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Manager Cvs Prior Authorization Jobs (NOW HIRING)

Lumera Healthcare

Prior Authorization Associate

Paducah, KY · On-site

$18.25 - $22.50/hr

... Management and IOP programs by liaising with qualified providers, staff and payers. Tracking the ... Submit complete, timely, and accurate prior authorization requests to insurance companies and ...

MC-Rx

Prior Authorization Coordinator

Gainesville, GA

$21 - $23/hr

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 ...

Skill Corp

Prior Authorization Specialist

Palo Alto, CA · On-site

$35.81 - $38.96/hr

As a key member of the administrative team, you will manage the end-to-end prior authorization process for medications, ensuring timely submissions, tracking, and documentation. Your meticulous ...

Curant Health

Prior Authorization Specialist

Smyrna, GA

$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 ...

PainPoint

Prior Authorization Coordinator

Atlanta, GA · On-site +1

$19 - $21/hr

Prior Authorization Coordinator Full-Time | $19-21/hour | Monday-Friday | 8:00 AM-4:30 PM CST ... You'll manage the entire authorization process for interventional pain management procedures ...

MC-Rx

Prior Authorization Coordinator

Gainesville, GA · On-site

$21 - $23/hr

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 ...

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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 Jul 4, 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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Manager Cvs Prior Authorization jobs near you
Infographic showing various Manager Cvs Prior Authorization job openings in the United States as of June 2026, with employment types broken down into 96% Full Time, 1% Part Time, 1% Temporary, and 2% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $83,482 per year, or $40.1 per hour.

Prior Authorization Associate

Lumera Healthcare

Paducah, KY • On-site

$18.25 - $22.50/hr

Other

Posted 28 days ago

Job description

Insurance Authorization Coordinator

Ensures that necessary approvals are obtained from insurance companies for Targeted Case Management and IOP programs by liaising with qualified providers, staff and payers. Tracking the authorization process daily.

Key responsibilities include submitting requests to insurers, monitoring for approvals or denials, updating patient records, and communicating with all TCM/IOP staff to facilitate timely care and revenue cycle efficiency.

Information Gathering: Collect and compile necessary clinical information from patients' charts to support the authorization request.

Communication with Payers: Submit complete, timely, and accurate prior authorization requests to insurance companies and health plans.

Follow-up Management: Track the status of authorization requests, including appeals for denied requests, to ensure services are approved.

Liaise with Program coordinators: Act as a point of contact between referring providers and insurance companies, providing updates and resolving issues.

Data Entry and Documentation: Accurately enter and update patient and claim information in relevant locations

Issue Identification: Identify trends or issues in prior authorization that lead to delays in claim processing or patient care.

Required Skills and Qualifications:

Communication: Strong verbal and written communication skills to interact with patients, providers, and insurance companies.

Attention to Detail: Meticulous attention to detail for accurately collecting and entering sensitive information.

Organizational Skills: Ability to multitask and manage a high volume of requests and documentation.

Computer Proficiency: Familiarity with healthcare billing systems, electronic health records (EHR), and general computer skills.

Insurance Knowledge: Understanding of Kentucky State insurance guidelines, managed care protocols, and prior authorization processes.

Experience: Previous experience in Behavioral Health medical billing /coding, or referral coordination preferred.

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