Pharmacy Technician – Prior Authorization

CVS Health Careers

. Process prior authorization requests received by phone, fax, or electronically .

Posted 11/3/2026full-timeRemote • Arizona • United StatesJunior💰 $19 - $35 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in Pharmacy Prior Authorization processing, including compliance with NCQA standards and effective communication with providers and pharmacies. Maintains accurate documentation and balances productivity with quality in a high-volume environment.

Highest-signal resume keywords

National Pharmacy Technician CertificationArizona State Pharmacy Technician LicensePharmacy Prior Authorization Processing ExperienceHigh-Level PC SkillsMedical Terminology Recognition

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Prior Authorization ProcessingClinical ResearchDocumentation AccuracyMedication GuidelinesNCQA Compliance Review

Soft Skills

MultitaskingPrioritizationOrganizationCommunication

Tools & Technologies

Computer ResourcesMultiple Systems Navigation

Certifications & Qualifications

National Pharmacy Technician CertificationArizona State Pharmacy Technician License

Industry Keywords

Prior Authorization WorkflowsHigh-Volume Inquiry CallsProvider CommunicationPharmacy Operations

About the role

Key responsibilities & impact

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

What you’ll need

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

Comp & perks

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