Health Center will not discriminate against any qualified employee or job applicant with respect to any terms, privileges, or conditions of employment because of physical or mental disability. AHC will make reasonable accommodations for employees or applicants with disabilities, provided that the individual is otherwise qualified to safely perform the essential functions of the job, with or without accommodation, and provided that any accommodations made do not impose an undue hardship. Individuals who feels that an accommodation is necessary to be able to perform the essential functions of the job should contact Human Resources.
This position is currently accepting applications.

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