Mountain Home, TX · On-site
$94K - $176K/yr
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... Check out this outstanding opportunity for a Medicaid Prior Authorization Pharmacist with Aetna!
Mountain Home, TX · On-site
$94K - $176K/yr
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... Check out this outstanding opportunity for a Medicaid Prior Authorization Pharmacist with Aetna!
Irving, TX · On-site
$92K - $203K/yr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Prior Authorization Operations (PAOps) under PBM line of business. This role will be responsible ...
Irving, TX · On-site
$92K - $203K/yr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Prior Authorization Operations (PAOps) under PBM line of business. This role will be responsible ...
Mountain Home, TX · On-site
$26.01 - $68.55/hr
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and ...
Mountain Home, TX · On-site
$26.01 - $68.55/hr
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and ...
Irving, TX · On-site
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Prior Authorization and Appeals, Medication Therapy Management (MTM), Pharmacy Advisor, and Safety ...
Irving, TX · On-site
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Prior Authorization and Appeals, Medication Therapy Management (MTM), Pharmacy Advisor, and Safety ...
Fort Worth, TX · On-site
$17 - $28.46/hr
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... In addition, you will work closely with others to process prior authorizations and enroll patients ...
Fort Worth, TX · On-site
$17 - $28.46/hr
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... In addition, you will work closely with others to process prior authorizations and enroll patients ...
Fort Worth, TX · On-site
$17 - $28.46/hr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... In addition, you will work closely with others to process prior authorizations and enroll patients ...
Fort Worth, TX · On-site
$17 - $28.46/hr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... In addition, you will work closely with others to process prior authorizations and enroll patients ...
Houston, TX · On-site
$17 - $31.30/hr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Prior clinical experience, including shadowing and/or volunteering [strongly preferred] * Prior ...
Houston, TX · On-site
$17 - $31.30/hr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Prior clinical experience, including shadowing and/or volunteering [strongly preferred] * Prior ...
Irving, TX · On-site
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... prior authorizations . * Ensures clinical communications are managed, tasks are completed and ...
Irving, TX · On-site
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... prior authorizations . * Ensures clinical communications are managed, tasks are completed and ...
Houston, TX · On-site
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... prior authorizations. ● Ensures clinical communications are managed, tasks are completed and ...
Houston, TX · On-site
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... prior authorizations. ● Ensures clinical communications are managed, tasks are completed and ...
Dallas, TX · On-site
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... prior authorizations . * Ensures clinical communications are managed, tasks are completed and ...
Dallas, TX · On-site
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... prior authorizations . * Ensures clinical communications are managed, tasks are completed and ...
Houston, TX · On-site
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... and prior authorizations. Ensures clinical communications are managed, tasks are completed and ...
Houston, TX · On-site
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... and prior authorizations. Ensures clinical communications are managed, tasks are completed and ...
Dallas, TX · On-site
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... prior authorizations . * Ensures clinical communications are managed, tasks are completed and ...
Dallas, TX · On-site
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... prior authorizations . * Ensures clinical communications are managed, tasks are completed and ...
Fort Worth, TX · On-site
$17 - $28.46/hr
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... In addition, you will work closely with others to process prior authorizations and enroll patients ...
Fort Worth, TX · On-site
$17 - $28.46/hr
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... In addition, you will work closely with others to process prior authorizations and enroll patients ...
San Antonio, TX · On-site
... within CVS\Caremark following agreed upon approval & denial management processes. *Generates ... approving prior authorizations, reviewing clinical information, making clinical decisions for ...
San Antonio, TX · On-site
... within CVS\Caremark following agreed upon approval & denial management processes. *Generates ... approving prior authorizations, reviewing clinical information, making clinical decisions for ...
Pasadena, TX · On-site
$51K - $111K/yr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... US work authorization Strongly Preferred Qualifications: * Prior experience with complex care ...
Pasadena, TX · On-site
$51K - $111K/yr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... US work authorization Strongly Preferred Qualifications: * Prior experience with complex care ...
Dallas, TX · On-site
$46K - $101K/yr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... US work authorization Strongly Preferred Qualifications: * Prior experience with complex care ...
Dallas, TX · On-site
$46K - $101K/yr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... US work authorization Strongly Preferred Qualifications: * Prior experience with complex care ...
Dallas, TX · On-site
$17 - $28.46/hr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Prior clinical experience, including shadowing and/or volunteering [strongly preferred] * Prior ...
Dallas, TX · On-site
$17 - $28.46/hr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Prior clinical experience, including shadowing and/or volunteering [strongly preferred] * Prior ...
Houston, TX · On-site
$17 - $28.46/hr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Prior clinical experience, including shadowing and/or volunteering [strongly preferred] * Prior ...
Houston, TX · On-site
$17 - $28.46/hr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Prior clinical experience, including shadowing and/or volunteering [strongly preferred] * Prior ...
$17 - $28.46/hr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Prior clinical experience, including shadowing and/or volunteering [strongly preferred] * Prior ...
$17 - $28.46/hr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Prior clinical experience, including shadowing and/or volunteering [strongly preferred] * Prior ...
$17 - $28.46/hr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Prior clinical experience, including shadowing and/or volunteering [strongly preferred] * Prior ...
$17 - $28.46/hr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Prior clinical experience, including shadowing and/or volunteering [strongly preferred] * Prior ...
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.
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.
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.
The most popular types of Cvs Prior Authorization jobs in Texas are:
For Cvs Prior Authorization jobs in Texas, the most frequently searched job titles are:
The top searched job categories for Cvs Prior Authorization jobs in Texas are:
Cities in Texas with the most Cvs Prior Authorization job openings:
Mountain Home, TX • On-site
$94K - $176K/yr
Other
Medical, Dental, Vision, Retirement, PTO
Posted 13 days ago
5.8
Based on 4,353 frontline employees who took The Breakroom Quiz
91st of 113 rated pharmacies
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 ourselves accountable 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
Ready to take your clinical skills to the next level? Check out this outstanding opportunity for a Medicaid Prior Authorization Pharmacist with Aetna!
This is a Clinical Pharmacist Position supporting Medicaid Prior Authorization.
An active AZ or TX pharmacist license that is in good standing is required. New hire is required to obtain AZ or TX pharmacist license (whichever they currently do not have) within 90 days of hire.
We are hiring for the 10:00 am - 6:30 pm shift AZ time (post training). The training schedule is: 8:00 am - 4:30 pm AZT (8 weeks).
You are required to work one Saturday every 6 weeks and occasional holidays.
This is a fully remote position open to qualified candidates within the United States.
Required Qualifications
Active and unrestricted AZ and/or TX pharmacist license required. Candidate must currently hold one of these licenses.
New hire is required to obtain additional AZ or TX pharmacist license (whichever they do not currently hold) within 90 days of hire.
Experience with clinical decision-making while applying evidence based clinical guidelines/criteria; utilizing formularies/preferred drug lists.
Experience working in a high production managed care team environment
3+ years experience working as a pharmacist.
Demonstrated understanding of clinical program components, formulary designs, and prescription benefit trends.
Preferred Qualifications
Medicaid or Medicare experience
Prior authorization experience.
Experience reviewing medical records, clinical literature, and composing SOAP notes.
Education
BS in Pharmacy or PharmD
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$94,500.00 - $176,000.00
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.
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 full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being 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 (https://learn.bswift.com/cvshealth-mainland) .
We anticipate the application window for this opening will close on: 08/24/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
CVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran — committed to diversity in the workplace.
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Health care and social assistance and retail
10,000+ Employees
Woonsocket, RI, US
