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Pharmacy Technician - Prior Authorization

https://www.cvshealth.com/ Logo

CVS Health

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Location:
United States , Work at Home

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Category:
Pharmacy

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Contract Type:
Not provided

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Salary:

17.00 - 28.46 USD / Hour
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Job Description:

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Job Responsibility:

  • Take in-bound calls from providers, pharmacies, members, etc. providing professional and courteous phone assistance to all callers through the criteria based prior authorization process
  • Maintain complete, timely and accurate documentation of reviews
  • Transfer all clinical questions, escalations and judgement calls to the pharmacist team
  • Assist with other duties as needed to include but not limited to: outbound calls, reviewing and processing Prior Auth’s received via fax and ePA, monitoring and responding to inquiries via department mailboxes
  • Effectively manage work volume by handling inbound calls/fax/ePA requests utilizing appropriate courteous and professional behavior based upon established standards
  • Comply with departmental, company, state, and federal requirements when processing all information to ensure accuracy of information being provided to internal and external customers
  • Communication with other internal groups regarding determination status and results (seniors, pharmacists, appeals, etc)
  • Identify and elevate clinical inquiries to the pharmacist team as appropriate
  • Other duties assigned, for example faxes, sorting, email boxes, CAS maintenance, etc

Requirements:

  • Able to apply basic computer skills
  • Knowledge of Microsoft Office Suite: Excel and Word required
  • Access, Outlook, PowerPoint, Visio preferable
  • Keyboard skills essential
  • Basic pharmaceutical knowledge pertaining to terminology, calculations, and protocols
  • High School Diploma or equivalent GED

Nice to have:

  • Must be able to multitask and utilize multiple system applications simultaneously
  • Must be able to utilize available resources independently and provide high quality work
  • Must be able to absorb presented information, display motivation, seek development and problem solve
  • Ability to adapt and change with workflow and shifting priorities
  • Must possess excellent written, verbal, grammar, and listening communication skills
  • Must be able to deal with a diverse customer base (internal and external) in a friendly and confident manner
  • Ability to maintain confidentiality of PHI (Protected Healthcare Information)
What we offer:
  • Affordable medical plan options
  • 401(k) plan (including matching company contributions)
  • Employee stock purchase plan
  • No-cost programs for all colleagues including 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:
March 22, 2026

Expiration:
March 27, 2026

Employment Type:
Fulltime
Work Type:
Remote work
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