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Cvs Prior Authorization Jobs (NOW HIRING)

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.

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 ...

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 ...

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 ...

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 ...

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 ...

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Pharmacy Tech I

Seattle, WA · On-site

$21 - $22/hr

CVS Health Job Location- 1001 Madison St. Seattle, WA 98104 Duration: 6+ Months(Potential for ... prior authorization process, and transfers all clinical questions and judgment calls to the ...

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... CMS interoperability (Patient Access & Payer-to-Payer APIs), Prior Authorization modernization

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Cvs Prior Authorization information

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How much do cvs prior authorization jobs pay per hour?

As of Jun 9, 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.

More about Cvs Prior Authorization jobs
What cities are hiring for Cvs Prior Authorization jobs? Cities with the most Cvs Prior Authorization job openings:
What are the most commonly searched types of Cvs Prior Authorization jobs? The most popular types of Cvs Prior Authorization jobs are:
What states have the most Cvs Prior Authorization jobs? States with the most job openings for Cvs Prior Authorization jobs include:
Infographic showing various Cvs Prior Authorization job openings in the United States as of May 2026, with employment types broken down into 1% Internship, 5% As Needed, 81% Full Time, 9% Part Time, 2% Contract, and 2% Nights. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $43,459 per year, or $20.9 per hour.
Staff Quality Engineer - Prior Authorization

Staff Quality Engineer - Prior Authorization

CVS Health

Richardson, TX

$118K - $236K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 11 days ago


CVS Health rating

5.8

Company rating: 5.8 out of 10

Based on 4,233 frontline employees who took The Breakroom Quiz

78th of 99 rated pharmacies


Job description

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselvesaccountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

Position Summary
As a Staff Quality Engineer within Prior Authorization Quality Engineering team ( MCSE tower) you will be responsible for ensuring that strategic initiatives and projects belonging to CAS application are delivered of high quality and on time. You will be responsible for ensuring that QA processes are followed diligently while executing a project. You will play a vital role in the execution of strategic projects by collaborating with project stakeholders (PO, Business Owners, Clients), leading discussions and showcasing the value QA adds to the project. You will also play an active role in mentoring team members and monitor the projects executed by them. A successful candidate must have strong communication skills, should think and act strategically, establish trust and build relationship with project stakeholders and team members
Required Qualifications

  • 10+ Years of experience in creating testing strategies (End to End) for projects following iterative and agile methodologies

  • 5+ years of experience in leading projects in Prior Authorization platform with strong domain knowledge

  • Should have the experience of implementing various automation framework based on keyword, data-driven and BDD approach

  • Expert in QA methodology and principles, tools, processes, and metrics.

  • Solid knowledge of software and hardware systems and a solid understanding of the potential use of technology solutions in a business environment.

  • Strong project management skills, demand and capacity management, project and program coordination, executive reporting and risk management

  • Excellent interpersonal and facilitation skills with the ability to work with a sense of urgency and attention to detail.

  • Strong verbal and written communication skills in articulating business objectives Independent decision-making and excellent analytical skills.

  • Advanced knowledge of the software development life cycle and methodologies such as Scrum, Agile and iterative development. QA tools such as Rally and JIRA

  • Advanced knowledge of QA Automation tools/technology and leveraging AI in software testing

  • Strong delegation skills involving prioritizing and managing projects of various size and complexity.

  • Must have the ability to work in a fast-paced environment. Should be able to manage pressure and multiple priorities successfully.

  • Must be a team player


Preferred Qualifications

  • Expertise with Playwright, Cucumber BDD, Selenium web driver, Eclipse IDE, TestNG , Maven, GitHub and Jenkins

  • Strong Core Java and SQL skills

  • 8+ years of Experience of Integrating test automation into CI/CD process and instrument full SDLC automation

  • Ability or participate in continuous improvement initiatives or best practices to identify and implement tools and utilities that enhance testing capabilities and product quality using AI

  • Build stakeholder relationships. Manage expectations and communicating effectively with business units, IT cross-functional teams, Project Management and other support staff.


Education

  • Bachelor's degree in ComputerScience or equivalent work experience required

  • One additional year ofexperience is required for each year of college not attained.

Pay Range

The typical pay range for this role is:

$118,450.00 - $236,900.00


This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company's equity award program.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This fulltime position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial wellbeing of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.


Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 07/01/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.


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