Pharmacy Technician – Prior Authorizations

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🔥 0 minutes ago

🌵 Arizona – Remote

🌵 Arizona – Remote

💵 $18 - $35 / hour

⏰ Full Time

🟢 Junior

💊 Pharmacist

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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CVS Health Careers

WebsiteLinkedInAll Job Openings

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 that are 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

🎯 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 • High School diploma or G.E.D. • Proficiency in drug name and diagnosis pronunciation • Ability to recognize medical terminology • Ability to navigate multiple computer resources and screens • Good written and verbal communication skills • Ability to work 40 hours per week as scheduled, including weekends and holidays • Ability to work extended hours when necessary • Rotating weekend schedule may be required • Own home internet access with minimum speed of 100 Mbps download • Secure workspace/office in the home • High-level PC skills • Retail or Hospital experience • Managed Care or Medicaid experience • AS400 experience • Proficiency with computerized resources and software applications • Proficiency with Microsoft Excel, Word, and Outlook • Knowledge of pharmacy practices and procedures • Ability to read and understand clinical information • Working knowledge of drug dosage forms, drug strength, and generic and brand name equivalents

🏖️ Benefits

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

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