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Manager Cvs Prior Authorization Jobs (NOW HIRING)

Prior Authorization Specialist

Smyrna, GA ยท On-site

$18 - $24/hr

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

Manage the full lifecycle of prior authorization (PA) requests in support of manufacturer-sponsored patient support programs, utilizing payer portals, electronic submission platforms, fax, and ...

Prior Authorization Specialist

Randolph, NJ

$18.50 - $24.75/hr

Prior Authorization Specialist This role focuses on managing a high volume of prior authorizations and insurance-related tasks while delivering excellent patient service in a busy medical office. The ...

Prior Authorization Specialist

Denville, NJ

$17.25 - $23/hr

Prior Authorization Specialist This role focuses on managing a high volume of prior authorizations and insurance-related tasks while delivering excellent patient service in a busy medical office. The ...

Prior Authorization Specialist

Appleton, WI ยท On-site

$17.25 - $23/hr

We are adding to our Prior Authorization team. Neuroscience Group has an immediate opening for a ... Daily use of Faxfinder cloud faxing system for managing incoming and outgoing faxes. * Maintains ...

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Manager Cvs Prior Authorization information

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$31.5K

$83.5K

$150K

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

As of Jun 9, 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 of CVS Prior Authorization, and why are they important?

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 of 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 are Manager CVS Prior Authorization jobs?

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:
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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:
Prior Authorization Coordinator

Prior Authorization Coordinator

Vivo HealthStaff

San Francisco, CA โ€ข On-site

$100K - $120K/yr

Full-time

Posted 18 days ago


Job description

Our client is a fast-growing healthcare technology company building AI-driven software to reduce administrative complexity in the healthcare system. Their end-to-end platform empowers clinician entrepreneurs to launch, operate, and scale independent practices by pairing modern automation with robust operational infrastructure. Backed by more than $200M from top-tier investors, the company is transforming how providers manage their practices and deliver care.


Role Overview

The client is seeking a Prior Authorizations Lead to design, manage, and scale their prior authorization function. This role is ideal for an operator who excels at bringing structure to complexity, driving efficiency, and building systems that scale.

The Prior Authorizations Lead will own the full authorization lifecycle-from intake and submission to payer follow-up and resolution-ensuring fast turnaround times and exceptional provider experience. The role requires a strategic, hands-on leader who can define workflows, streamline operations, and partner cross-functionally to leverage automation.


Key Responsibilities
  • Lead the end-to-end prior authorization process, including verification, documentation, submission, and payer follow-up.

  • Build, optimize, and scale workflows to reduce turnaround times and increase authorization 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 seamless handoffs across authorizations, billing, and care coordination.

  • Develop and manage KPIs to track performance, identify operational bottlenecks, and drive continuous improvement.

  • Train and manage internal team members and/or vendor partners to ensure consistent execution and compliance with payer guidelines.

  • Maintain up-to-date knowledge of payer policies, clinical criteria, and regulatory changes that impact authorization processes.

  • Build SOPs, playbooks, and documentation to support scaling into new states, payers, and clinical domains.


Qualifications
  • Bachelor's degree required

  • 5โ€“8 years of experience in healthcare operations, prior authorization management, or related RCM roles

  • Deep understanding of payer requirements, medical necessity standards, and authorization workflows

  • Proven ability to lead cross-functional initiatives and manage high-volume operational processes

  • Analytical, systems-oriented thinker with a track record of improving turnaround times and accuracy

  • Experience with automation tools or EMR/EHR integrations is a plus

  • Ability to work fully in-person, 5 days per week, in San Francisco or New York


Compensation

Estimated Salary: $100,000โ€“$140,000
Total compensation may also include stock options. Final compensation will depend on experience, qualifications, and other relevant factors.


Vivo HealthStaff logo

About Vivo HealthStaff

Sourced by ZipRecruiter

Vivo HealthStaff provides permanent recruitment services for both clinical and administrative positions in the healthcare sector. Over the past 2 years, our clients have seen a 98% retention rate with Vivo HealthStaff placements.

Industry

Health care and social assistance

Company size

11 - 50 Employees

Headquarters location

Dublin, CA, US

Year founded

2016

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