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Cvs Health Prior Authorization Jobs (NOW HIRING)

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 ...

MC-Rx

Prior Authorization Coordinator

Miramar, FL · On-site

$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 ...

MDxHealth

Prior Authorization Specialist

Irvine, CA · On-site

$19.26 - $23/hr

The Prior Authorization Specialist is responsible for all aspects of the prior authorization ... Minimum 2 years of customer service experience in the healthcare industry. * Proficiency in the ...

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

As of Jun 13, 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 is the starting pay at CVS?

The starting pay for CVS Health positions varies by location and role but generally ranges from $13 to $15 per hour for entry-level positions. Factors such as experience, certifications, and job responsibilities can influence the initial salary offered.

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.

How hard is it to get hired at CVS Health?

Getting hired at CVS Health for roles like pharmacy technician or customer service representative typically involves completing an application, passing a background check, and sometimes obtaining relevant certifications. The hiring process can vary in length but generally requires demonstrating good communication skills and relevant experience or training.

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 is a CVS Caremark prior authorization job description?

A CVS Caremark prior authorization job involves reviewing and processing requests for medication approvals to ensure they meet insurance and medical guidelines. The role requires knowledge of pharmacy benefits management, attention to detail, and often involves using specialized software to evaluate patient prescriptions and communicate decisions to healthcare providers. It is typically performed in a healthcare or pharmacy benefits environment and may require relevant certifications or experience in pharmacy or healthcare administration.

Is CVS Health hard to get accepted for remote position?

Getting accepted for a remote position at CVS Health can depend on the role's requirements, such as relevant experience, certifications, and skills like customer service or pharmacy knowledge. The application process typically involves multiple steps, including assessments and interviews, and competition can vary based on the position and applicant pool.
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Cvs Health Prior Authorization jobs near you

Prior Authorization Specialist

Anchor Health CT

Hamden, CT • On-site

$48K - $62K/yr

Full-time

Posted 28 days ago

Job description

About Anchor Health
Anchor Health is Connecticut's leading center for inclusive, person-centered healthcare. We deliver compassionate, evidence-based primary, behavioral, and gender-affirming care for the LGBTQ+ community and beyond. Our mission is to empower every individual to live their healthiest life through exceptional, affirming care.
At Anchor, you'll join a collaborative team redefining what inclusive healthcare looks like across Connecticut with breaking down barriers, affirming identity, and raising the standard of care for all.
The Role
This role is responsible for prior authorization workflows, patient-specific electronic fax management, and clinical support within the EPIC EMR, ensuring timely, accurate coordination across patients, providers, and clinic staff.
The ideal candidate brings strong organizational discipline, clear communication, and the ability to operate effectively in a fast-paced clinical environment. Success in this role requires attention to detail, comfort with structured processes, and a commitment to supporting reliable, patient-centered care.
Core Responsibilities
  • Complete medication and procedural prior authorizations through CoverMyMeds, payer portals, phone calls, and electronic systems.
  • Communicate with insurance companies to clarify coverage requirements, criteria, and documentation needs.
  • Collaborate with providers to gather clinical information needed for approvals.
  • Communicate with patients regarding prior authorization updates, medication issues, or required documentation.
  • Track, follow up, and document all authorization statuses to ensure timely patient access to care.
  • Assist providers and nurses with prior authorization questions, refill coordination, and pharmacy communication.
  • Monitor, organize, and route incoming e-faxes to the appropriate clinical team members in EPIC
  • Ensure timely processing of forms, lab results, medication requests, and other clinical documents incoming from e-fax
  • Support clinic staff with administrative tasks such as scheduling, patient outreach, and medical record requests.
  • Assist in coordinating referrals, diagnostic testing, and follow-up care.
  • Maintain confidentiality and compliance with HIPAA and clinic policies.
Required Qualifications
  • 2+ years of experience with prior authorizations or insurance verification strongly preferred.
  • Certified Medical Assistant (CMA/RMA) or Pharmacy Technician (CPhT) strongly preferred.
  • Familiarity with EPIC
  • Strong communication, problem-solving, and organizational skills.
  • Ability to work both independently and collaboratively within a clinical team.
  • Knowledge of medical terminology, medications, and insurance processes

Why Join Anchor Health
Here, your work has meaning for your team, your patients, and your community. We offer competitive pay, growth opportunities, and a culture grounded in trust, respect, and collaboration. Join us in shaping the future of inclusive healthcare in Connecticut.
Apply today and help us care for every person exactly as they are.
Salary Range
The salary range for this role is $48,000- $62,000 annually.
Compensation within this range is determined based on relevant experience, licensure, skills, scope of responsibility, and internal equity. The full range reflects the potential for growth within the role; most new hires are typically placed between the minimum and midpoint of the range, depending on qualifications.
Anchor Health maintains structured salary bands and reviews compensation periodically to ensure alignment with market conditions, organizational needs, and individual performance.
Compensation
Compensation within this range is determined based on relevant experience, licensure, skills, scope of responsibility, and internal equity. Anchor Health maintains structured salary bands and reviews compensation periodically to ensure alignment with market conditions, organizational needs, and individual performance.
Salary Range
$48,000-$62,000 USD
Anchor Health is dedicated to building a team that shares identities, experiences, and understandings with the communities we serve. We strongly encourage applications from transgender and queer people, people of color, individuals with disabilities, and people living with HIV.
Anchor Health is an equal opportunity employer. We do not and will not discriminate based on an individual's real or perceived race (including traits historically associated with race, such as hair texture, hair type, hair length, and hairstyles); color; national and/or ethnic origin; ancestry and/or shared ancestry; immigration status; English language proficiency; age; religion and/or creed; disability (including record of disability); sex (including sex stereotypes and sex characteristics); gender, gender identity, and/or gender expression; physical appearance (including body size); affectional or sexual orientation; pregnancy and related conditions; parental, familial, and marital status; military or veteran status; genetic information; HIV status; the intersection of these aforementioned identities; and any other status protected under federal, state, or local law, in all phases of employment. These phases include recruitment, advertisement for employment, hiring, placement, compensation, training, promotion, discipline, evaluation, commendations, termination, layoff, and other conditions of employment against any employee or job applicant.

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