Pharmacy technician - prior authorization, CVS Health

CVS Health

Location:
United States

Category:
Customer Service

Contract Type:
Employment contract

Salary:

18.50 - 38.82 USD / Hour

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Job Description:

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate.

Job Responsibility:

Processes prior authorization requests received by phone, fax, or electronically and utilizies 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 and maintaines complete, timely, and accurate documentation
Reviews potential prior authorization denial language to ensure NCQA requirements are met
Follows prior authorization workflow, policies, and procedures during the course of the workday
Answers a potentially high volume of prior authorization inquiry calls from provider's offices, pharmacies, and internal partners and uses various computer resources to communicate prior authorization status or decisions
Maintains a balance of productivity, quality and timeliness of work

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
High School diploma, G.E.D.
Candidate must have their own home internet access with minimum speed of 100mbps download
Candidate must have a secure workspace/office in their home
Candidate must have high level skill with working with PC (ex. 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:
November 13, 2025

Expiration:
November 18, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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Pharmacy technician - prior authorization