Pharmacy Technician - Prior Authorization, CVS Health

CVS Health

Location:
United States, Arizona

Category:
Customer Service

Contract Type:
Employment contract

Salary:

18.50 - 35.29 USD / Hour

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Job Description:

Pharmacy Technician position focused on processing prior authorization requests for CVS Health. The role involves clinical research, documentation, communication with providers and pharmacies, and maintaining productivity and quality standards while working remotely from home.

Job Responsibility:

Processes prior authorization requests received by phone, fax, or electronically
Utilizes various computer resources, existing criteria, and medication guidelines to perform clinical research to support prior authorization reviews
Proactively completes prior authorization approvals and denials that are due to expire
Maintains complete, timely, and accurate documentation
Reviews potential prior authorization denial language to ensure NCQA requirements are met
Follows prior authorization workflow, policies, and procedures
Answers prior authorization inquiry calls from provider's offices, pharmacies, and internal partners
Uses various computer resources to communicate prior authorization status or decisions
Maintains a balance of productivity, quality, and timeliness of work
Participates in training and continuing education
Participates in team/departmental meetings

Requirements:

National Pharmacy Technician certification and applicable state Pharmacy Technician license, current and in good standing
Between 1-5+ years of Pharmacy Prior Authorization processing experience
Ability to Multi-task and prioritize work
Ability to adjust based on business or department needs
Good organization skills
Excellent attendance
Proficiency in drug name and diagnosis pronunciation
Recognizing medical terminology
Navigating multiple computer resources to document conversations and prior authorization decisions
Good written and verbal communication skills
Home internet access with minimum speed of 100mbps download
Secure workspace/office in their home
High level skill with working with PC (using mouse and keyboard, accessing and navigating through multiple systems and screens)

Nice to have:

Retail or Hospital experience
Managed Care or Medicaid experience
AS400 experience
Proficiency in using computerized resources and software applications
Proficiency with Microsoft applications (Excel, Word, and Outlook)
Knowledge in pharmacy practices, procedures, and ability to read and understand clinical information
Working knowledge of drug dosage forms, drug strength, generic and brand name equivalent

What we offer:

Affordable medical plan options
401(k) plan with matching company contributions
Employee stock purchase plan
No-cost wellness screenings
Tobacco cessation and weight management programs
Confidential counseling and financial coaching
Paid time off
Flexible work schedules
Family leave
Dependent care resources
Colleague assistance programs
Tuition assistance
Retiree medical access

Additional Information:

Job Posted:
October 03, 2025

Expiration:
October 25, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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Pharmacy Technician - Prior Authorization