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Pharmacy Technician – Prior Authorization

Job not on LinkedIn

🔥 17 hours ago

🌵 Arizona – Remote

infoinfo

💵 $18 - $35 / hour

⏰ Full Time

🟢 Junior

💊 Pharmacist

🚫👨‍🎓 No degree required

Where this job comes from

Posted on CVS Health Careers's careers page, not through a job board

First seen by Remote Rocketship 17 hours ago

Still open on CVS Health Careers's site. Checked 1 hour ago.

Logo of CVS Health Careers

CVS Health Careers

10,000+ employees

🏥 Healthcare

🛒 Retail

📦 Logistics

Healthcare • Retail • Logistics

CVS Health Careers is the recruitment and employer branding arm of CVS Health, showcasing job opportunities across the company's broad operations—pharmacy retail stores, pharmacy services, health care clinics, distribution warehouses, corporate functions and transportation. The careers site emphasizes purpose-driven work focused on improving access, affordability and quality of health care, and highlights a large workforce (300,000+ employees), inclusive culture, benefits, and hiring resources for applicants.

📋 Description

• Process prior authorization requests received by phone, fax, or electronically • Use computer resources, existing criteria, and medication guidelines to conduct clinical research supporting prior authorization reviews • Complete prior authorization approvals and denials due to expire • Maintain complete, timely, and accurate documentation • Review potential prior authorization denial language for NCQA compliance • Follow prior authorization workflows, policies, and procedures • Answer high-volume inquiry calls from provider offices, pharmacies, and internal partners • Communicate prior authorization status or decisions using computer resources • Balance productivity, quality, and timeliness • Participate in required training, continuing education, and team or departmental meetings • Work scheduled shifts within Aetna Pharmacy Prior Authorization operating hours of 5:00 a.m. to 7:00 p.m., with possible overnight shifts • Pronounce drug names and diagnoses, recognize medical terminology, and document conversations and decisions

🎯 Requirements

• National Pharmacy Technician certification and Arizona State Pharmacy Technician license, current and in good standing, required and must be maintained • Between 1-5+ years of Pharmacy Prior Authorization processing experience • Ability to multitask and prioritize work • Ability to adjust based on business or department needs • Good organization skills • High school diploma or G.E.D. • Own home internet access with minimum speed of 100 Mbps download • Secure workspace/office in the home • High-level skill working with a PC and navigating multiple systems and screens • Ability to work scheduled 40 hours per week, including weekends and holidays • Ability to work extended hours when necessary • Rotating weekend schedule may be required

🏖️ Benefits

• CVS Health bonus, commission or short-term incentive program in addition to base pay • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being, based on eligibility

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