Good Teams, Good documentation, Superficial KPI's, Slow System. - Prior Authorization Representative CVS Health Employee Review

3.0
Mar 26, 2026
Recommend
CEO approval
Business Outlook

Pros

- Teams are friendly and cordial. - Documentation is fantastic. - Easy to request PTO. - (Some) autonomy with how you approach your workflow. - Lots of educational resources available (but hardly any time to use them) - A few of the earlier software updates have been home-runs and game changers.

Cons

- KPI's and goals are too superficial and do not identify higher leverage cost saving opportunities. Focusing so much on reducing touch time leads to increasing pressure on pharmacists who have to review cases that could otherwise be approved by reps, if reps had more time. It also invariably leads to an overall increase in denials relative to baseline. This actually makes the department *lose* money because the rate of second attempts and appeals increase. - Massive tech debt and tools rolled out without consulting end user needs. Many of the tools and updates being released lately are half-baked, and there are large portions of the software that are slow and not performant. System outages put strain on all employees as the queues pile up. - Management is not equipped with proper education or training on tools or have relevant pharmacy experience. Example: It was once recommended to use ABBYY FineReader for every single attachment. This is not feasible. The built in OCR (Optical Character Recognition) model takes several minutes to transcribe images into text, even for a small 5-10 page document. If you're not aware of this, you will run through attachments and not find the pertinent information, which could lead to incorrect outcomes. Some supervisors can not pronounce drug names, and do not know their drug class or indication. Even for the most basic drugs. While not entirely pertinent to the role, it is a little concerning.

Explore other reviews about CVS Health

5.0
Jun 2, 2026
Recommend
CEO approval
Business Outlook

Pros

PTO Remote/WFH Easy on the job training Advancement opportunities Good health, dental, and vision coverage options

Cons

Some metrics are hard to meet during specific times of the year Mandatory overtime required during peak seasons Mandatory shift bids in certain departments

5.0
Dec 13, 2014
Recommend
CEO approval
Business Outlook

Pros

I learned a lot working there as far as how to run a business as well as how to develop a team. I had one of the most successful teams in the company ranking as the top store year over year in two separate markets, one in the Northeast one in the Southeast. I was a paragon winner with the company as well. My most recent DM was very supportive. I genuinely thank them for the opportunity and the knowledge that I acquired while working with them.

Cons

Work hours were excessive. To be successful hours worked were borderline slavery. While I willingly worked them to be successful, the week you didn't you were immediately behind. Vacations were almost non existent due to constant visitors from corporate stopping in to do reviews. Holiday weeks were paid 4 days regular 1 holiday and you worked all 5. The facade of the stores looking great when these people stop by versus the reality of the business is polarizing. There were always teams of people and excessive expenditures of payroll thrown into stores prior to their visits. While I understood the need to make an appearance, it was always will always be a backwards way off thinking. Company preaches quality of life for their clients while quality of life for their employees is non-existent. As a "manager" in your average store you will be "managing" a total of one person during your shift, with a total of 10 people at location. Location open hours will exceed total payroll hours ie Sun-Sat 7am-10pm = 15hrs per day x 7 days x 2 people = 210 hrs which excludes the need to have a person unload deliveries that come in during non opened hours. Your budgeted hours will be approximately 208 hrs. I will only mention that during the month of December that there are extended hours for the stores but no budgeted hours to accommodate. Stores are held to strict shrink targets with little to no control over external theft. Remember 2 people at location, if four people enter to steal there is nothing you can do to stop them. These are facts not personal prejudices.

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