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Cvs Prior Authorization Remote Jobs in Oregon (NOW HIRING)

Central Oregon Pediatric Associates

$19 - $24.75/hr

As the Prior Authorization & Referrals Coordinator, you'll play a vital role in connecting children ... remote role. A minimum internet speed of 100 Mbps download and 10 Mbps upload is required to ...

AIS Healthcare

Healthcare Intake & Authorization Specialist

$17.75 - $23.75/hr

... prior authorizations, and healthcare revenue cycle processes, along with exceptional attention to detail and customer service skills. If you're looking for a remote opportunity with a company that ...

Centene

RN Supervisor, Appeals, Managed Care, UM

OR · On-site +1

$75K - $135K/yr

REMOTE RN candidates may reside in any state but a current and active RN license from the state of California is strongly preferred Position Purpose: Supervises Prior Authorization, Concurrent Review ...

IQVIA

Care Manager

Salem, OR · Remote

This is a remote position. Job Responsibilities: * Perform outbound calls to obtainappropriate ... Provide prior authorizations and appeals support. * Assistpatients with the enrollment process for ...

IQVIA

Care Manager

Salem, OR · Remote

This is a remote position. Job Responsibilities: * Perform outbound calls to obtainappropriate ... Provide prior authorizations and appeals support. * Assistpatients with the enrollment process for ...

IQVIA

Bilingual Care Manager

Portland, OR · Remote

$18 - $23.25/hr

This is a remote position. Job Responsibilities: * Perform outbound calls to obtainappropriate ... Provide prior authorizations and appeals support. * Assistpatients with the enrollment process for ...

Umpqua Health

Utilization Review Nurse

Roseburg, OR · On-site +1

$85K - $105K/yr

UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR ... This role conducts prior authorizations, facilitates care coordination, and supports safe ...

LearnWell

$45K - $48K/yr

... submissions, prior authorizations, insurance appeals, and reprocessing efforts. This detail ... This position entails a 40 hour a week commitment, Monday through Friday remote. * Starting annual ...

Curana Health, Inc.

Care Manager, LPN - (EST)

Ensure orders, referrals, and prior authorizations are facilitated by the virtual care support team ... Ability to work in a remote environment that is free of distractions. * Proficient computer skills ...

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Cvs Prior Authorization Remote information

What is a CVS Prior Authorization Remote job?

A CVS Prior Authorization Remote job involves reviewing and processing medication prior authorization requests for CVS Health from a remote location. Employees in this role evaluate whether prescribed medications meet insurance requirements and communicate with healthcare providers or patients as needed. The job typically requires strong attention to detail, excellent communication skills, and a background in pharmacy or healthcare. Working remotely allows for flexibility while ensuring timely and accurate authorization decisions.

Are CVS remote jobs legit?

CVS Prior Authorization remote jobs are legitimate positions offered by CVS Health, typically involving processing insurance authorizations from a remote location. They often require strong communication skills, familiarity with healthcare systems, and the ability to work independently. Candidates should verify job postings directly through official CVS channels to avoid scams.

What is the salary range for CVS remote jobs?

The salary range for CVS remote jobs varies depending on the position, experience, and location, but generally ranges from approximately $15 to $35 per hour. Roles such as customer service representatives or pharmacy technicians typically fall within this range, with more specialized or senior positions offering higher compensation. Benefits may include flexible schedules and remote work environment.

What are the primary responsibilities of a CVS Prior Authorization Specialist working remotely, and how do they collaborate with other healthcare professionals?

As a remote CVS Prior Authorization Specialist, your main duties involve reviewing and processing prior authorization requests for prescription medications, ensuring compliance with clinical guidelines and insurance requirements. You will regularly communicate with physicians, pharmacists, and insurance representatives to gather necessary information and clarify any discrepancies. Collaboration is typically conducted via secure digital platforms, phone, or email. The role requires strong attention to detail, timely decision-making, and the ability to work independently while maintaining high productivity standards in a virtual team environment.

What is the difference between Cvs Prior Authorization Remote vs Cvs Pharmacy Technician?

AspectCvs Prior Authorization RemoteCvs Pharmacy Technician
Required CredentialsCertification in healthcare or pharmacy-related fields, knowledge of insurance and prior authorization processesState pharmacy technician license, certification (e.g., PTCB), knowledge of pharmacy operations
Work EnvironmentRemote, administrative setting focused on insurance and authorization tasksIn-store or pharmacy setting, assisting pharmacists and customers
Employer & Industry UsageHealthcare and pharmacy companies, insurance providersRetail pharmacies, healthcare providers
Common Search & Comparison IntentUnderstanding remote administrative roles in pharmacyUnderstanding pharmacy technician roles and responsibilities

While Cvs Prior Authorization Remote involves handling insurance approvals remotely, Cvs Pharmacy Technicians work directly in pharmacies assisting with medication dispensing. Both roles require pharmacy-related knowledge but differ in work environment and specific credentials.

What is a CVS prior authorization job description?

A CVS prior authorization job involves reviewing and processing requests for medication approvals to ensure they meet insurance and clinical guidelines. The role typically requires strong attention to detail, knowledge of healthcare policies, and proficiency with pharmacy management systems. It often involves communication with healthcare providers and patients to facilitate timely medication access.

What are the key skills and qualifications needed to thrive as a CVS Prior Authorization Specialist (Remote), and why are they important?

To thrive as a CVS Prior Authorization Specialist (Remote), you need a solid understanding of pharmacy benefits, insurance processes, and medical terminology, often supported by a pharmacy technician certification or relevant experience. Familiarity with prior authorization systems, electronic medical records (EMRs), and CVS-specific platforms is typically required. Strong attention to detail, excellent communication, and problem-solving abilities are crucial soft skills for efficiently handling patient and provider inquiries. These competencies are essential for ensuring accurate and timely medication approvals, which directly impact patient care and satisfaction.

Is CVS Health hard to get accepted for remote position?

Getting accepted for a CVS Health remote position can vary depending on the role and candidate qualifications. The company typically looks for relevant experience, strong communication skills, and sometimes certifications, with competitive application processes for many remote roles.
What are popular job titles related to Cvs Prior Authorization Remote jobs in Oregon? For Cvs Prior Authorization Remote jobs in Oregon, the most frequently searched job titles are:
What job categories do people searching Cvs Prior Authorization Remote jobs in Oregon look for? The top searched job categories for Cvs Prior Authorization Remote jobs in Oregon are:
Cvs Prior Authorization Remote jobs near you
Infographic showing various Cvs Prior Authorization Remote job openings in Oregon as of July 2026, with employment types broken down into 1% As Needed, 89% Full Time, 8% Part Time, and 2% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution.
Prior Authorization and Referral Coordinator - Hybrid

Prior Authorization and Referral Coordinator - Hybrid

Central Oregon Pediatric Associates

On-site, Remote

$19 - $24.75/hr

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 26 days ago

Job description

Job Type
Full-time
Description
Prior Authorization and Referral Coordinator - Hybrid
This position is only available to applicants in Central Oregon
FTE: 1.0
Non-Exempt
Monday - Friday, 8am-5pm
The Opportunity
Help families access the care they need, when they need it most. As the Prior Authorization & Referrals Coordinator, you'll play a vital role in connecting children and families with specialty care, medications, and community resources by coordinating referrals and navigating insurance authorizations. This role is perfect for someone who enjoys solving problems, building relationships, and making complex processes feel seamless for patients. Every day, your work helps remove barriers to care and ensures children receive timely, high-quality healthcare.
The Company
Central Oregon Pediatric Associates (COPA) has been caring for kids and families in Central Oregon for over 50 years, building lifelong relationships and helping children thrive from newborns to teens. Our mission is to provide exceptional, right-fit care for kids at every age and stage, and our vision is to improve the health of all kids in our community. We do this in a welcoming, inclusive environment where collaboration, openness, play and accountability are part of how we care, not just what we do. At COPA, you'll work alongside people who value kindness, teamwork, and earning families' trust every single day.
What You'll Do
  • Coordinate specialty referrals and prior authorizations while keeping patients, families, and providers informed every step of the way.
  • Partner with providers, specialists, pharmacies, and insurance companies to ensure timely access to care and medications.
  • Track referrals and authorizations from start to finish, maintaining accurate documentation in Epic and following up to ensure completion.
  • Educate and support patients and families by answering questions and guiding them through the referral and authorization process.
  • Monitor performance metrics, identify opportunities for improvement, and deliver exceptional customer service while maintaining HIPAA compliance.

Benefits
• 401k and Profit sharing
• HSA, HRA and FSA Enrollment
• Medical, Life, Vision and Dental Insurance
• Supplemental insurance Options
• Pediatric Care Benefits
• Employee Assistance Program (EAP)
• Working with Amazing Kids
Requirements
Education and Certification
• High School diploma or equivalent required
• Recognized certifications include: AHIMA - RHIT, AAPC - CPC
Experience
• Three years of customer service experience required, clerical experience in clinical setting preferred. Intermediate and advanced phone, verbal and computer skills. Ability to work well under pressure with minimal supervision. Flexibility and willingness to handle a variety of tasks
• Ability to handle the changing needs of the department and organization
• Must be flexible and willing to work during the evenings, weekdays and weekends as needed by organization for coverage purposes
• Epic EMR experience preferred. Proficient with Microsoft Office Suite
• Bilingual in Spanish and English a plus
Physical Requirements
• Use of clear and audible speaking voice and the ability to hear normal speech level in person, over the telephone or through use of other required technology. Sitting or standing for long periods of time. Frequent repetitive motion includes computer keyboard use, reaching with hands and arms, and walking. Occasional lifting and or moving up to 30 pounds and on rare occasion up to 50 pounds. Specific vision abilities required include viewing computer monitor for long periods of time, close vision, distance vision, color vision, peripheral vision, and depth perception
• Must be able to wear appropriate personal protective equipment (PPE) as required
Working Conditions
• Work inside in a COPA clinic or personal office (HIPAA Compliant) Setting with ergonomically configured equipment
• Must maintain a consistent and reliable home internet connection that meets the technical requirements necessary to perform the essential functions of this remote role. A minimum internet speed of 100 Mbps download and 10 Mbps upload is required to effectively support COPA systems, secure applications, and video communication
• A professional, confidential, and quiet work environment must be maintained at all times to ensure patient privacy and high-quality service
* This job description is intended to provide a general overview of the position and is not an all-inclusive list of duties, responsibilities, or expectations. Responsibilities may change as business needs evolve.

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