Pharmacy Technician – Prior Authorization

Job not on LinkedIn

🔥 18 hours ago

🌵 Arizona – Remote

🌵 Arizona – Remote

💵 $18 - $35 / hour

⏰ Full Time

🟢 Junior

💊 Pharmacist

👻 Ghost score 0%

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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 conduct clinical research supporting prior authorization reviews • Complete expiring prior authorization approvals and denials • Maintain complete, timely, and accurate documentation • Review denial language for NCQA compliance • Follow prior authorization workflows, policies, and procedures • Answer high-volume inquiries 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 8-hour shifts within operating hours of 5:00 a.m. to 7:00 p.m.; overnight shifts may be available • Maintain excellent attendance

🎯 Requirements

• National Pharmacy Technician certification and Arizona State Pharmacy Technician license, current and in good standing, required and must be maintained • 1–5+ years of Pharmacy Prior Authorization processing experience • High School diploma or G.E.D. • Ability to multitask and prioritize work • Ability to adjust based on business or department needs • Good organization skills • Own home internet access with minimum speed of 100 Mbps download • Secure workspace/office in the home • High-level PC skills, including 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

🏖️ Benefits

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