Pharmacy Technician - Prior Authorization, CVS Health

CVS Health

Location:
United States, Work At Home

Category:
Pharmacy

Contract Type:
Employment contract

Salary:

18.50 - 35.29 USD / Hour

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Job Description:

Processes prior authorization requests for medications, working from home to support CVS Health's pharmacy operations and ensure proper authorization procedures are followed

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
Maintains a balance of productivity, quality, and timeliness of work

Requirements:

National Pharmacy Technician certification and Arizona or 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

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:
September 13, 2025

Expiration:
October 04, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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Pharmacy Technician - Prior Authorization