Pharmacy Prior Authorization Specialist
CVS
CVS Health is seeking a Pharmacy Technician for Prior Authorization, handling requests by phone, fax, or electronically. You will use medication guidelines to support reviews and maintain accurate documentation. You must have a national certification and state license, with 1–5+ years of prior authorization processing experience. The role features full-time hours, remote work options, and a comprehensive benefits package. #J-18808-Ljbffr CVS Health
$18.92 - $23.46 per hour
...voice matters. Vital Care is the premier pharmacy franchise business with franchises... ...Job Summary Perform duties to initiate authorizations, focusing on accuracy, timeliness, and adherence... ...are included to complete and submit prior authorizations timely for payer reimbursement...SuggestedFull timeContract workTemporary workLocal areaRemote workFlexible hours- WellDyne is seeking a Prior Authorization Tech II to initiate clinical PA requests by phone or email, create and fax cases, and document all... ...via telephone with prescriber staff and work closely with pharmacies, providers, and members to resolve issues. In this role you...Suggested
- ...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...Suggested
$101.18k - $120.46k
...Senior Shared Services Specialist Argo Group is an underwriter of specialty insurance products... ...direction and within broad limits and authority, partner with adjuster, auto/property... ...for this or any other position without prior authorization from Human Resources will...SuggestedWork experience placementLocal area$21.38 - $44.4 per hour
...: $21.38-$44.40/hr (Dependent on Experience) The Revenue Cycle Specialist is responsible for billing and collecting from their assigned payor... ...School Diploma or General Education Degree (GED) with 3 years prior hands‑on experience in a fast‑paced medical billing environment...Suggested- ...Prior Authorization Specialist Full-Time | On-Site | Ashland, PA About the Role Concept Billing Solutions is seeking a detail-oriented and organized... ...through approval. Supporting a long-term care (LTC) pharmacy environment , you’ll work closely with physician offices,...Full timeWork at office
- ...Overview Large Cardiology Practice located in Kew Gardens, Queens, is seeking a Prior Authorization Specialist that meets the following requirements: Benefits Competitive salary Health insurance Opportunity for advancement Paid time off Profit sharing Health benefits...
- ...clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities...Private practiceWork at officeImmediate startRemote work
- ...Boston Medical Center is seeking a part-time Prior Authorization Specialist to work remotely. The role involves screening prior authorization requests and coordinating with various stakeholders for financial clearance in the healthcare system. Responsibilities include...Part timeRemote work
- ...with 10% travel nationwide Position Summary The PAHub & Prior Authorization Specialist serves as a trusted consultant to customers and internal... ...utilization management, PBM, health plan operations, specialty pharmacy, or healthcare technology. Hands-on experience with PAHub...Local areaRemote work
- ...Qualifications: Experience/Education: High School Diploma or Equivalent. 2 years of experience managing insurance benefit verifications and authorizations. Proficient at partner programs (i.e.: MS Outlook, Word,Excel). Ability to cope with ambiguous, changing environment while...Work at officeImmediate startWork from homeMonday to FridayFlexible hours
- ...Prism Vision Group is seeking a Revenue Cycle Specialist located at Spokane Eye Clinic, Spokane, WA. This role involves handling billing and collecting from assigned payors, ensuring compliance with regulations and customer service excellence. Candidates should possess...
- ...operations and improve financial performance. Prior authorizations are a critical component of that... ...We are seeking a Prior Authorization Specialist (Contract) to support high-volume... ...commonly used in pain management Navigate pharmacy benefit portals and step-therapy...Contract work
- Soleo Health, Inc. is seeking a Clearance Specialist to support our Specialty Infusion Pharmacy remotely in the United States. The role involves processing... ...verifying patient eligibility, and managing payer authorization requests. Qualified candidates should have acute...Remote job
- JOB SUMMARY The basic function of the Authorization Specialist is to verify benefits/eligibility and obtain authorizations when necessary for visits... ...authorization is secured with the insurance company prior to scheduled service. Obtains authorization timely when the...Temporary workWork at officeMonday to Friday
- ...Services, PLLC are on the hunt for a meticulous and proactive Authorizations Specialist to keep our clinical services moving without interruption.... ...you secure matters Responsibilities Submit and track prior authorization requests to insurance companies daily Communicate...Hourly pay
- Date Posted: 2026-07-23 Country: United States of America Location: Florida - Remote WHY JOIN FCS At Florida Cancer Specialists & Research Institute, we believe our people are our strength and we invest in them. In addition to having a positive impact on the people and...Private practiceRemote work
- ...A U.S.-based healthcare service is seeking a Pre-Authorization & Referral Coordinator to manage insurance verifications, prior authorizations, and referrals for a fast-paced medical office. The ideal candidate should have over 2 years of experience in a U.S. medical setting...Full timeFor contractorsWork at officeRemote work
- ...City’s efforts to reform the criminal-legal system. Our in-jail clinical services include medical, nursing, and mental health care; pharmacy services; substance-use treatment; social work; dental and vision care; discharge planning; and reentry support. Given the high...Full timeWork experience placementShift work
$18.67 - $21.96 per hour
...Vermont, West Virginia, and Wyoming. Overview Lumicera Health Services is seeking a Prior Authorization Specialist I to join our team! Under direction from the Supervisor, Specialty Pharmacy Services, and pharmacists in the Specialty Pharmacy, the Prior Authorization...TraineeshipRemote workFlexible hoursShift work- ...Representative responsible for managing Care Coordination services and Health Information Management tasks. The role includes prior authorizations, electronic filing, and ensuring compliance with protocols. Ideal candidates will have a High School Diploma, experience in...Remote jobWork from home
$70k - $80k
Overview Accreditation Specialist - Specialty Pharmacy Job Summary: Facilitate accreditation related tasks and work closely with internal and external team members to ensure the pharmacies meet accreditation requirements. Assist as necessary to support accreditation compliance...Temporary workWork at officeWork from home- A healthcare services provider is seeking a Prior Authorization Specialist I to ensure the efficient triaging of prior authorizations. This role involves answering calls, contacting providers for necessary information, and documenting patient details. Ideal candidates...Remote workShift work
$20 - $28.8 per hour
...the direction of the Supervisor, Referrals, the Referrals Specialist serves as a primary interface between patients, providers,... ...Epic and insurance portals. Verify eligibility and obtain prior authorizations/pre-certifications as needed. Route/fax medical documentation...Full timeWork at officeRemote work$40 - $50 per hour
...and Jack Dorsey . Position: Healthcare Administrative Specialist Type: Contract Compensation: $40–$50/hour... ...front-end operations . Design efficient processes for prior authorizations and utilization support using real-world tools. Review...Contract workSummer workWork at officeRemote work- ...their Mission:For more than five decades, New York Cancer & Blood Specialists has been a prominent presence in the field of oncology within... ...services such as in-house laboratory facilities, an in-house pharmacy, radiology services, access to nutritionists, pathology...Temporary workPrivate practiceLocal areaFlexible hours
$90k - $140k
...London, Tokyo and Singapore, which manages Fixed Income portfolios for a broad range of clients. The RoleThe Fixed Income Portfolio Specialist will be responsible for servicing existing clients and driving commercialization of the institutional Global Multi-sector...Temporary workWork at officeWorldwide- Requisition TitlePharmacy Associate- Specialty Requisition ID2025-14532 # of Openings1 Job LocationsUS-NY-Syracuse Posted Date8/14/2025 CategoryPharmacy Location : LocationUS-NY-Syracuse Requisition Post Information* : External Company NameKPH Healthcare Services Location...Full time
- Reference: 627714Posted: 2026-06-11Location: Manhattan, New YorkCompany: Planet Pharma GroupContact: ApplicationsEmail: ****@*****.*** Functions: * Gains and consistently increases product knowledge through formal sales training; physician speaker...Local areaRemote workNight shift
- ...Fargo is seeking an Associate Executive Specialist to deliver high-level administrative and... ...successfully complete and pass a background check prior to hire. In accordance with FINRA rules,... ...-Party recordings are prohibited unless authorized by Wells Fargo.b. Wells Fargo requires...Full timeWork experience placementWork at office
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