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Full Time Cvs Health Prior Authorization Jobs (NOW HIRING)

3Y

Prior Authorization Lead

New York, NY · On-site

$100K - $140K/yr

About Us At 3Y Health, we are building AI-driven software to empower healthcare providers and solve ... About the Role We are seeking a Prior Authorizations Lead to design, manage, and scale 3Y Health ...

Equitas Health

Prior Authorization Specialist

Columbus, OH · On-site

$18.13 - $21.78/hr

Health * 401k * Sick time POSITION SUMMARY: The Prior Authorization Specialist handles all prior authorizations, third party appeals, and pending third party payer issues across all Equitas Health ...

Midland Health

Prior Authorization Coordinator

Midland, TX · On-site

$18.25 - $22.50/hr

SHIFT AND SCHEDULE Full Time, Monday - Friday; 8:00 AM - 5:00 PM ESSENTIAL FUNCTIONS/PERFORMANCE ... Electronic Health Records Performing other duties to support Revenue Cycle operations as needed ...

MC-Rx

Prior Authorization Coordinator

Miramar, FL

$21 - $23/hr

Ensure adherence to all regulatory and privacy requirements, including the Health Insurance ... This is a full-time position with benefits. Please visit our Contact Us/Opportunities page on our ...

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How much do full time cvs health prior authorization jobs pay per hour?

As of Jul 19, 2026, the average hourly pay for full time cvs health 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 is the difference between Full Time Cvs Health Prior Authorization vs Full Time Cvs Health Medical Assistant?

AspectFull Time Cvs Health Prior AuthorizationFull Time Cvs Health Medical Assistant
CredentialsTypically requires pharmacy or healthcare-related certificationsRequires Medical Assistant certification or diploma
Work EnvironmentOffice-based, administrative setting, focusing on insurance and medication approvalsClinical setting, assisting healthcare providers with patient care
Employer & Industry UsageUsed in pharmacy and insurance sectors within CVS HealthUsed in clinics, outpatient facilities, and CVS Health retail clinics

Full Time Cvs Health Prior Authorization roles focus on managing insurance approvals for medications, requiring administrative and pharmacy knowledge. In contrast, Full Time Cvs Health Medical Assistants provide direct patient care in clinical settings. Both roles are essential within CVS Health but serve different functions and require distinct credentials.

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Full Time Cvs Health Prior Authorization jobs near you

Prior Authorization Lead

3Y

New York, NY • On-site

$100K - $140K/yr

Full-time

Re-posted 16 days ago

Job description

About Us
At 3Y Health, we are building AI-driven software to empower healthcare providers and solve the overwhelming administrative complexity that consumes 40% of the industry's revenue. Our end-to-end platform unlocks opportunities for clinician entrepreneurs, enabling medical professionals to launch, run, and grow private practices. By supporting these independent practices with the latest AI and automation, we're helping providers reclaim their time, build thriving businesses, and deliver better outcomes for their communities. 3Y Health is backed by over $200M from top-tier investors including Founders Fund, General Catalyst, Softbank, and 8VC.
About the Role
We are seeking a Prior Authorizations Lead to design, manage, and scale 3Y Health's prior authorization operations. The ideal candidate will be an operational problem-solver who thrives on efficiency and loves turning complexity into clarity. This role requires a strategic yet hands-on operator who can build scalable systems, streamline workflows, and ensure timely, accurate approvals for our clinician partners across multiple specialties.
As the Prior Authorizations Lead, you will own the end-to-end authorization process - from intake and submission to payer follow-up and resolution - ensuring fast turnaround times and exceptional partner experience. You'll also partner closely with Product, RCM, and Operations teams to leverage automation and process design that reduce administrative burden for providers.
Responsibilities
  • Lead the end-to-end prior authorization process, including verification, documentation, submission, and follow-up with payers.
  • Build and optimize workflows that minimize turnaround times and maximize approval rates across multiple specialties.
  • Partner with Product and Engineering to identify automation opportunities and develop tools that reduce manual work.
  • Collaborate with RCM and Operations teams to ensure clean handoffs between authorizations, billing, and patient care coordination.
  • Develop and track KPIs to monitor authorization performance, identify bottlenecks, and continuously improve process efficiency.
  • Train and manage a growing team or vendor partners to ensure consistent execution and adherence to payer guidelines.
  • Maintain up-to-date knowledge of payer requirements, clinical criteria, and regulatory changes that impact authorization processes.
  • Build documentation, playbooks, and SOPs to support scaling into new states, payers, and clinical verticals.

Qualifications
  • Bachelor's degree required
  • 5-8 years of experience in healthcare operations, prior authorization management, or related RCM functions
  • Strong understanding of payer requirements, medical necessity documentation, and authorization workflows
  • Proven ability to lead cross-functional initiatives and manage complex, high-volume processes
  • Analytical and systems-oriented thinker with a track record of driving measurable improvements in turnaround times and accuracy
  • Experience with automation tools or EMR/EHR integrations a plus
  • Ability to work 5 days a week in our San Francisco or New York office with a fully in-person team

Compensation
The estimated salary range for this role is $100,000-$140,000. Total compensation for this position may also include stock options. Note that total compensation for this position will be determined by each individual's relevant qualifications, work experience, skills, and other factors.

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