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Pharmacy Technician

https://www.cvshealth.com/ Logo

CVS Health

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Location:
United States, Work At Home

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Category:
Customer Service

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Contract Type:
Employment contract

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Salary:

18.50 - 38.82 USD / Hour

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.

Job Responsibility:

  • Processes prior authorization requests received by phone, fax, or electronically and 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 and 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 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
  • Participates in training and continuing education as required
  • Participates in team/departmental meetings as required
  • Excellent attendance is a must
  • Successful pharmacy technicians will be proficient in drug name and diagnosis pronunciation, recognizing medical terminology, and navigating multiple computer resources to document conversations and prior authorization decisions
  • Successful pharmacy technicians will possess good written and verbal communication skills

Requirements:

  • National Pharmacy Technician certification and applicable state Pharmacy Technician license, current and in good standing, are required and must be maintained
  • 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

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 (including matching company contributions)
  • Employee stock purchase plan
  • No-cost programs for wellness screenings, tobacco cessation, and weight management
  • 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 17, 2025

Expiration:
October 04, 2025

Employment Type:
Fulltime
Work Type:
Remote work
Job Link Share:
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