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Cvs Prior Authorization Jobs (NOW HIRING)

Managed Staffing

Pharmacist Operations Advisor

AL · Remote

$57 - $58/hr

Pharmacist Operations Advisor - Prior Authorization (Remote) Location: Remote (Excludes residents ... Maintain up-to-date clinical and technical knowledge for CVS Specialty and Non-Specialty programs.

CVS Health

Specialty Pharmacy Technician II

Boston, MA · On-site

$17 - $34.15/hr

At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... Submit and follow up on prior authorization requests with third-party payors * Perform benefits ...

CVS Health

Pharmacy Technician

Collierville, TN · On-site

$17 - $25.65/hr

At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... Prior authorization experience * 6+ months experience required in a customer service position ...

CVS Health

Pharmacy Technician

Collierville, TN · On-site

$17 - $25.65/hr

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Prior authorization experience * 6+ months experience required in a customer service position ...

CVS Health

Specialty Pharmacy Technician

Washington, DC

$17 - $34.15/hr

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Prior Authorization experience. - Previous Pharmacy Claim Adjudication experience. Education ...

CVS Health

Pharmacy Technician

Collierville, TN

$17 - $25.65/hr

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Prior authorization experience * 6+ months experience required in a customer service position ...

CVS Health

Specialty Pharmacy Technician

Washington, DC · On-site

$17 - $34.15/hr

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Prior Authorization experience. - Previous Pharmacy Claim Adjudication experience. Education ...

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How much do cvs prior authorization jobs pay per hour?

As of Jul 13, 2026, the average hourly pay for cvs 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 Prior Authorization position, and why are they important?

To thrive as a CVS Prior Authorization specialist, you need a solid understanding of pharmacy and medical terminology, insurance verification processes, and prior authorization protocols, often supported by a certificate or associate degree in pharmacy technology or healthcare administration. Familiarity with pharmacy benefit management software, electronic prior authorization (ePA) platforms, and insurance portals is highly beneficial. Excellent attention to detail, strong communication, and problem-solving skills help you collaborate with healthcare providers and insurers efficiently. These skills ensure timely and accurate processing of authorization requests, minimizing patient delays and supporting optimal care delivery.

What is a CVS Prior Authorization job?

A CVS Prior Authorization job involves reviewing prescription medication requests to determine if they meet insurance and regulatory requirements. Employees in this role work with healthcare providers, pharmacists, and insurance companies to approve or deny medication requests based on coverage policies. Responsibilities may include verifying patient information, processing requests, and ensuring timely communication to avoid treatment delays. Strong attention to detail, knowledge of medical terminology, and customer service skills are essential for success in this position.

What are the main challenges faced by CVS Prior Authorization specialists, and how can I best prepare for them?

CVS Prior Authorization specialists often encounter challenges such as managing high volumes of requests, navigating complex insurance policies, and handling time-sensitive authorizations. To succeed, it’s important to develop a deep familiarity with pharmacy benefit guidelines and maintain up-to-date knowledge on insurer requirements. Good organizational habits and the ability to work both independently and as part of a team will help you handle workload fluctuations and ensure prompt service. Staying proactive in communication with prescribers and insurance representatives will also help you resolve issues efficiently and improve patient outcomes.

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Cvs Prior Authorization jobs near you
Infographic showing various Cvs Prior Authorization job openings in the United States as of July 2026, with employment types broken down into 100% Full Time. Highlights an 60% In-person, and 40% Remote job distribution, with an average salary of $43,459 per year, or $20.9 per hour.
*Prior Authorization Pharmacist - Remote

*Prior Authorization Pharmacist - Remote

Managed Staffing

Woonsocket, RI • Remote

$59.50 - $71.75/hr

Contractor

Re-posted 13 hours ago

Job description

Job Title:  Prior Authorization Pharmacist
Location: 100% remote

Duration:  6 months of contract with possible extension

Shift timings: Monday-Friday 9:30am-6pm local time zone or Sunday-Thursday 8am-4:30pm local time zone

Complete job description: 
This position is responsible for dispensing prescriptions and coordinating clinical services for specialty drugs serviced at the branch location. This position is responsible for interacting with the health care professionals in the provision and coordination of customer care. Must also translate prescriptions, perform compounds and dispense prescribed pharmaceuticals. Must be comfortable communicating by telephone or mail, with patients and physicians for patient care. Will also be responsible for resolving orders via the EA (External Adjudication) queue.
This individual must have excellent interpersonal skills. Will be responsible for: reviewing patient profile, drug interactions, sensitivities and drug usage database in relation to patient's prescription. Determines if prescription requires physician clarification or if it should be forwarded to therapeutic intervention or doctor phone calls for follow-up. Enters prescription in to the computer. Assists in patient services as required, taking incoming prescription medication questions/concerns from patients. Assists in the doctor phone call area and/or therapeutic intervention as assigned and contacts physicians to resolve any questions or concerns. Maintains established procedures concerning quality assurance, security of controlled substances, and disposal of hazardous waste drugs. Works with other members of the pharmacy to ensure accuracy of prescriptions. Dispenses prescription medication and performs final dispensing quality check on all prescriptions for accuracy and dosage.
 

Must ensure the potential new hire understands:
• They are required to provide their own high-speed internet.
• Minimal home broadband connectivity speed of 25 Mb download and 3 MB upload speed. Speed for home internet can be confirmed by going to www.speedtest.net. Please provide Internet provider and download and upload speeds.
Smartphones are required. The VPN token will need to be downloaded to the user’s smartphone.
• They must have a sufficient/private work area that is used for business during their work hours.
• They will be required to be on camera during trainings and team meetings.
• Their current living accommodations are in a stable situation.
• Ensure the employee is aware of the Teleworker Privacy Practices they need to abide by.
• Must take steps to ensure that the work area is secure and protects CVS Health property and confidential information from inadvertent or unauthorized access or theft including:
Equipment and information are secure from inadvertent and/or unauthorized access or theft at all times.
• Workspace is dedicated to CVS Health business during working hours and is not accessible by others who may be present in the household; telephone conversations cannot be overheard, and documents/computer screens cannot be viewed by others.
• When not working, the computer is shut off. For short departures from the work area, the workstation must be locked, or the computer shut down.
This is a safety sensitive role