ZipRecruiter

Log In

2

Cvs Prior Authorization Remote Jobs in Virginia (NOW HIRING)

MCKESSON

Field Reimbursement Manager

Arlington, VA · On-site +1

... remote interaction and on-site training. This position is client-facing and customer-facing and ... Educate on Benefit Investigation, Prior Authorization Process, Support Center Services, Medicare ...

MCKESSON

Field Reimbursement Manager

Fairfax, VA · On-site +1

... remote interaction and on-site training. This position is client-facing and customer-facing and ... Educate on Benefit Investigation, Prior Authorization Process, Support Center Services, Medicare ...

MCKESSON

Field Reimbursement Manager

Richmond, VA · On-site +1

... remote interaction and on-site training. This position is client-facing and customer-facing and ... Educate on Benefit Investigation, Prior Authorization Process, Support Center Services, Medicare ...

MCKESSON

Field Reimbursement Manager

Woodbridge, VA · On-site +1

... remote interaction and on-site training. This position is client-facing and customer-facing and ... Educate on Benefit Investigation, Prior Authorization Process, Support Center Services, Medicare ...

US Fertility

Financial Educator Remote

Annandale, VA · On-site +1

$23 - $27/hr

Opportunity Overview We have an immediate opening for an Financial Educator Remote to join our team ... Perform aspects of benefit verification and prior authorization * Provide ongoing financial ...

US Fertility, LLC

Financial Educator Remote

Annandale, VA · On-site +1

$23 - $27/hr

Opportunity Overview We have an immediate opening for an Financial Educator Remote to join our team ... Perform aspects of benefit verification and prior authorization * Provide ongoing financial ...

Jetset With J

Travel Coordinator (Remote)

Richmond, VA · Remote

$35K - $65K/hr

No prior travel industry experience is required. Comprehensive training, ongoing support, and ... Must be authorized to work in the United States What We Offer * 100% Remote work * Flexible ...

next page

Showing results 1-20

All JobsCvs Prior Authorization JobsCvs Prior Authorization Remote JobsCvs Prior Authorization Remote Jobs in Virginia

Cvs Prior Authorization Remote information

What is a CVS Prior Authorization remote?

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.

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 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.

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 are the most commonly searched types of Cvs Prior Authorization jobs in Virginia?

The most popular types of Cvs Prior Authorization jobs in Virginia are:

What are popular job titles related to Cvs Prior Authorization Remote jobs in Virginia?

For Cvs Prior Authorization Remote jobs in Virginia, the most frequently searched job titles are:

What job categories do people searching Cvs Prior Authorization Remote jobs in Virginia look for?

The top searched job categories for Cvs Prior Authorization Remote jobs in Virginia are:

What cities in Virginia are hiring for Cvs Prior Authorization Remote jobs?

Cities in Virginia with the most Cvs Prior Authorization Remote job openings:

Cvs Prior Authorization Remote jobs near you
Infographic showing various Cvs Prior Authorization Remote job openings in Virginia as of August 2026, with employment types broken down into 85% Full Time, and 15% Part Time. Highlights an 100% Remote job distribution.

Reimbursement Specialist - Days - Remote

VCU Health

Richmond, VA • On-site, Remote

$19 - $26.25/hr

Full-time

Re-posted 12 days ago

VCU Health rating

7.3

Company rating: 7.3 out of 10

Based on 171 frontline employees who took The Breakroom Quiz

304th of 893 rated healthcare providers

Job description

***Must have BOTH a current VA Pharmacy and PTCB License***
The Reimbursement Specialist improves revenue collection pertaining to high cost medications that require prior authorization. This job will initiate, follow-up, and proceed with approval and/or denials of prior authorizations efficiently via phone, fax, or electronically.
The Reimbursement Specialist carries out benefit investigation and coordinates Patient Assistance Programs and/or copay cards for patients with high co-pays or those without insurance coverage. This role works closely with nursing and physicians in order to obtain required documentation for prior authorization and billing.
The Reimbursement Specialist arranges refills, transfers, and delivery of medications. Updates patient case management system regularly. Ideally, this role is familiar with disease state terminology or willingness to research. This role also works as a Pharmacy Technician when deemed necessary.
Licensure, Certification, or Registration Requirements for Hire:
Current certification by the Pharmacy Technician Certification Board (PTCB)
Current licensure with the Virginia State Board of Pharmacy
By virtue of societal trust and security explicitly imparted to pharmacies for the control of drugs, candidate/incumbent must have a clean criminal record (i.e. no felony conviction; no drug or pharmacy related convictions, including misdemeanors); no denial, suspension, revocation, or restriction of registration or licensure by any State Board of Pharmacy
Licensure, Certification, or Registration Requirements for continued employment:
Current certification by the Pharmacy Technician Certification Board (PTCB)
Current licensure with the Virginia State Board of Pharmacy
Experience REQUIRED:
Minimum of one (1) year of previous pharmacy practice experience in a similar setting
Minimum of three (3) years of prior experience with Manufacturers Patient Assistance Programs and prior experience with prescription on-line adjudication
Previous work experience using a personal computer and various billing software applications as well as e-mail, spreadsheets, word processing, databases, etc.
Experience PREFERRED: N/A
Education/training REQUIRED:
High School Diploma or equivalent
Education/training PREFERRED:
Associate's Degree in Business or related field from an accredited program
Independent action(s) required:
Identifies equipment problems; various aspects of assisting the pharmacist that don't require a pharmacist's supervision or check.
Supervisory responsibilities (if applicable): N/A
Additional position requirements:
Able to work all shifts, weekends, holidays, emergency coverage
Age Specific groups served: N/A
Physical Requirements (includes use of assistance devices as appropriate):
Physical: Lifting less than 20 lbs.
Activities: Prolonged standing, Prolonged sitting, Frequent bending, Walking (distance), Climbing (steps, ladder, other), Reaching (overhead, extensive, repetitive), Repetitive motion
Mental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical thinking
Emotional: Fast pace environment, Steady pace, Able to handle multiple priorities, Frequent and intense customer interactions, Noisy environment, Able to adapt to frequent change
EEO Employer/Disabled/Protected Veteran

What VCU Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply