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Remote Cvs Aetna Jobs (NOW HIRING)

The Claim Organization is accountable for CVS Health's Health Care Benefits division (Aetna ... and remote Required Qualifications * 7+ years of experience with the following: * Mainframe ...

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Remote Cvs Aetna information

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How much do remote cvs aetna jobs pay per hour?

As of Aug 17, 2026, the average hourly pay for remote cvs aetna in the United States is $18.41, according to ZipRecruiter salary data. Most workers in this role earn between $19.23 and $19.23 per hour, depending on experience, location, and employer.

What is a remote CVS Aetna job?

Remote CVS Aetna jobs are employment opportunities with CVS Health, specifically within the Aetna division, that can be performed from a remote location rather than a traditional office setting. These roles may include positions in customer service, claims processing, case management, pharmacy services, and IT, among others. Remote roles offer flexibility and the ability to work from home, but typically require a stable internet connection and adherence to company security protocols. CVS Health emphasizes diversity, inclusion, and work-life balance in its remote positions. Applicants can find and apply for these jobs on the CVS Health careers website.

What skills and qualifications are needed to thrive as a remote CVS Aetna employee?

To excel as a Remote CVS Aetna Customer Service Representative, you need strong communication skills, problem-solving abilities, and a high school diploma or equivalent. Familiarity with CRM systems, call center software, and healthcare or insurance platforms is typically required. Outstanding interpersonal skills, patience, and adaptability are crucial for handling customer inquiries and resolving issues efficiently. These skills and qualities ensure effective support for members, customer satisfaction, and overall company success in a remote work environment.

What challenges do remote CVS Aetna employees face, and how can they overcome them?

Remote CVS Aetna employees often encounter challenges such as staying connected with team members across different time zones and maintaining clear communication in a virtual environment. To overcome these, it's important to leverage collaboration tools provided by the company, participate actively in virtual meetings, and establish a dedicated workspace at home. Regular check-ins with managers and colleagues also help foster a sense of teamwork and keep everyone aligned with organizational goals.

What is the difference between Remote Cvs Aetna vs Remote Cvs?

AspectRemote Cvs AetnaRemote Cvs
CredentialsTypically requires medical coding certifications, such as CPC or CCSUsually requires medical coding certifications, such as CPC or CCS
Work EnvironmentHealthcare insurance companies, remote or office-basedHealthcare providers, insurance companies, remote or office-based
Industry UsageCommonly employed in health insurance and claims processingUsed in healthcare billing, coding, and claims management

Remote Cvs Aetna and Remote Cvs roles both involve medical coding and claims processing, often requiring similar certifications. The main difference lies in their employer focus: Aetna is a health insurance provider, while Cvs may refer to roles within healthcare services or pharmacy benefits. Both roles are suitable for remote work and share overlapping responsibilities in healthcare administration.

What cities are hiring for Remote Cvs Aetna jobs?

Cities with the most Remote Cvs Aetna job openings:

What states have the most Remote Cvs Aetna jobs?

States with the most job openings for Remote Cvs Aetna jobs include:

Infographic showing various Remote Cvs Aetna job openings in the United States as of August 2026, with employment types broken down into 52% Full Time, 45% Part Time, and 3% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $38,289 per year, or $18.4 per hour.

Clinical Pharmacist - Aetna Medicaid Prior Authorization (AZ or TX Licensed)

Oak St. Health

Remote

$94K - $176K/yr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 3 days ago

New


Job description

Medicaid Prior Authorization Pharmacist

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Ready to take your clinical skills to the next level? Check out this outstanding opportunity for a Medicaid Prior Authorization Pharmacist with Aetna!

This is a Clinical Pharmacist Position supporting Medicaid Prior Authorization.

An active AZ or TX pharmacist license that is in good standing is required. New hire is required to obtain AZ or TX pharmacist license (whichever they currently do not have) within 90 days of hire.

We are hiring for the 10:00 am - 6:30 pm shift AZ time (post training). The training schedule is: 8:00 am - 4:30 pm AZT (8 weeks). You are required to work one Saturday every 6 weeks and occasional holidays.

This is a fully remote position open to qualified candidates within the United States.

Required Qualifications
  • Active and unrestricted AZ and/or TX pharmacist license required. Candidate must currently hold one of these licenses.
  • New hire is required to obtain additional AZ or TX pharmacist license (whichever they do not currently hold) within 90 days of hire.
  • Experience with clinical decision-making while applying evidence based clinical guidelines/criteria; utilizing formularies/preferred drug lists.
  • Experience working in a high production managed care team environment
  • 3+ years experience working as a pharmacist.
  • Demonstrated understanding of clinical program components, formulary designs, and prescription benefit trends.
Preferred Qualifications
  • Medicaid or Medicare experience
  • Prior authorization experience.
  • Experience reviewing medical records, clinical literature, and composing SOAP notes.

BS in Pharmacy or PharmD

Anticipated Weekly Hours: 40

Time Type: Full time

Pay Range: $94,500.00 - $176,000.00

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process.