Pharmacy Technician – Prior Authorization

Job not on LinkedIn

🔥 17 hours ago

🌵 Arizona – Remote

🌵 Arizona – Remote

💵 $18 - $35 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

💊 Pharmacist

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Process prior authorization requests received by phone, fax, or electronically • Use computer resources, existing criteria, and medication guidelines to perform 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 prior authorization inquiry calls from provider offices, pharmacies, members, 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 8-hour shifts within Aetna Pharmacy Prior Authorization operating hours • Pronounce drug names and diagnoses, recognize medical terminology, and navigate multiple computer resources • Maintain excellent attendance • Work with a team schedule that may include weekends, holidays, and extended hours

🎯 Requirements

• National Pharmacy Technician certification and state licensure or applicable state Pharmacy Technician license, current and in good standing, required and must be maintained • Between 0-5+ years of Pharmacy Technician experience • Ability to multi-task and prioritize work • Ability to adjust based on business or department needs • Good organization skills • Own home internet access with minimum speed of 100mbps download, hard wired with Ethernet cord • Secure workspace/office in the home • High level skill working with a PC and navigating multiple systems and screens • Ability to work 40 hours per week, including weekends and holidays • Ability to work extended hours when necessary • Rotating weekend schedule may be required • High School diploma or G.E.D. • Retail or Hospital experience preferred • Prior Authorization processing experience preferred • Claims processing experience preferred • Managed Care, Medicare, and/or Medicaid experience preferred • AS400 experience preferred • Proficiency in computerized resources and software applications preferred • Proficiency with Microsoft applications (Excel, Word, and Outlook) preferred • Knowledge in pharmacy practices and procedures, and ability to read and understand clinical information preferred • Working knowledge of drug dosage forms, drug strength, and generic and brand name equivalents preferred

🏖️ Benefits

• CVS Health bonus, commission or short-term incentive program in addition to the base pay range • 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