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Manager Cvs Prior Authorization Jobs (NOW HIRING)

Prior Authorization Specialist

Columbus, OH · On-site

$18.13 - $21.78/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

The Prior Authorization Specialist handles all prior authorizations, third party appeals, and ... Collaborate with providers to manage appeals and/or peer-to-peer discussion with third party ...

Prior Authorization Specialist

Matteson, IL · On-site

$17.75 - $23.75/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Prior Authorization Specialist is responsible for obtaining and processing all prior ... Reviews accounts, and initiate pre-authorizations, and other requirements related to managed care ...

New

Prior Authorization Specialist

$51K - $70K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Entering and managing patient information in database * Assisting with patient intake and verifying of insurance coverage * Calling insurances to obtain the status of Prior authorization requests

New

Prior Authorization Specialist

Matteson, IL · On-site

$17.75 - $23.75/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Job Summary The Prior Authorization Specialist is responsible for obtaining and processing all ... Reviews accounts, and initiate pre-authorizations, and other requirements related to managed care ...

New

Prior Authorization Specialist

Toledo, OH · On-site

$20 - $25.05/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... Manages phone calls related to prior authorizations. • Training related to PAR processes • Processes insurance changes when prior authorizations are needed. • Communicates obstacles or ...

Prior Authorization Specialist

Toledo, OH · On-site

$16.50 - $22/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... Manages phone calls related to prior authorizations. • Training related to PAR processes. • Processes insurance changes when prior authorizations are needed. • Communicates obstacles or ...

Prior Authorization Specialist

Smyrna, GA · On-site

$17.50 - $23.50/hr

  • Medical

  • PTO

Curant Health, the leader in patient-centric chronic disease management via specialty pharmacy is searching for a Prior Authorization Specialist to join its team in Smyrna, GA. We are committed to ...

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Prior Authorization Specialist

Farmers Branch, TX · On-site

$22 - $24/hr

  • Medical

  • Dental

  • Vision

  • Life

  • PTO

You will manage prior authorization requests, assist patients with questions, coordinate with healthcare providers and payers, and help improve workflow efficiency. Key Responsibilities * Quality ...

Showing results 21-40

Manager Cvs Prior Authorization information

See salary details

$31.5K

$83.5K

$150K

How much do manager cvs prior authorization jobs pay per year?

As of Aug 15, 2026, the average yearly pay for manager cvs prior authorization in the United States is $83,482.00, according to ZipRecruiter salary data. Most workers in this role earn between $59,000.00 and $103,000.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a manager CVS prior authorization?

To thrive as a Manager of CVS Prior Authorization, you need a strong background in pharmacy or healthcare administration, expertise in insurance processes, and often a relevant degree such as a PharmD, RN, or healthcare management certification. Familiarity with pharmacy benefit management (PBM) software, prior authorization systems, and electronic health records (EHRs) is typically required. Exceptional leadership, problem-solving, and communication skills are crucial for managing teams and interacting with healthcare providers and payers. These skills ensure efficient operations, compliance with regulations, and improved patient access to necessary medications.

How does a manager CVS prior authorization collaborate with pharmacists and healthcare providers to streamline the approval process?

As a Manager of CVS Prior Authorization, you will regularly coordinate with pharmacists, healthcare providers, and insurance representatives to ensure timely approvals for prescribed medications. Effective communication and problem-solving skills are essential, as you'll often need to clarify clinical information, resolve escalated cases, and develop process improvements. This collaboration not only helps reduce delays for patients but also enhances operational efficiency within your team. Expect to lead cross-functional meetings and implement training to keep everyone aligned with regulatory and policy changes.

What is the difference between Manager Cvs Prior Authorization vs Pharmacist?

AspectManager Cvs Prior AuthorizationPharmacist
CredentialsTypically requires managerial experience, healthcare administration knowledge, and sometimes a certification in healthcare managementRequires a pharmacy degree (Doctor of Pharmacy) and licensure
Work EnvironmentOffice setting, healthcare administration, insurance companies, or pharmacy benefit managementRetail or hospital pharmacy, clinical settings
Employer & IndustryHealth insurance companies, pharmacy benefit managers, healthcare organizationsCommunity pharmacies, hospitals, clinics
Primary ResponsibilitiesOverseeing prior authorization processes, managing staff, ensuring complianceDispensing medications, patient counseling, verifying prescriptions

The main difference between a Manager Cvs Prior Authorization and a Pharmacist lies in their roles and credentials. Managers focus on overseeing authorization processes and administrative tasks within healthcare organizations, while pharmacists are licensed professionals responsible for dispensing medications and patient care. Both roles are essential in the healthcare and pharmacy industry but serve distinct functions.

What is a manager CVS prior authorization?

A Manager CVS Prior Authorization oversees teams responsible for processing and managing prior authorization requests for prescription medications at CVS Health. This role involves ensuring that insurance requirements are met before medications are dispensed, improving workflow efficiency, and maintaining compliance with regulations. Managers also train and supervise staff, monitor performance, and collaborate with other departments to resolve complex authorization cases. The position requires strong leadership, attention to detail, and knowledge of healthcare and pharmacy benefit management.
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What cities are hiring for Manager Cvs Prior Authorization jobs?

Cities with the most Manager Cvs Prior Authorization job openings:

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

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What states have the most Manager Cvs Prior Authorization jobs?

States with the most job openings for Manager Cvs Prior Authorization jobs include:

Infographic showing various Manager Cvs Prior Authorization job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 86% Full Time, 12% Part Time, and 1% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $83,482 per year, or $40.1 per hour.

Prior Authorization Specialist

Equitas Health

Columbus, OH • On-site

$18.13 - $21.78/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 3 days ago


Equitas Health rating

5.4

Company rating: 5.4 out of 10

Based on 6 frontline employees who took The Breakroom Quiz


Job description

ORGANIZATION INFORMATION:
Established in 1984, Equitas Health is a regional not-for-profit community-based healthcare system and federally qualified community health center look-alike. Its expanded mission has made it one of the nation's largest HIV/AIDS, lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ+) healthcare organizations. With 22 offices in 12 cities, it serves more than 67,000 individuals in Ohio, Kentucky, and West Virginia each year through its diverse healthcare and social service delivery system focused around: primary and specialized medical care, retail pharmacy, dental, behavioral health, HIV/STI prevention, advocacy, and community health initiatives.
HOURLY RATE: $18.13-$21.78
BENEFITS:
  • PTO
  • Vision
  • Dental
  • 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 medical centers. This individual will work with internal and external pharmacies, CoverMyMeds, the EHR, and all Equitas Health health center providers to facilitate prior authorization completion. This individual must be able to work in conjunction with the pharmacy department and health center staff to facilitate the prior authorization process.
ESSENTIAL JOB FUNCTIONS:
The Prior Authorization Specialist is responsible for handling all prior authorizations, appeals, and third party medication disputes for providers at Equitas Health. The Prior Authorization Specialist will be required to communicate with prescribers, pend medication changes, and maintain exceptional documentation in the patient health record. The staff member will also be in constant communication with internal pharmacies, external pharmacies, and patients waiting on prior authorizations.Essential job functions include, but are not limited to, driving or having reliable transportation, written and verbal communication, utilizing a computer for typing, multi-system use/maintenance, and attending meetings.
MAJOR AREAS OF RESPONSIBILITIES:
  • Complete prior authorizations submission within established time frame.
  • Collaborate with providers to manage appeals and/or peer-to-peer discussion with third party representatives.
  • Ensure proper documentation is maintained in the EHR.
  • Work with clinical pharmacist team to provide potential therapeutic substitutions to prescribers
  • Communicate with the clinical team on the status of prior authorizations or changes that must be made for therapy to continue for the patient.
  • Maintain constant communication with the internal and external pharmacy teams for medication processing.
  • Inform patients when prior authorizations are approved.
  • Provide data on prior authorizations as needed to Senior Leadership.
  • Other duties as assigned by the Prior Authorization Supervisor, Director of Nursing, and Leadership.
  • Comply with the Equitas Health Care Corporate Compliance Standards of Conduct and related policies and procedures.
  • Demonstrate unconditional positive regard to clients and conduct all aspects of job responsibilities.
  • Continuously grow and develop cultural competency, exhibiting an understanding, awareness, and respect for diversity.
  • Contribute to a positive work environment by demonstrating unconditional positive regard to all Equitas Health employees, interns, etc. with an understanding, awareness, and respect for diversity.

EDUCATION/LICENSURE:
  • Medical Assistant, Certified Pharmacy Technician or Registered Pharmacy Technician (must be registered with State of Ohio Board of Pharmacy).

Knowledge, Skills, Abilities and other Qualifications:
  • Experience working in medical records preferred.
  • Must be able to accurately and effectively meet established deadlines
  • Experience with prior authorizations preferred.
  • Strong attention to detail.
  • Ability to be flexible in working hours.
  • Must ensure detailed and thorough documentation.
  • Exemplary written and verbal communication skills.
  • Knowledge of healthcare terminology.
  • Must have sensitivity to, interest in and competence in cultural differences, HIV/AIDS, minority health, sexual practices, chemical dependency and a demonstrated competence in working with persons of color, and gay/lesbian/bisexual/transgender community.
  • Proficiency in all Microsoft Office applications, computers, email, web-based systems and electronic health records.
  • Reliable transportation, driver's license and proof of auto insurance required.

OTHER INFORMATION:
Background and reference checks will be conducted. In accordance with Equitas Health's Drug-Free Workplace Policy, pre-employment drug testing will be administered. Hours may vary, including working some evenings and weekends based on workload. Individuals are not considered applicants until they have been asked to visit for an interview and at that time complete an application for employment. Completing the application does not guarantee employment. EOE/AA
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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