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Cvs Prior Authorization Remote Jobs in Virginia (NOW HIRING)

Premise Health

Medical Assistant (Remote)

Richmond, VA · On-site +1

$19 - $27.50/hr

As a Part Time Medical Assistant (Remote), you'll provide care to client employees in our Health ... prior authorizations, coordinate any necessary testing and lab work, and ensure all aspects of ...

ICF

Salesforce PSS Developer DHS (Remote)

Reston, VA · Remote

$57.75 - $76.50/hr

Remote work is authorized. Must supportUS Eastern time zoneworking hours. What You Will Do ... Prior experienceperformingDevOpsactivitiesincluding package creation & deployment,code scan ...

Oran, Inc.

GIS Developer-USDA

Herndon, VA · On-site +1

$118K/yr

Remote (U.S.) Employment Type: Full-Time Salary: Up to $118,000/year Work Authorization: U.S ... Prior USDA project experience is mandatory * Bachelor's degree in Computer Science, Information ...

Oran Inc

GIS Developer-USDA

Herndon, VA · Remote

$118K/yr

Remote (U.S.) Employment Type: Full-Time Salary: Up to $118,000/year Work Authorization: U.S ... Prior USDA project experience is mandatory * Bachelor's degree in Computer Science, Information ...

Williams Insurance Group

Life Insurance Agent

Norfolk, VA · Remote

$75K - $100K/yr

Authorization to work in the U.S. required. No work visa sponsorship available at this time. Help ... You do not need prior insurance or sales experience to get started. We provide training, mentorship ...

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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 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 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 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 July 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution.

Reimbursement Specialist Supervisor - Remote

VCU Health

Richmond, VA • On-site, Remote

$19 - $26.25/hr

Full-time

Re-posted 3 days ago

VCU Health rating

7.3

Company rating: 7.3 out of 10

Based on 170 frontline employees who took The Breakroom Quiz

304th of 887 rated healthcare providers

Job description

**Remote to Virginia ONLY! Must have active VA Pharmacy and PTCB license in good standing**
The Reimbursement Specialist Supervisor oversees the daily operations of the Reimbursement Specialist team to ensure timely and accurate processing of prior authorizations, insurance follow-ups, and patient assistance program requests pertaining to high-cost medications that require prior authorization. This role provides guidance, coaching, and performance management for team members, while supporting workflow optimization and departmental revenue collection goals.
Essential Job Statements
  • Supervise, coordinate, and prioritize the workflow of Reimbursement Specialists across multiple clinics.
  • Provide direct line supervision for Reimbursement Specialists, including performance evaluations, disciplinary action, time/attendance, coordination of staff activities, or other work as needed. Conduct hiring, interviewing, onboarding, and training of new employees.
  • Monitor team productivity and compliance with turnaround times, providing feedback and coaching as needed.
  • Facilitate training and onboarding of new Reimbursement Specialists.
  • Review complex or escalated prior authorizations and appeals, ensuring appropriate documentation and
  • compliance with insurance and regulatory requirements.
  • Collaborate with providers, nursing staff, and the Patient Assistance Program (PAP) team to ensure patients receive timely access to medications.
  • Identify process improvements to optimize team efficiency and patient care outcomes.
  • Prepare and review reports on team performance, Patient Assistance (PA) approvals/denials, and workload metrics.
  • Ensure compliance with departmental and health system policies and regulatory requirements.
  • Participate in special projects and cross-functional initiatives as assigned.
  • Serve as a point of contact for internal and external escalations related to PAs, appeals, or patient access concerns.
  • Performs other duties as assigned and/or participates in special projects to support the mission of VCUHS and the Department. Provides assistance to team members. Accepts alternate assignments, as required.

Patient Population
Not applicable to this position.
Employment Qualifications
Required Education:
High School Diploma or equivalent
Preferred Education:
Associate's Degree or higher in Business, Healthcare Administration, or related field
Licensure/Certification Required:
Current certification by the Pharmacy Technician Certification Board (PTCB) Current licensure with the Virginia State Board of Pharmacy
Licensure/Certification Preferred:
Additional supervisory or leadership certifications a plus
Minimum Qualifications
Years and Type of Required Experience •
Minimum of three (3) years of experience as a Reimbursement Specialist or equivalent role
Previous experience supervising or mentoring staff
Other Knowledge, Skills and Abilities Required:
Strong knowledge of PAPs, prior authorizations, and insurance benefit investigations
Proficiency in EMR systems and Microsoft Office
Cultural Responsiveness
Other Knowledge, Skills and Abilities Preferred:
Strong leadership and communication skills
Ability to handle multiple priorities and high-volume workload
Working Conditions
Periods of high stress and fluctuating workloads may occur.
General office environment.
May be exposed to high noise levels and bright lights.
May have periods of constant interruptions.
Prolonged periods of working alone.
Physical Requirements
Physical Demands: Lifting/ Carrying (0-50 lbs.), Bending
Work Position: Sitting, Walking, Standing
Additional Physical Requirements/ Hazards
Physical Requirements: Manual dexterity (eye/hand coordination), Perform shift work, Hear alarms/telephone/tape recorder, Reach above shoulder, Repetitive arm/hand movements, Finger Dexterity, Color Vision, Acuity - far, Acuity - near
Hazards:
Mental/Sensory - Emotional
Mental / Sensory: Strong Recall, Reasoning, Problem Solving, Hearing, Speak Clearly, Write Legibly, Reading, Logical Thinking
Emotional: Fast-paced 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

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