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Intern Cvs Health Prior Authorization Jobs (NOW HIRING)

Claim Health

Prior Authorization Specialist

New York, NY · On-site

$19.75 - $26.25/hr

About the Role We're hiring an experienced Prior Authorization Specialist to help build the future of authorization automation for home health and hospice. Prior authorization is one of the largest ...

Curant Health

Prior Authorization Specialist

Smyrna, GA · On-site

$18 - $24/hr

As a Curant Health employee, your role is to deliver on that vision every day by delivering ... The Prior Authorization specialist responsibilities includes: taking in-bound calls from providers ...

Curant Health

Prior Authorization Specialist

Smyrna, GA · On-site

$18 - $24/hr

As a Curant Health employee, your role is to deliver on that vision every day by delivering ... The Prior Authorization specialist responsibilities includes: taking in-bound calls from providers ...

Labcorp

Prior Authorization Specialist

$17.75 - $19.50/hr

As we shape the future of healthcare, we are leveraging advanced technologies, intelligent digital ... Employees regularly scheduled to work less than 20 hours, Casual, Intern, and Temporary employees ...

Amerita

Prior Authorization Specialist

Denver, CO · On-site +1

$22/hr

Collaborate with healthcare providers, insurance companies, and patients to gather necessary clinical information and documentation to support prior authorization submissions. * Submit prior ...

OneOncology LLC

Prior Authorization Specialist

Huntsville, AL · On-site

$17.75 - $23.75/hr

Must have knowledge of Health Insurance Plans * Experience in obtaining Health Plan Prior Authorizations thru online portals and/or by phone or fax. * Ability to navigate Health Plan websites for ...

CVS Health

Technician I, Prior Authorizations

$17 - $28.46/hr

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... the criteria based prior authorization process. Maintains complete, timely and accurate ...

Labcorp

Prior Authorization Specialist

Burlington, NC · On-site

$15 - $20/hr

As we shape the future of healthcare, we are leveraging advanced technologies, intelligent digital ... Employees regularly scheduled to work less than 20 hours, Casual, Intern, and Temporary employees ...

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Intern Cvs Health Prior Authorization information

What does an intern in CVS Health Prior Authorization do?

An Intern in CVS Health Prior Authorization assists pharmacists and healthcare professionals in processing medication prior authorization requests. This involves reviewing prescription drug requests, verifying patient eligibility, gathering necessary documentation, and communicating with providers or insurance companies to ensure patients receive appropriate medications. The role provides valuable experience in pharmacy operations, insurance protocols, and healthcare regulations. Interns also have the opportunity to learn about clinical workflows and the importance of medication management in patient care.

What are the typical responsibilities of an intern in CVS Health Prior Authorization?

As an Intern in CVS Health's Prior Authorization department, you will typically assist with reviewing medication requests, verifying patient information, and ensuring documentation is complete for insurance purposes. You'll work closely with pharmacists, technicians, and other interns to process prior authorization requests efficiently and accurately. This role helps streamline the approval process for prescription medications, directly impacting patient care. Your contributions will support the broader pharmacy team and provide valuable exposure to managed care and pharmacy benefit management.

What are the key skills and qualifications needed to thrive as an intern in CVS Health Prior Authorization?

To thrive as an Intern in CVS Health Prior Authorization, you typically need a background in pharmacy, healthcare, or a related field, along with strong analytical and organizational skills. Familiarity with pharmacy benefit management (PBM) systems, electronic medical records (EMRs), and Microsoft Office Suite is often required. Excellent communication, attention to detail, and the ability to handle confidential information are crucial soft skills. These competencies ensure accurate authorization processes, effective teamwork, and high-quality service to patients and healthcare providers.

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

AspectIntern Cvs Health Prior AuthorizationPharmacy Technician
Required CredentialsTypically pursuing or holding a healthcare-related degree or certificationHigh school diploma or equivalent; pharmacy technician certification often preferred
Work EnvironmentOffice or healthcare setting, focusing on insurance and authorization processesRetail or hospital pharmacy, handling medication dispensing and customer service
Employer & Industry UsageUsed in healthcare insurance and pharmacy benefit managementCommon in retail pharmacy chains and healthcare facilities
Search & Comparison IntentUnderstanding roles related to insurance authorization in healthcareLearning about pharmacy support roles and medication processing

Intern Cvs Health Prior Authorization and Pharmacy Technician roles differ mainly in their focus and credentials. The former involves handling insurance approvals and requires healthcare-related education, while the latter centers on medication dispensing and customer service in pharmacy settings. Both roles are essential in healthcare but serve distinct functions within the industry.

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Intern Cvs Health Prior Authorization jobs near you
Infographic showing various Intern Cvs Health Prior Authorization job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 94% In-person, and 6% Remote job distribution.

Prior Authorization Specialist

Claim Health

New York, NY • On-site

$19.75 - $26.25/hr

Full-time

Re-posted 18 days ago

Job description

About the Role
We're hiring an experienced Prior Authorization Specialist to help build the future of authorization automation for home health and hospice.
Prior authorization is one of the largest operational bottlenecks for agencies. Our platform automatically verifies benefits, gathers documentation, submits authorizations, follows up with payers, and monitors approval status. Your role is to ensure those automations run accurately, efficiently, and according to payer requirements.
You'll combine deep operational knowledge with process improvement, helping us encode payer-specific workflows into software that scales across thousands of authorization requests.
This isn't a traditional authorization desk role. It's an operations role for someone who understands the complexity of authorizations and wants to help automate them.
What You'll Do
Audit authorization workflows
Review authorization requests completed by our automations for completeness, accuracy, and turnaround time. Identify recurring failure points and determine whether issues stem from payer requirements, documentation, or automation logic.
Improve authorization automation
Partner with product and engineering teams to translate complex payer rules into scalable workflows. Help define escalation logic, documentation requirements, follow-up cadences, and exception handling.
Build payer playbooks
Create and maintain SOPs covering authorization workflows across Medicare Advantage, Medicaid, managed Medicaid, commercial payers, and state-specific requirements.
Partner with clients
Meet with intake, authorization, and billing teams to understand agency workflows, resolve escalations, and configure automation to match operational needs.
Track operational performance
Monitor authorization turnaround times, approval rates, denial trends, escalation volume, payer response times, and automation success metrics. Drive continuous improvement initiatives.
What We're Looking For
Required
  • 3+ years of prior authorization experience within home health, hospice, or post-acute care
  • Deep familiarity with Medicare Advantage, Medicaid, managed Medicaid, commercial insurance, and authorization workflows
  • Experience obtaining authorizations across multiple payer portals
  • Strong understanding of eligibility verification, authorization documentation requirements, and referral workflows
  • Experience with HomeCare HomeBase (HCHB), Axxess, WellSky, and KanTime preferred
  • Strong organizational skills with excellent attention to detail
  • Experience documenting workflows or SOPs
  • Comfortable working independently in a fast-moving startup
Nice to Have
  • RN, LPN, or clinical background
  • Experience with Careport, Forcura, Ensocare, or referral management platforms
  • Experience working with automation or RCM software vendors
  • Knowledge of hospice-specific authorization requirements and Medicaid room & board processes
Why This Role
Multiply your impact. Your expertise becomes automation that processes thousands of authorizations every month.
Solve hard operational problems. Help eliminate one of the biggest administrative burdens in post-acute care.
Build the future. Join an early-stage healthcare AI company where your knowledge directly shapes the product roadmap.

Apply